虚拟现实机器人辅助下 vena cava 血栓切除术使用虚拟血管内镜来识别下 vena cava 侵袭
Qingbo Huang1, Cheng Peng1, Songliang Du1
1Department of Urology, The Third Medical Center, Chinese PLA General Hospital, Beijing, China.
Asian journal of urology
|October 6, 2025
概括
虚拟血管内镜有助于外科医生识别下腔静脉 (IVC) 侵袭和计划机器人辅助IVC血栓切除术 (RA-IVCT). 这种技术有助于确定IVC切除的程度,可能减少患者的胀.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 医疗成像医学成像
背景情况:
- 脏瘤侵入下静脉 (IVC) 需要部分或细分IVC切除以控制瘤.
- 机器人辅助IVC血栓切除术 (RA-IVCT) 是一个复杂的程序,用于管理IVC入侵.
研究的目的:
- 引入和评估用于识别IVC入侵的虚拟血管内镜.
- 协助RA-IVCT手术规划,包括决定IVC切除程度.
主要方法:
- 开发了深度学习模型来预测IVC入侵.
- 虚拟血管内镜使用手术前CT扫描进行,以识别入侵.
- 包括36名患有脏瘤和IVC血栓患者进行RA-IVCT (20个培训,16个验证队列).
主要成果:
- 虚拟血管内镜准确地确定了验证队列9名患者中的8名IVC入侵.
- 16名患者接受了洞穴切除术,6名患者接受了部分IVC切除.
- 与洞穴切除相比,部分IVC壁切除与较少的下肢有关.
结论:
- 虚拟血管内镜是识别IVC入侵的一个有价值的工具.
- 该技术有助于外科医生制定RA-IVCT的手术计划.
- 这种方法可以通过指导IVC切除策略来改善患者的治疗结果.
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