虚拟现实在内脏动脉动脉瘤开放和内血管外科手术规划期间的好处
Delphine Donzel1, Dominique Fabre1, Thomas Le Houérou1
1Paris-Saclay University, Marie Lannelongue Hospital, Le Plessis-Robinson, France.
Journal of vascular surgery cases and innovative techniques
|November 11, 2025
概括
三维虚拟现实 (VR) 分析增强了内脏动脉动脉瘤 (VAA) 的手术决策. 这项技术改善了解剖评估和手术规划,优化了开放修复 (OR) 和内血管手术 (EP) 之间的治疗选择.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 虚拟现实应用 虚拟现实应用
背景情况:
- 内脏动脉动脉瘤 (VAA) 带来了复杂的外科手术挑战.
- 准确的手术前评估对于最佳治疗选择至关重要.
- 传统的2D成像可能会限制对复杂解剖学的全面理解.
研究的目的:
- 评估三维 (3D) 虚拟现实 (VR) 对VAAs手术决策的影响.
- 评估VR在优化治疗选择 (开放式修复与内血管手术) 和手术规划方面的作用.
- 为了确定基于VR的VAA分析的效率和外科医生经验.
主要方法:
- 10名VAA患者接受了对比度增强的CT扫描.
- 外科医生使用标准的2D多平面重建和3DVR重建来分析病例.
- 外科医生在开放性修复 (OR) 或内血管程序 (EP) 之间进行选择,并填写了问卷;记录了分析时间.
主要成果:
- 虚拟现实显著改善了VAA位置 (83%),解剖 (90%) 和附带资产 (76%) 的评估.
- 程序规划和挑战预测得到了加强 (分别为62%和72%).
- 在3DVR分析后,OR和EP之间的选择在15%的案例中被修改.
结论:
- 3D VR是VAA手术前评估的一个有价值的工具.
- 虚拟现实提供了一个简短的学习曲线和高效的分析过程.
- 虚拟现实在优化VAA治疗选择方面表现有前途,改善了手术结果.
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