无框架的机器人立体脑活检工作流程与CT-MRI融合和CT-to-fluoroscopy注册:一步一步的技术说明和早期经验
Mario Taravilla-Loma1, Víctor Rodríguez-Domínguez1, Catalina Vivancos Sánchez1
1Department of Neurosurgery, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046, Madrid, Spain.
Brain & spine
|January 26, 2026
概括
这项研究介绍了一种无框架,机器人辅助的立体脑活检技术,使用CT-MRI融合和CT-to-光学注册. 这种方法提供了一种可重现的工作流程,用于对脑损伤进行精确的组织分子诊断.
科学领域:
- 神经外科 神经外科
- 医疗成像医学成像
- 机器人技术 机器人技术 机器人技术
背景情况:
- 立体脑活检对于诊断大脑病变至关重要.
- 无框架神经导航和机器人平台增强工作流程和标准化.
- 可复制的注册策略对于安全实施至关重要.
研究的目的:
- 描述一个无框架,机器人辅助的立体脑活检工作流程.
- 详细说明使用手术前CT-MRI融合和手术内CT-to-fluoroscopy的注册策略.
- 报告关于可重复采用该技术的技术考虑.
主要方法:
- 通过CT-MRI融合和CT-to-fluoroscopy注册进行了机器人辅助的大脑活检.
- 工作流包括逐步程序,注册策略和技术评估.
- 使用了标准化的手术室设置.
主要成果:
- 从CT到光学注册提供了可靠的手术内解剖相关性.
- 该程序产生了一个确的组织分子诊断.
- 手术时间与常规立体活检一致,没有重大并发症.
结论:
- 概述了机器人辅助立体脑活检的可重复工作流程.
- 关键检查点包括严格的融合验证和不间断的光学跟踪.
- 需要进一步的研究来完善其在立体神经外科手术中的作用.
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