Hüfner Tobias, Gebhard Florian, Grützner Paul A, Messmer Peter, Stöckle Ulrich, Krettek Christian
Department of Traumatology, Hannover Medical School, 30625 Hannover, Germany.
Injury. 2004 Jun;35 Suppl 1:S-A30-4. doi: 10.1016/j.injury.2004.05.008.
If a surgeon is considering purchasing a navigation system, several factors have to be evaluated including, the planned applications, the equipment already installed, and the specific knowledge of the surgeon. For use in traumatology, fluoroscopy and more specifically 3-D fluoro-based computer guidance is preferable. These technologies are based on intraoperative acquired arbitrary images in contrast to CT-based techniques, which refer to preoperative acquired images that represent a so called "cannel reality". However, image quality has to be considered as fluoro-picture quality depending on the anatomical area (eg long bones, spine, pelvis) and body mass index. CT-based navigation provides better image quality and accuracy but is not able to visualize reduction processes. Therefore personal experience in courses or by on-site teaching is recommended prior taking the decision.
如果外科医生正在考虑购买导航系统,必须评估几个因素,包括计划的应用、已安装的设备以及外科医生的专业知识。在创伤学中,荧光透视,更具体地说是基于三维荧光的计算机引导更为可取。与基于CT的技术相比,这些技术基于术中获取的任意图像,而基于CT的技术参考的是术前获取的图像,代表所谓的“通道现实”。然而,图像质量必须根据解剖区域(如长骨、脊柱、骨盆)和体重指数作为荧光图像质量来考虑。基于CT的导航提供了更好的图像质量和准确性,但无法可视化复位过程。因此,建议在做出决定之前,先通过课程或现场教学积累个人经验。
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