Samdani Amer, Jallo George I
Shriner's Hospital for Children, Philadelphia, Pennsylvania, USA.
Surg Technol Int. 2007;16:236-43.
Intraoperative magnetic resonance imaging (MRI) is a revolutionary technology that provides real-time assessment of surgical goals for the neurosurgeon. This technology has rapidly evolved over the past 15 years and currently is used for a wide variety of pathologies. These include gliomas, pituitary adenomas, epileptogenic foci, and complex hydrocephalus. Early generations of similar systems were bulky, tedious, and had marginal image quality. The next generation of systems provided improved image quality, easier surgical access, the ability to incorporate advanced imaging modalities, and integrated neuronavigation. This chapter reviews the intraoperative MRI technology, the various systems currently available, and the application of this technology to pediatric brain tumors. Continued refinements in the design of these systems will likely make them standard of care in the near future.
术中磁共振成像（MRI）是一项革命性技术，可为神经外科医生提供手术目标的实时评估。在过去15年中，这项技术迅速发展，目前被用于多种病症。这些病症包括胶质瘤、垂体腺瘤、致痫灶和复杂性脑积水。早期类似系统体积庞大、操作繁琐，图像质量也一般。新一代系统图像质量有所提高，手术操作更便捷，能够整合先进成像模式，并集成了神经导航功能。本章回顾了术中MRI技术、目前可用的各种系统，以及该技术在小儿脑肿瘤中的应用。这些系统设计的持续改进可能会使其在不久的将来成为护理标准。
