血管内影像引导介入治疗（EIGIs）。
Endovascular image-guided interventions (EIGIs).
作者信息
Rudin Stephen, Bednarek Daniel R, Hoffmann Kenneth R
机构信息
Toshiba Stroke Research Center, University at Buffalo, State University of New York, Biomedical Research Building, Room 445, 3435 Main Street, Buffalo, New York 14214, USA.
出版信息
Med Phys. 2008 Jan;35(1):301-9. doi: 10.1118/1.2821702.
Abstract
Minimally invasive interventions are rapidly replacing invasive surgical procedures for the most prevalent human disease conditions. X-ray image-guided interventions carried out using the insertion and navigation of catheters through the vasculature are increasing in number and sophistication. In this article, we offer our vision for the future of this dynamic field of endovascular image-guided interventions in the form of predictions about (1) improvements in high-resolution detectors for more accurate guidance, (2) the implementation of high-resolution region of interest computed tomography for evaluation and planning, (3) the implementation of dose tracking systems to control patient radiation risk, (4) the development of increasingly sophisticated interventional devices, (5) the use of quantitative treatment planning with patient-specific computer fluid dynamic simulations, and (6) the new expanding role of the medical physicist. We discuss how we envision our predictions will come to fruition and result in the universal goal of improved patient care.
摘要
对于最常见的人类疾病状况，微创干预正迅速取代侵入性外科手术。通过血管系统插入和导航导管进行的X射线图像引导干预在数量和复杂性上都在不断增加。在本文中，我们以对以下方面的预测形式，阐述了我们对这个动态的血管内图像引导干预领域未来的展望：（1）用于更精确引导的高分辨率探测器的改进；（2）用于评估和规划的高分辨率感兴趣区域计算机断层扫描的实施；（3）剂量跟踪系统的实施以控制患者辐射风险；（4）日益复杂的介入设备的开发；（5）使用针对患者特定的计算机流体动力学模拟进行定量治疗规划；（6）医学物理学家新的扩展作用。我们讨论了我们设想这些预测将如何实现，并导致改善患者护理这一普遍目标的达成。
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