Guijarro-Martínez R, Gellrich N-C, Witte J, Tapioles D, von Briel C, Kolotas C, Achinger J, Hailemariam S, Schulte H, Rohner D, Hammer B
Craniofacial Center (CFC), Hirslanden Medical Center, Aarau, Switzerland.
Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany.
Int J Oral Maxillofac Surg. 2014 Feb;43(2):156-62. doi: 10.1016/j.ijom.2013.09.005. Epub 2013 Oct 5.
A navigation-assisted multidisciplinary network to improve the interface between radiology, surgery, radiotherapy, and pathology in the field of head and neck cancer is described. All implicated fields are integrated by a common server platform and have remote data access in a ready-to-use format. The margins of resection and exact locations of biopsies are mapped intraoperatively. The pathologist uses the numerical coordinates of these samples to precisely trace each specimen in the anatomical field. Subsequently, map-guided radiotherapy is planned. In addition to the benefits of image-guided resection, this model enables radiotherapy planning according to the specific coordinates of the resection defect plus any residually affected sites identified by the pathologist. Irradiation of adjacent healthy structures is thereby minimized. In summary, the navigation-assisted network described grants timely multidisciplinary feedback between all fields involved, attains meticulous pathological definition, and permits optimized coordinate-directed radiotherapy.
本文描述了一种导航辅助的多学科网络，旨在改善头颈癌领域放射学、外科手术、放射治疗和病理学之间的衔接。所有相关领域通过一个通用服务器平台进行整合，并以即用格式进行远程数据访问。术中绘制切除边缘和活检的确切位置。病理学家使用这些样本的数字坐标在解剖区域中精确追踪每个标本。随后，进行基于图谱引导的放射治疗计划。除了图像引导切除的益处外，该模型还能够根据切除缺损的特定坐标以及病理学家确定的任何残留受累部位进行放射治疗计划。从而将对相邻健康结构的照射降至最低。总之，所描述的导航辅助网络在所有相关领域之间提供了及时的多学科反馈，实现了细致的病理定义，并允许进行优化的坐标导向放射治疗。
