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[泌尿外科手术中的导航:当前技术的可能性与局限性]

[Navigation in urological surgery: Possibilities and limits of current techniques].

作者信息

Simpfendörfer T, Hatiboglu G, Hadaschik B A, Wild E, Maier-Hein L, Rassweiler M-C, Rassweiler J, Hohenfellner M, Teber D

机构信息

Urologische Universitätsklinik Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland,

出版信息

Urologe A. 2015 May;54(5):709-15. doi: 10.1007/s00120-014-3709-8.

Abstract

Surgical navigation describes the concept of real-time processing and presentation of preoperative and intraoperative data from different sources to intraoperatively provide surgeons with additional cognitive support. Imaging methods such as 3D ultrasound, magnetic resonance imaging (MRI) and computed tomography (CT) and data from optical, electromagnetic or mechanical tracking methods are used. The resulting information of the navigation system will be presented by the means of visual methods. Mostly virtual reality or augmented reality visualization is used. There are different guidance systems for various disciplines introduced. Mostly it operates on rigid structures (bone, brain). For soft tissue navigation motion compensation and deformation detection are necessary. Therefore, marker-based tracking methods are used in several urological application examples; however, the systems are often still under development and have not yet arrived in the clinical routine.

摘要

手术导航描述了一种实时处理和呈现来自不同来源的术前和术中数据的概念,以便在术中为外科医生提供额外的认知支持。使用了诸如三维超声、磁共振成像(MRI)和计算机断层扫描(CT)等成像方法,以及来自光学、电磁或机械跟踪方法的数据。导航系统产生的信息将通过视觉方法呈现。大多数情况下使用虚拟现实或增强现实可视化。针对不同学科引入了不同的引导系统。大多数情况下它作用于刚性结构(骨骼、大脑)。对于软组织导航,运动补偿和变形检测是必要的。因此,在几个泌尿外科应用实例中使用了基于标记的跟踪方法;然而,这些系统通常仍在开发中,尚未进入临床常规应用。

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