Pratt Rosalind, Deprest Jan, Vercauteren Tom, Ourselin Sebastien, David Anna L
Translational Imaging Group, CMIC, University College London, London, UK.
Institute for Women's Health, University College London, London, UK.
Prenat Diagn. 2015 Dec;35(12):1159-66. doi: 10.1002/pd.4660. Epub 2015 Sep 16.
Fetal surgery has become a clinical reality, with interventions for twin-to-twin transfusion syndrome (TTTS) and spina bifida demonstrated to improve outcome. Fetal imaging is evolving, with the use of 3D ultrasound and fetal MRI becoming more common in clinical practise. Medical imaging analysis is also changing, with technology being developed to assist surgeons by creating 3D virtual models that improve understanding of complex anatomy, and prove powerful tools in surgical planning and intraoperative guidance. We introduce the concept of computer-assisted surgical planning, and present the results of a systematic review of image reconstruction for fetal surgical planning that identified six articles using such technology. Indications from other specialities suggest a benefit of surgical planning and guidance to improve outcomes. There is therefore an urgent need to develop fetal-specific technology in order to improve fetal surgical outcome.
胎儿手术已成为临床现实，针对双胎输血综合征（TTTS）和脊柱裂的干预已证明可改善预后。胎儿成像技术不断发展，三维超声和胎儿磁共振成像在临床实践中的应用越来越普遍。医学影像分析也在发生变化，正在开发相关技术，通过创建三维虚拟模型来协助外科医生，这有助于更好地理解复杂的解剖结构，并在手术规划和术中指导方面成为强大的工具。我们引入了计算机辅助手术规划的概念，并展示了一项针对胎儿手术规划图像重建的系统评价结果，该评价确定了六篇使用此类技术的文章。其他专业的适应症表明手术规划和指导有助于改善预后。因此，迫切需要开发针对胎儿的技术，以改善胎儿手术的预后。
