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[术前和术中影像学检查对手术策略的重要性]

[Importance of preoperative and intraoperative imaging for operative strategies].

作者信息

Nitschke P, Bork U, Plodeck V, Podlesek D, Sobottka S B, Schackert G, Weitz J, Kirsch M

机构信息

Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie, Carl Gustav Carus Universitätsklinikum Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

Institut für Radiologie, Carl Gustav Carus Universitätsklinikum Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

出版信息

Chirurg. 2016 Mar;87(3):179-88. doi: 10.1007/s00104-016-0163-8.

Abstract

Recent advances in preoperative and postoperative imaging have an increasing influence on surgical decision-making and make more complex surgical interventions possible. This improves the possibilities for frequently occurring challenges and promoting improved functional and oncological outcome. This manuscript reviews the role of preoperative and intraoperative imaging in surgery. Various techniques are explained based on examples from hepatobiliary surgery and neurosurgery, in particular real-time procedures, such as the online use of augmented reality and in vivo fluorescence, as well as new and promising optical techniques including imaging of intrinsic signals and vibrational spectroscopy.

摘要

术前和术后成像技术的最新进展对手术决策的影响日益增大,并使更复杂的手术干预成为可能。这为常见挑战提供了更多应对方法,并有助于改善功能和肿瘤治疗效果。本文综述了术前和术中成像在手术中的作用。基于肝胆外科和神经外科的实例,对各种技术进行了阐释,特别是实时操作,如增强现实和体内荧光的在线应用,以及包括固有信号成像和振动光谱在内的新的、有前景的光学技术。

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