Desai Bhargav, Hobbs Jonathan, Hartung Grant, Xu Guoren, Gokaslan Ziya L, Linninger Andreas, Mehta Ankit I
Department of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Section of Neurosurgery, University of Chicago, Chicago, IL, USA.
J Neurooncol. 2017 Feb;131(3):425-435. doi: 10.1007/s11060-016-2325-4. Epub 2016 Nov 28.
Precision imaging is paramount to achieving success in surgical resection of many spinal tumors, whether the goal involves guiding a surgical cure for primary tumors or improving neurological decompression for metastatic lesions. Pre-operatively, image visualization is intimately involved with defining a clear target and surgical planning. Intra-operatively, image-guidance technology allows for surgeons to maximize the probability for gross total resection of spinal cord tumors and minimize damage to adjacent structures. Through this review, it is evident that spinal surgery has undergone significant advancements with the continued technological progression of different modalities of imaging guided technologies. Sophisticated imaging techniques compliment the surgeon's knowledge by providing an intraoperative reference to spinal column anatomy. This review discusses research efforts focusing on immersive imaging guided interactions with subject specific medical images that could enhance a surgeon's ability to plan and perform complex spinal oncology procedures with safety and efficiency.
精准成像对于许多脊柱肿瘤的手术切除取得成功至关重要，无论目标是指导原发性肿瘤的手术治愈还是改善转移性病变的神经减压。术前，图像可视化与明确目标和手术规划密切相关。术中，图像引导技术使外科医生能够最大限度地提高脊髓肿瘤全切的概率，并将对相邻结构的损伤降至最低。通过本次综述，很明显随着成像引导技术不同模式的持续技术进步，脊柱外科已经取得了显著进展。先进的成像技术通过提供脊柱解剖结构的术中参考来补充外科医生的知识。本综述讨论了专注于与特定患者医学图像进行沉浸式成像引导交互的研究工作，可以提高外科医生安全、高效地规划和实施复杂脊柱肿瘤手术的能力。
