Essayed Walid I, Zhang Fan, Unadkat Prashin, Cosgrove G Rees, Golby Alexandra J, O'Donnell Lauren J
Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA; Department of Neurosurgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Neuroimage Clin. 2017 Jun 15;15:659-672. doi: 10.1016/j.nicl.2017.06.011. eCollection 2017.
We perform a review of the literature in the field of white matter tractography for neurosurgical planning, focusing on those works where tractography was correlated with clinical information such as patient outcome, clinical functional testing, or electro-cortical stimulation. We organize the review by anatomical location in the brain and by surgical procedure, including both supratentorial and infratentorial pathologies, and excluding spinal cord applications. Where possible, we discuss implications of tractography for clinical care, as well as clinically relevant technical considerations regarding the tractography methods. We find that tractography is a valuable tool in variable situations in modern neurosurgery. Our survey of recent reports demonstrates multiple potentially successful applications of white matter tractography in neurosurgery, with progress towards overcoming clinical challenges of standardization and interpretation.
我们对用于神经外科手术规划的白质纤维束成像领域的文献进行了综述，重点关注那些将纤维束成像与临床信息（如患者预后、临床功能测试或皮层电刺激）相关联的研究。我们根据大脑中的解剖位置和手术程序来组织综述，包括幕上和幕下病变，不包括脊髓应用。在可能的情况下，我们讨论了纤维束成像对临床护理的影响，以及有关纤维束成像方法的临床相关技术考量。我们发现，纤维束成像在现代神经外科的各种情况下都是一种有价值的工具。我们对近期报告的调查表明，白质纤维束成像在神经外科中有多种潜在的成功应用，并且在克服标准化和解读方面的临床挑战上取得了进展。
