Nimsky Christopher, Carl Barbara
Department of Neurosurgery, University Marburg, Marburg, Germany.
Department of Neurosurgery, University Marburg, Marburg, Germany.
Neurosurg Clin N Am. 2017 Oct;28(4):453-464. doi: 10.1016/j.nec.2017.05.001. Epub 2017 Jul 4.
Intraoperative imaging has become widely accepted in neurosurgery in recent years. The possibility to objectively determine the extent of tumor removal is highly advantageous. If the resection is incomplete, clinicians can attempt to remove the residual tumor that was missed during the same operation. Furthermore, the positioning of implants in spinal surgery, as well as in cranial surgery, can be controlled and modified during the procedure. Intraoperative imaging acts as immediate quality control and offers improved patient safety. This article gives a brief overview of the different intraoperative imaging modalities and their potential applications in modern neurosurgery.
近年来,术中成像在神经外科手术中已被广泛接受。客观确定肿瘤切除范围的可能性具有极大优势。如果切除不完全,临床医生可以尝试在同一手术中切除遗漏的残留肿瘤。此外,在脊柱手术以及颅脑手术中植入物的定位在手术过程中可以得到控制和调整。术中成像起到即时质量控制的作用,并提高了患者的安全性。本文简要概述了不同的术中成像模式及其在现代神经外科手术中的潜在应用。