Chen T N, Yin X T, Li X G, Zhao J, Wang L, Mu N, Ma K, Huo K, Liu D, Gao B Y, Feng H, Li F
Department of Neurosurgery, the Third Military Medical University, Chongqing 400038, China.
Zhonghua Yi Xue Za Zhi. 2018 May 8;98(17):1302-1305. doi: 10.3760/cma.j.issn.0376-2491.2018.17.004.
To explore the clinical and teaching application value of virtual reality technology in preoperative planning and intraoperative guide of glioma located in central sulcus region. Ten patients with glioma in the central sulcus region were proposed to surgical treatment. The neuro-imaging data, including CT, CTA, DSA, MRI, fMRI were input to 3dgo sczhry workstation for image fusion and 3D reconstruction. Spatial relationships between the lesions and the surrounding structures on the virtual reality image were obtained. These images were applied to the operative approach design, operation process simulation, intraoperative auxiliary decision and the training of specialist physician. Intraoperative founding of 10 patients were highly consistent with preoperative simulation with virtual reality technology. Preoperative 3D reconstruction virtual reality images improved the feasibility of operation planning and operation accuracy. This technology had not only shown the advantages for neurological function protection and lesion resection during surgery, but also improved the training efficiency and effectiveness of dedicated physician by turning the abstract comprehension to virtual reality. Image fusion and 3D reconstruction based virtual reality technology in glioma resection is helpful for formulating the operation plan, improving the operation safety, increasing the total resection rate, and facilitating the teaching and training of the specialist physician.
探讨虚拟现实技术在中央沟区胶质瘤术前规划及术中引导中的临床及教学应用价值。选取10例中央沟区胶质瘤患者拟行手术治疗。将包括CT、CTA、DSA、MRI、fMRI在内的神经影像数据输入3dgo sczhry工作站进行图像融合及三维重建。获取虚拟现实图像上病变与周围结构的空间关系。这些图像应用于手术入路设计、手术过程模拟、术中辅助决策及专科医师培训。10例患者术中所见与虚拟现实技术术前模拟高度一致。术前三维重建虚拟现实图像提高了手术规划的可行性及手术准确性。该技术不仅在手术中显示出保护神经功能及切除病变的优势，还通过将抽象理解转化为虚拟现实提高了专科医师的培训效率及效果。基于图像融合及三维重建的虚拟现实技术在胶质瘤切除术中有助于制定手术方案、提高手术安全性、提高全切率，并促进专科医师的教学与培训。
