Suppr超能文献

神经外科肿瘤术中计划的轨迹追踪:迈向金标准。

Tractography for Surgical Neuro-Oncology Planning: Towards a Gold Standard.

机构信息

Department of Neurosurgery, Stanford University, 300 Pasteur Drive, Palo Alto, CA, 94304, USA.

Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

Neurotherapeutics. 2019 Jan;16(1):36-51. doi: 10.1007/s13311-018-00697-x.

Abstract

Magnetic resonance imaging tractography permits in vivo visualization of white matter structures. Aside from its academic value, tractography has been proven particularly useful to neurosurgeons for preoperative planning. Preoperative tractography permits both qualitative and quantitative analyses of tumor effects upon surrounding white matter, allowing the surgeon to specifically tailor their operative approach. Despite its benefits, there is controversy pertaining to methodology, implementation, and interpretation of results in this context. High-definition fiber tractography (HDFT) is one of several non-tensor tractography approaches permitting visualization of crossing white matter trajectories at high resolutions, dispensing with the well-known shortcomings of diffusion tensor imaging (DTI) tractography. In this article, we provide an overview of the advantages of HDFT in a neurosurgical context, derived from our considerable experience implementing the technique for academic and clinical purposes. We highlight nuances of qualitative and quantitative approaches to using HDFT for brain tumor surgery planning, and integration of tractography with complementary operative adjuncts, and consider areas requiring further research.

摘要

磁共振成像纤维束示踪技术可在活体中显示白质结构。除了具有学术价值外,纤维束示踪技术还被证明对神经外科医生的术前规划特别有用。术前纤维束示踪技术允许对肿瘤对周围白质的影响进行定性和定量分析,使外科医生能够专门调整手术方法。尽管有这些好处,但在这种情况下,关于方法、实施和结果解释存在争议。高清晰度纤维束追踪术(HDFT)是几种非张量纤维束追踪技术之一,可在高分辨率下显示穿过白质的轨迹,克服了众所周知的弥散张量成像(DTI)纤维束追踪技术的缺点。在本文中,我们根据我们在学术和临床应用该技术方面的丰富经验,概述了 HDFT 在神经外科环境中的优势。我们强调了使用 HDFT 进行脑肿瘤手术规划的定性和定量方法的细微差别,以及将纤维束示踪技术与互补的手术辅助手段相结合,并考虑了需要进一步研究的领域。

相似文献

1
Tractography for Surgical Neuro-Oncology Planning: Towards a Gold Standard.
Neurotherapeutics. 2019 Jan;16(1):36-51. doi: 10.1007/s13311-018-00697-x.
2
The Value of White Matter Tractography by Diffusion Tensor Imaging in Altering a Neurosurgeon's Operative Plan.
World Neurosurg. 2019 Dec;132:e305-e313. doi: 10.1016/j.wneu.2019.08.168. Epub 2019 Sep 5.
5
Interactive diffusion tensor tractography visualization for neurosurgical planning.
Neurosurgery. 2011 Feb;68(2):496-505. doi: 10.1227/NEU.0b013e3182061ebb.
9
The DTI Challenge: Toward Standardized Evaluation of Diffusion Tensor Imaging Tractography for Neurosurgery.
J Neuroimaging. 2015 Nov-Dec;25(6):875-82. doi: 10.1111/jon.12283. Epub 2015 Aug 11.

引用本文的文献

1
Atlas-based templates vs. subject-specific tractography: resolving the debate.
Brain Struct Funct. 2025 Aug 26;230(7):141. doi: 10.1007/s00429-025-02974-w.
2
Case Report: A personalized model of care for surgical resection of complex brain tumor with atypical language dominance.
Front Neurosci. 2025 Jul 24;19:1587594. doi: 10.3389/fnins.2025.1587594. eCollection 2025.
4
Microstructural alterations of the trigeminal ganglion in chronic ocular surface pain patients: A diffusion MRI study.
Neuroimage. 2025 Aug 15;317:121309. doi: 10.1016/j.neuroimage.2025.121309. Epub 2025 Jun 18.
6
Artificial intelligence in corticospinal tract segmentation using constrained spherical deconvolution.
Surg Neurol Int. 2025 Jan 31;16:32. doi: 10.25259/SNI_982_2024. eCollection 2025.
9
Exploration of the white matter bundles connected to the pineal gland: A DTI study.
Surg Radiol Anat. 2024 Oct;46(10):1571-1584. doi: 10.1007/s00276-024-03445-3. Epub 2024 Aug 5.

本文引用的文献

1
Overcoming Challenges of Cranial Nerve Tractography: A Targeted Review.
Neurosurgery. 2019 Feb 1;84(2):313-325. doi: 10.1093/neuros/nyy229.
2
Population-averaged atlas of the macroscale human structural connectome and its network topology.
Neuroimage. 2018 Sep;178:57-68. doi: 10.1016/j.neuroimage.2018.05.027. Epub 2018 May 24.
3
Generalized q-sampling imaging fiber tractography reveals displacement and infiltration of fiber tracts in low-grade gliomas.
Neuroradiology. 2018 Mar;60(3):267-280. doi: 10.1007/s00234-018-1985-5. Epub 2018 Jan 25.
5
Diffusion Tensor Imaging Tractography Detecting Isolated Oculomotor Nerve Damage After Traumatic Brain Injury.
World Neurosurg. 2017 Apr;100:707.e5-707.e7. doi: 10.1016/j.wneu.2017.01.082. Epub 2017 Jan 31.
7
The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary.
Acta Neuropathol. 2016 Jun;131(6):803-20. doi: 10.1007/s00401-016-1545-1. Epub 2016 May 9.
8
Visualization of Cranial Nerves Using High-Definition Fiber Tractography.
Neurosurgery. 2016 Jul;79(1):146-65. doi: 10.1227/NEU.0000000000001241.
9
High-definition fiber tractography for the evaluation of perilesional white matter tracts in high-grade glioma surgery.
Neuro Oncol. 2015 Sep;17(9):1199-209. doi: 10.1093/neuonc/nov113. Epub 2015 Jun 27.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验