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用于优化治疗的消融规划软件:挑战、技术与应用

Ablation Planning Software for Optimizing Treatment: Challenges, Techniques, and Applications.

作者信息

Lyons Gray R, Pua Bradley B

机构信息

Department of Radiology, Division of Interventional Radiology, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, NY.

Department of Radiology, Division of Interventional Radiology, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, NY.

出版信息

Tech Vasc Interv Radiol. 2019 Mar;22(1):21-25. doi: 10.1053/j.tvir.2018.10.005. Epub 2018 Nov 2.

Abstract

Percutaneous ablation can deliver effective anticancer therapy with minimal side effects; however, undertreatment can lead to disease recurrence and overtreatment can lead to unnecessary complications. Ablation planning software can support the procedure during the planning, treatment, and follow-up phases. In this review, 2 examples of microwave ablation software are described with attention to how the software can influence procedural choices. In the future, ablation software will entail larger source datasets and more refined algorithms to better model the in vivo ablation zone. Moreover, ablation simulation has the potential to augment clinical care beyond the interventional suite, such as procedural demonstration for patients, clinical consultation with referring providers, documentation for the medical record, and educational simulation for trainees.

摘要

经皮消融能够以最小的副作用提供有效的抗癌治疗;然而,治疗不足会导致疾病复发,而过度治疗则会导致不必要的并发症。消融规划软件可在规划、治疗和随访阶段为该手术提供支持。在本综述中,介绍了2个微波消融软件的实例,并重点关注了该软件如何影响手术选择。未来,消融软件将需要更大的源数据集和更精细的算法,以更好地模拟体内消融区域。此外,消融模拟有可能扩展到介入手术室之外增强临床护理,例如为患者进行手术演示、与转诊医生进行临床会诊、病历记录以及为实习生进行教学模拟。

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