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红外热成像图谱联合神经导航在功能区海绵状血管瘤切除术中的靶点定位

Infrared thermography mapping plus neuronavigation target location in an eloquent area cavernoma resection.

作者信息

de Font-Réaulx Enrique, López Ramón López, Díaz López Luis Guillermo

机构信息

Departments of Neurosurgery, Centro Médico ABC, Mexico City, México.

Department of Neurosurgery, High Specialty Medical Unit, La Raza Hospital, Mexican Social Security Institute, Mexico City, México.

出版信息

Surg Neurol Int. 2020 Mar 13;11:44. doi: 10.25259/SNI_435_2019. eCollection 2020.

Abstract

BACKGROUND

Safety and efficacy are irrebuttable goals in neurosurgery.

METHODS

We performed a subcortical cavernoma resection in an eloquent area, where we recorded and compared the maximal and minimal brain temperature measured by an infrared thermographic camera and thermometer with the neuronavigation (NN) target location and real anatomical lesion location.

RESULTS

The hottest cortical point correlated to the subcortical cavernoma location. The NN located the target at 10 mm away from the hottest point.

CONCLUSION

More studies are needed to better understand the thermic radiation of the brain in health and in disease, but we believe that evaluating brain temperature, it could be possible to improve accuracy in neurosurgery and generate more knowledge about brain metabolism .

摘要

背景

安全性和有效性是神经外科手术不可辩驳的目标。

方法

我们在一个功能区进行了皮质下海绵状血管瘤切除术,在此过程中,我们记录并比较了通过红外热像仪和温度计测量的大脑最高温度和最低温度与神经导航(NN)目标位置及实际解剖病变位置的关系。

结果

最热的皮质点与皮质下海绵状血管瘤位置相关。神经导航将目标定位在距最热点位10毫米处。

结论

需要更多研究来更好地了解健康和疾病状态下大脑的热辐射,但我们认为,评估大脑温度可能会提高神经外科手术的准确性,并产生更多关于脑代谢的知识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fe5/7110428/1209a6692be1/SNI-11-44-g001.jpg

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