Department of Neurosurgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA; Hawaii Pacific Health, John A Burns School of Medicine, Honolulu, Hawaii, USA.
Department of Neurosurgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA; Harvard Medical School, Boston, Massachusetts, USA.
Neurosurg Clin N Am. 2021 Jan;32(1):47-54. doi: 10.1016/j.nec.2020.09.003. Epub 2020 Nov 5.
This article discusses intraoperative imaging techniques used during high-grade glioma surgery. Gliomas can be difficult to differentiate from surrounding tissue during surgery. Intraoperative imaging helps to alleviate problems encountered during glioma surgery, such as brain shift and residual tumor. There are a variety of modalities available all of which aim to give the surgeon more information, address brain shift, identify residual tumor, and increase the extent of surgical resection. The article starts with a brief introduction followed by a review of with the latest advances in intraoperative ultrasound, intraoperative MRI, and intraoperative computed tomography.
本文讨论了高级别脑胶质瘤手术中使用的术中成像技术。在手术中,脑胶质瘤与周围组织很难区分。术中成像有助于缓解脑胶质瘤手术中遇到的问题,如脑移位和肿瘤残留。有多种模态可用,其目的都是为了给外科医生提供更多的信息,解决脑移位问题,识别肿瘤残留,并增加手术切除的范围。本文首先进行简要介绍,然后回顾术中超声、术中磁共振成像和术中计算机断层扫描的最新进展。