Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Mail Code-UH2, Portland, OR 97239, USA.
Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Mail Code-UH2, Portland, OR 97239, USA.
Anesthesiol Clin. 2021 Mar;39(1):211-225. doi: 10.1016/j.anclin.2020.11.010. Epub 2021 Jan 9.
Intraoperative MRI (iMRI) technology and its use in both adult and pediatric neurosurgery have advanced significantly over the past 2 decades, allowing neurosurgeons to account for brain shift and optimize resection of brain lesions. Combining the risks of the MR environment with those of the operating room creates a challenging, zero-tolerance environment for the anesthesiologist. This article provides an overview of the currently available iMRI systems, the neurosurgical evidence supporting iMRI use, and the anesthetic and safety considerations for iMRI procedures.
术中磁共振成像（iMRI）技术及其在成人和儿科神经外科中的应用在过去 20 年中得到了显著发展，使神经外科医生能够考虑到脑移位并优化脑病变的切除。将磁共振成像环境的风险与手术室的风险结合在一起，为麻醉师创造了一个具有挑战性、零容忍的环境。本文概述了目前可用的 iMRI 系统、支持 iMRI 使用的神经外科证据，以及 iMRI 程序的麻醉和安全注意事项。
