Šteňo Andrej, Buvala Ján, Babková Veronika, Kiss Adrián, Toma David, Lysak Alexander
Department of Neurosurgery, Comenius University, Faculty of Medicine, University Hospital Bratislava, Bratislava, Slovakia.
Front Oncol. 2021 Mar 22;11:659048. doi: 10.3389/fonc.2021.659048. eCollection 2021.
While benefits of intraoperative ultrasound (IOUS) have been frequently described, data on IOUS limitations are relatively sparse. Suboptimal ultrasound imaging of some pathologies, various types of ultrasound artifacts, challenging patient positioning during some IOUS-guided surgeries, and absence of an optimal IOUS probe depicting the entire sellar region during transsphenoidal pituitary surgery are some of the most important pitfalls. This review aims to summarize prominent limitations of current IOUS systems, and to present possibilities to reduce them by using ultrasound technology suitable for a specific procedure and by proper scanning techniques. In addition, future trends of IOUS imaging optimization are described in this article.
虽然术中超声（IOUS）的益处已被频繁描述，但关于IOUS局限性的数据相对较少。某些病变的超声成像欠佳、各种类型的超声伪像、在一些IOUS引导手术中具有挑战性的患者体位，以及在经蝶窦垂体手术中缺乏能够描绘整个鞍区的最佳IOUS探头，这些都是一些最重要的陷阱。本综述旨在总结当前IOUS系统的突出局限性，并提出通过使用适合特定手术的超声技术和适当的扫描技术来减少这些局限性的可能性。此外，本文还描述了IOUS成像优化的未来趋势。
