Gilard Vianney, Derrey Stéphane, Marret Stéphane, Bekri Soumeya, Tebani Abdellah
Department of Neurosurgery, Normandie University, UNIROUEN, CHU Rouen, INSERM U1245, 76000 Rouen, France.
Department of Neonatology, Pediatric Intensive Care, and Neuropediatrics, Normandie University, UNIROUEN, CHU Rouen, INSERM U1245, 76000 Rouen, France.
J Pers Med. 2021 Oct 12;11(10):1019. doi: 10.3390/jpm11101019.
Since the inception of their profession, neurosurgeons have defined themselves as physicians with a surgical practice. Throughout time, neurosurgery has always taken advantage of technological advances to provide better and safer care for patients. In the ongoing precision medicine surge that drives patient-centric healthcare, neurosurgery strives to effectively embrace the era of data-driven medicine. Neuro-oncology best illustrates this convergence between surgery and precision medicine with the advent of molecular profiling, imaging and data analytics. This convenient convergence paves the way for new preventive, diagnostic, prognostic and targeted therapeutic perspectives. The prominent advances in healthcare and big data forcefully challenge the medical community to deeply rethink current and future medical practice. This work provides a historical perspective on neurosurgery. It also discusses the impact of the conceptual shift of precision medicine on neurosurgery through the lens of neuro-oncology.
自神经外科医生这一职业诞生以来，他们就将自己定义为从事外科手术的医生。一直以来，神经外科始终借助技术进步为患者提供更好、更安全的治疗。在推动以患者为中心的医疗保健的精准医学热潮中，神经外科努力有效融入数据驱动医学的时代。随着分子图谱分析、成像和数据分析的出现，神经肿瘤学最能体现外科手术与精准医学之间的这种融合。这种便利的融合为新的预防、诊断、预后和靶向治疗观点铺平了道路。医疗保健和大数据方面的显著进展有力地挑战了医学界，促使其深刻反思当前和未来的医疗实践。这项工作提供了神经外科的历史视角。它还通过神经肿瘤学的视角探讨了精准医学概念转变对神经外科的影响。
