Department of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Department of Neurosurgery, Hospital Sungai Buloh, Jalan Hospital, Selangor, Malaysia.
Neurol India. 2022 May-Jun;70(3):943-947. doi: 10.4103/0028-3886.349625.
Careful evaluation of the preoperative imaging for extracranial-intracranial bypass performed for conditions like intracranial stenosis and Moya disease is important. The traditional use of 2D imaging has a significant limitation for neurosurgeons, primarily to determine the optimal location of the recipient artery for performing the surgical bypass. Therefore, many neurosurgeons use 3D angiograms more frequently to overcome these shortcomings.
We performed the preoperative evaluation of the possibility of performing an anastomosis between the superficial temporal artery and the middle cerebral artery (STA-MCA) bypass by synthesizing images of computerized tomography (CT), magnetic resonance imaging (MRI), and digital subtraction angiography (DSA) using Amira of 3D visualization analysis software (Thermo Scientific Co.).
The 3D images prepared before surgery using this software showed good agreement with the intraoperative findings.
Preoperative image processing using tools like Amira provide optimal information for good planning and communication for performing STA-MCA bypass and may become a helpful tool.
对于颅内狭窄和 moya 病等疾病进行颅外-颅内旁路手术的术前影像学评估非常重要。传统的 2D 成像对神经外科医生有很大的局限性，主要用于确定进行手术旁路的受体动脉的最佳位置。因此，许多神经外科医生更频繁地使用 3D 血管造影来克服这些缺点。
我们使用 3D 可视化分析软件（Thermo Scientific Co. 的 Amira）合成计算机断层扫描（CT）、磁共振成像（MRI）和数字减影血管造影（DSA）的图像，对颞浅动脉和大脑中动脉（STA-MCA）旁路吻合术的可能性进行术前评估。
使用该软件术前准备的 3D 图像与术中发现吻合良好。
使用像 Amira 这样的工具进行术前图像处理可以为 STA-MCA 旁路手术提供最佳的规划和沟通信息，可能成为一种有用的工具。
