Department Obstetrics & Gynecology, Radboudumc | Amalia Children's Hospital, Nijmegen, The Netherlands.
Department Obstetrics & Gynecology, Maastricht UMC+, Maastricht, The Netherlands.
Prenat Diagn. 2022 Sep;42(10):1225-1234. doi: 10.1002/pd.6225. Epub 2022 Aug 29.
Fetal laser surgery has emerged as the preferred treatment of twin-to-twin transfusion syndrome (TTTS). However, the limited field of view of the fetoscope and the complexity of the procedure make the treatment challenging. Therefore, preoperative planning and intraoperative guidance solutions have been proposed to cope with these challenges. This review uncovers the literature on computer-assisted software solutions focused on TTTS. These solutions are classified by the pre- or intraoperative phase of the procedure and further categorized by discussed hardware and software approaches. In addition, it evaluates the current maturity of technologies by the technology readiness level and enumerates the necessary aspects to bring these new technologies to clinical practice.
胎儿激光手术已成为治疗双胎输血综合征（TTTS）的首选方法。然而，胎儿镜的有限视野和手术的复杂性使得治疗具有挑战性。因此，已经提出了术前规划和术中指导解决方案来应对这些挑战。这篇综述揭示了计算机辅助软件解决方案在 TTTS 中的应用文献。这些解决方案根据手术的术前或术中阶段进行分类，并根据讨论的硬件和软件方法进一步分类。此外，它通过技术准备水平评估技术的当前成熟度，并列举了将这些新技术引入临床实践所需的方面。
