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增强现实模板引导经眶入路治疗硬脑膜内肿瘤

Augmented-reality template guided transorbital approach for intradural tumors.

作者信息

Jean Walter C, Sack Kenneth D, Tsen Andrew R

机构信息

Division of Neurosurgery, Department of Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania; and.

Department of Neurological Surgery, George Washington University, Washington, DC.

出版信息

Neurosurg Focus Video. 2022 Jan 1;6(1):V3. doi: 10.3171/2021.10.FOCVID21172. eCollection 2022 Jan.


DOI:10.3171/2021.10.FOCVID21172
PMID:36284590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9555352/
Abstract

For "minimally invasive" approaches to a deep-lying skull base lesion, the bone opening must be precisely placed and adequately wide to accomplish the surgical goal. Surgical rehearsal in virtual reality (VR) can generate navigation-integrated augmented reality (AR) templates to ensure precise surgical openings. In this video, the authors used AR templates for the transpalpebral, transorbital approach for intradural tumors. VR renderings of patient-specific anatomy were used in surgical rehearsal. The optimal openings were saved and, at surgery, projected into the eyepiece of the navigation-tracked microscope. The template enhanced the planning of the incision and soft-tissue exposure and guided the drill toward the target. The video can be found here: https://stream.cadmore.media/r10.3171/2021.10.FOCVID21172.

摘要

对于深部颅底病变的“微创”入路,骨窗必须精确放置且足够宽,以实现手术目标。虚拟现实(VR)中的手术预演可以生成与导航集成的增强现实(AR)模板,以确保精确的手术开口。在本视频中,作者将AR模板用于经睑、经眶入路治疗硬膜内肿瘤。手术预演中使用了患者特异性解剖结构的VR渲染。保存最佳开口,并在手术时投射到导航跟踪显微镜的目镜中。该模板增强了切口和软组织暴露的规划,并引导钻头朝向目标。视频可在此处找到:https://stream.cadmore.media/r10.3171/2021.10.FOCVID21172 。

相似文献

[1]
Augmented-reality template guided transorbital approach for intradural tumors.

Neurosurg Focus Video. 2022-1-1

[2]
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引用本文的文献

[1]
Narrative review of patient-specific 3D visualization and reality technologies in skull base neurosurgery: enhancements in surgical training, planning, and navigation.

Front Surg. 2024-7-16

[2]
Augmented reality for intracranial meningioma resection: a mini-review.

Front Neurol. 2023-11-2

[3]
Augmented Reality in Neurosurgery: A New Paradigm for Training.

Medicina (Kaunas). 2023-9-26

[4]
Augmented and virtual reality usage in awake craniotomy: a systematic review.

Neurosurg Rev. 2022-12-19

本文引用的文献

[1]
Transorbital Neuroendoscopic Surgery as a Mainstream Neurosurgical Corridor: A Systematic Review.

World Neurosurg. 2021-8

[2]
Progressive Orbitotomy and Graduated Expansion of the Supraorbital Keyhole: A Comparison with Alternative Minimally Invasive Approaches to the Paraclinoid Region.

World Neurosurg. 2021-2

[3]
Mini-Pterional Craniotomy and Extradural Clinoidectomy for Clinoid Meningioma: Optimization of Exposure Using Augmented Reality Template: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown). 2020-11-16

[4]
Cranio-Orbital and Orbitocranial Approaches to Orbital and Intracranial Disease: Eye-Opening Approaches for Neurosurgeons.

Front Surg. 2020-2-7

[5]
Expanded Endoscopic Endonasal Transtuberculum Approach for Tuberculum Sellae Meningioma: Operative Video With 360-Degree Fly-Through and Surgical Rehearsal in Virtual Reality: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown). 2020-8-1

[6]
Lateral orbital wall approach to the cavernous sinus.

J Neurosurg. 2012-1-13

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