Mundinger F, Birg W, Klar M
Appl Neurophysiol. 1978;41(1-4):169-82. doi: 10.1159/000102413.
With a computerized program system for stereotactic brain operations it becomes possible for the first time to react even before running a possible risk, e.g., in case of punctures in the midbrain, the brain stem, or in the hypothalamus, by simulating the operative procedure even before starting the operation itself. This is effected by the ability to change the penetration angle of the electrode or by choosing a different point of trepanation. The inclusion of computerized axial tomography, especially through the presentation of the CT scan, made to measure with the help of the linear transformation, and of the input of the cranial and ventricular coordinates through a digitizer, together with the coordinates resulting from the X-ray picture, brings the definition of the target point to a still greater optimum. Thus the safety and the precision of the stereotactic operation have been improved even further.
有了用于立体定向脑手术的计算机程序系统,首次有可能甚至在面临潜在风险之前就做出反应,例如,在中脑、脑干或下丘脑穿刺的情况下,通过在手术实际开始前模拟手术过程来实现。这可以通过改变电极的刺入角度或选择不同的钻孔点来实现。计算机轴向断层扫描的纳入,特别是通过呈现CT扫描图像,借助线性变换进行测量,并通过数字化仪输入颅骨和脑室坐标,再加上X射线图像得出的坐标,使靶点的定义更加精确。因此,立体定向手术的安全性和精确性得到了进一步提高。