Jiang Shan, Chai Huihui, Tang Qisheng
Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Front Oncol. 2023 Jan 26;13:1114450. doi: 10.3389/fonc.2023.1114450. eCollection 2023.
Surgery plays a critical role in the treatment of malignant glioma. However, due to the infiltrative growth and brain shift, it is difficult for neurosurgeons to distinguish malignant glioma margins with the naked eye and with preoperative examinations. Therefore, several technologies were developed to determine precise tumor margins intraoperatively. Here, we introduced four intraoperative technologies to delineate malignant glioma margin, namely, magnetic resonance imaging, fluorescence-guided surgery, Raman histology, and mass spectrometry. By tracing their detecting principles and developments, we reviewed their advantages and disadvantages respectively and imagined future trends.
手术在恶性胶质瘤的治疗中起着关键作用。然而,由于恶性胶质瘤呈浸润性生长且会导致脑移位,神经外科医生很难通过肉眼及术前检查来区分其边界。因此,人们开发了多种技术以在术中确定精确的肿瘤边界。在此,我们介绍四种用于勾勒恶性胶质瘤边界的术中技术,即磁共振成像、荧光引导手术、拉曼组织学和质谱分析。通过追溯它们的检测原理和发展历程,我们分别综述了它们的优缺点并展望了未来趋势。
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