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恶性胶质瘤边缘术中划定的进展

Advances in the intraoperative delineation of malignant glioma margin.

作者信息

Jiang Shan, Chai Huihui, Tang Qisheng

机构信息

Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.

出版信息

Front Oncol. 2023 Jan 26;13:1114450. doi: 10.3389/fonc.2023.1114450. eCollection 2023.


DOI:10.3389/fonc.2023.1114450
PMID:36776293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9909013/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98bf/9909013/aca0c55dbbf3/fonc-13-1114450-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98bf/9909013/aca0c55dbbf3/fonc-13-1114450-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98bf/9909013/aca0c55dbbf3/fonc-13-1114450-g001.jpg

相似文献

[1]
Advances in the intraoperative delineation of malignant glioma margin.

Front Oncol. 2023-1-26

[2]
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[3]
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[4]
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[9]
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引用本文的文献

[1]
Fluorescence-Guided Surgery for Gliomas: Past, Present, and Future.

Cancers (Basel). 2025-5-30

[2]
Combined Fluorescence-Guided Surgery with 5-Aminolevulinic Acid and Fluorescein in Glioblastoma: Technical Description and Report of 100 Cases.

Cancers (Basel). 2024-8-6

[3]
Clinical evaluation of resection of functional area gliomas guided by intraoperative 3.0 T MRI combined with functional MRI navigation.

BMC Surg. 2024-7-27

[4]
Intraoperative Imaging and Optical Visualization Techniques for Brain Tumor Resection: A Narrative Review.

Cancers (Basel). 2023-10-9

本文引用的文献

[1]
Targeted metabolomics analyses for brain tumor margin assessment during surgery.

Bioinformatics. 2022-6-13

[2]
Midline Brain Shift After Hemispheric Surgery: Natural History, Clinical Significance, and Association With Cerebrospinal Fluid Diversion.

Oper Neurosurg (Hagerstown). 2022-5-1

[3]
Surface enhanced Raman scattering for probing cellular biochemistry.

Nanoscale. 2022-4-7

[4]
Intelligent SERS Navigation System Guiding Brain Tumor Surgery by Intraoperatively Delineating the Metabolic Acidosis.

Adv Sci (Weinh). 2022-3

[5]
Application of Intraoperative Mass Spectrometry and Data Analytics for Oncological Margin Detection, A Review.

IEEE Trans Biomed Eng. 2022-7

[6]
Glutamatergic and GABAergic metabolite levels in schizophrenia-spectrum disorders: a meta-analysis of H-magnetic resonance spectroscopy studies.

Mol Psychiatry. 2022-1

[7]
Treatment options for progression or recurrence of glioblastoma: a network meta-analysis.

Cochrane Database Syst Rev. 2021-5-4

[8]
Viscoelastic biomechanical models to predict inward brain-shift using public benchmark data.

Phys Med Biol. 2021-10-12

[9]
5-ALA in Suspected Low-Grade Gliomas: Current Role, Limitations, and New Approaches.

Front Oncol. 2021-7-30

[10]
Metabolic profiles of human brain parenchyma and glioma for rapid tissue diagnosis by targeted desorption electrospray ionization mass spectrometry.

Anal Bioanal Chem. 2021-10

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