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立体定向图谱简史:其在立体定向神经外科中的演变与重要性

A Brief History of Stereotactic Atlases: Their Evolution and Importance in Stereotactic Neurosurgery.

作者信息

Conti Alfredo, Gambadauro Nicola Maria, Mantovani Paolo, Picciano Canio Pietro, Rosetti Vittoria, Magnani Marcello, Lucerna Sebastiano, Tuleasca Constantin, Cortelli Pietro, Giannini Giulia

机构信息

IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Via Altura 3, 40123 Bologna, Italy.

Dipartimento di Biomorfologia e. Scienze Neuromotorie (DIBINEM), Alma Mater Studiorum Università di Bologna, Via Altura 3, 40123 Bologna, Italy.

出版信息

Brain Sci. 2023 May 21;13(5):830. doi: 10.3390/brainsci13050830.

Abstract

Following the recent acquisition of unprecedented anatomical details through state-of-the-art neuroimaging, stereotactic procedures such as microelectrode recording (MER) or deep brain stimulation (DBS) can now rely on direct and accurately individualized topographic targeting. Nevertheless, both modern brain atlases derived from appropriate histological techniques involving post-mortem studies of human brain tissue and the methods based on neuroimaging and functional information represent a valuable tool to avoid targeting errors due to imaging artifacts or insufficient anatomical details. Hence, they have thus far been considered a reference guide for functional neurosurgical procedures by neuroscientists and neurosurgeons. In fact, brain atlases, ranging from the ones based on histology and histochemistry to the probabilistic ones grounded on data derived from large clinical databases, are the result of a long and inspiring journey made possible thanks to genial intuitions of great minds in the field of neurosurgery and to the technical advancement of neuroimaging and computational science. The aim of this text is to review the principal characteristics highlighting the milestones of their evolution.

摘要

随着近期通过先进的神经成像技术获得了前所未有的解剖细节,诸如微电极记录(MER)或深部脑刺激(DBS)等立体定向手术现在可以依靠直接且精确个体化的地形靶向。然而,源自涉及人类脑组织尸检研究的适当组织学技术的现代脑图谱,以及基于神经成像和功能信息的方法,都是避免因成像伪影或解剖细节不足而导致靶向错误的宝贵工具。因此,它们至今一直被神经科学家和神经外科医生视为功能性神经外科手术的参考指南。事实上,脑图谱,从基于组织学和组织化学的图谱到基于大型临床数据库数据的概率图谱,是一段漫长而鼓舞人心的历程的成果,这要归功于神经外科领域伟大头脑的天才直觉以及神经成像和计算科学的技术进步。本文的目的是回顾突出其发展里程碑的主要特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6197/10216792/9783c68c4ef9/brainsci-13-00830-g001.jpg

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