Department of Neurological Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
Children's Hospital Colorado, Aurora, CO, USA.
Childs Nerv Syst. 2023 Oct;39(10):2605-2611. doi: 10.1007/s00381-023-06040-w. Epub 2023 Jul 31.
Imaging has always been fundamental to neurosurgery, and its evolution over the last century has made a dramatic transformation in the ability of neurosurgeons to define pathology and preserve normal tissue during their operations. In the mid-70 s, the development of computerized cross-sectional imaging with CT scan and subsequently MRI have revolutionized the practice of neurosurgery. Later, further advances in computer technology and medical engineering have allowed the combination of many modalities to bring them into the operating theater. This evolution has allowed real-time intraoperative imaging, in the hope of helping neurosurgeons achieve accuracy, maximal safe resection, and the implementation of minimally invasive techniques in brain and spine pathologies. Augmented reality and robotic technologies are also being applied as useful intra-operative techniques that will improve surgical planning and outcomes in the future. In this article, we will review imaging modalities and provide our institutional perspective on how we have integrated them into our practice.
影像学一直是神经外科的基础，在过去的一个世纪里，它的发展使得神经外科医生在手术中能够更准确地定义病变并保护正常组织，这发生了巨大的转变。在上世纪 70 年代中期，随着计算机断层扫描（CT 扫描）和磁共振成像（MRI）等计算机断层成像技术的发展，神经外科实践发生了革命性的变化。后来，计算机技术和医学工程的进一步发展，使得多种模式的结合成为可能，并将它们引入手术室。这种发展使得实时术中成像成为可能，希望帮助神经外科医生实现准确性、最大程度的安全切除，并在脑和脊柱病变中实施微创技术。增强现实和机器人技术也被应用为有用的术中技术，这将改善未来的手术规划和结果。在本文中，我们将回顾成像方式，并提供我们机构的观点，介绍我们如何将它们整合到我们的实践中。
