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基于静脉数字减影血管造影的混合手术室增强现实引导下脑动静脉畸形切除术的可行性和工作流程分析:i-Flow定制方法

Feasibility and workflow analysis of IV-DSA-based augmented reality-guided brain arteriovenous malformation resection in a hybrid operating room: i-Flow tailored method.

作者信息

Huang Chih-Wei, Lee Chung-Hsin, Chung Kai-Chen, Tsuei Yuang-Seng

机构信息

Neurosurgery, Taichung Veterans General Hospital, Taichung, Taiwan.

Neurosurgery, Taichung Veterans General Hospital, Taichung, Taiwan

出版信息

J Neurointerv Surg. 2025 Feb 14;17(3):332. doi: 10.1136/jnis-2023-020797.


DOI:10.1136/jnis-2023-020797
PMID:37770182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12163979/
Abstract

Augmented reality (AR) has emerged as a promising technology in various medical fields.1 2 In the context of brain arteriovenous malformation (bAVM) surgery, AR offers the potential to enhance surgical visualization and improve procedural accuracy.3 4 5 6 This report aims to explore the application of digital subtraction angiography (DSA) from an IV contrast injection (IV-DSA) in AR-guided resection of bAVMs in a neurosurgical hybrid operating room.The workflow of IV-DSA-based AR-guided surgery for the resection of bAVMs consists of four main components: (1) acquiring source images through i-Flow tailored or multiphase scans (Siemens, Germany); (2) labelling targets in the workstation using Smartbrush software (Brainlab, Westchester, Illinois, USA); (3) using the Brainlab Curve navigation system; and (4) merging microscopic AR fusion using Zeiss Kinevo (AG, Germany). In video 1 we show the entire workflow and introduce i-Flow tailored IV-DSA data acquisition in the hybrid operating room. In summary, IV-DSA-based augmented reality is an innovative technique for bAVM surgery. neurintsurg;17/3/332/V1F1V1Video 1-i-flow tailored iv-DSA.

摘要

增强现实(AR)已成为各种医学领域中一项很有前景的技术。1 2 在脑动静脉畸形(bAVM)手术的背景下,AR 有潜力增强手术可视化并提高手术操作的准确性。3 4 5 6 本报告旨在探讨在神经外科杂交手术室中,基于静脉注射造影剂的数字减影血管造影(IV-DSA)在 AR 引导下切除 bAVM 中的应用。基于 IV-DSA 的 AR 引导下切除 bAVM 的手术工作流程包括四个主要部分:(1)通过 i-Flow 定制扫描或多期扫描(德国西门子公司)获取源图像;(2)使用 Smartbrush 软件(美国伊利诺伊州韦斯特切斯特的 Brainlab 公司)在工作站中标记目标;(3)使用 Brainlab 曲线导航系统;(4)使用蔡司 Kinevo(德国 AG 公司)进行微观 AR 融合。在视频 1 中,我们展示了整个工作流程,并介绍了在杂交手术室中 i-Flow 定制的 IV-DSA 数据采集。总之,基于 IV-DSA 的增强现实是一种用于 bAVM 手术的创新技术。神经外科;17/3/332/V1F1V1视频 1-i-flow 定制的 iv-DSA。

相似文献

[1]
Feasibility and workflow analysis of IV-DSA-based augmented reality-guided brain arteriovenous malformation resection in a hybrid operating room: i-Flow tailored method.

J Neurointerv Surg. 2025-2-14

[2]
Augmented Reality Fluorescence Imaging in Cerebrovascular Surgery: A Single-Center Experience with Thirty-Nine Cases.

World Neurosurg. 2021-7

[3]
Robotic digital subtraction angiography systems within the hybrid operating room.

Neurosurgery. 2011-5

[4]
Augmented reality in neurovascular surgery: feasibility and first uses in the operating room.

Int J Comput Assist Radiol Surg. 2015-11

[5]
A Prospective Study Comparing the Three-Dimensional Rotational Angiography and Two-Dimensional Digital Subtraction Angiography in Evaluation of Brain Arteriovenous Malformations.

Neurol India. 2022

[6]
IBIS: an OR ready open-source platform for image-guided neurosurgery.

Int J Comput Assist Radiol Surg. 2016-8-31

[7]
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J Oral Maxillofac Surg. 2021-9

[8]
Hybrid Operating Room for the Treatment of Spetzler-Martin Grade III-V Brain Arteriovenous Malformation: An Institutional Experience.

Turk Neurosurg. 2024

[9]
Presurgical Planning with Open-Source Horos Software for Superficial Brain Arteriovenous Malformations.

World Neurosurg. 2022-1

[10]
MARIN: an open-source mobile augmented reality interactive neuronavigation system.

Int J Comput Assist Radiol Surg. 2020-4-22

引用本文的文献

[1]
Comprehensive Management of a Giant Left Frontal AVM Coexisting with a Bilobed PComA Aneurysm: A Case Report Highlighting Multidisciplinary Strategies and Advanced Neurosurgical Techniques.

J Clin Med. 2025-2-13

本文引用的文献

[1]
Augmented and virtual reality usage in awake craniotomy: a systematic review.

Neurosurg Rev. 2022-12-19

[2]
Intraoperative application of a new-generation 3D IV-DSA technology in resection of a hemorrhagic cerebellar AVM.

Neurosurg Focus Video. 2021-1-1

[3]
Detection of impending perfusion deficits by intraoperative computed tomography (iCT) in aneurysm surgery of the anterior circulation.

Acta Neurochir (Wien). 2021-12

[4]
Intraoperative clinical application of augmented reality in neurosurgery: A systematic review.

Clin Neurol Neurosurg. 2019-2

[5]
Combined Endovascular and Microsurgical Treatment of Arteriovenous Malformations in the Hybrid Operating Room.

World Neurosurg. 2018-9

[6]
Surgical management of cerebral arteriovenous malformations with intraoperative digital subtraction angiography.

J Clin Neurosci. 2000-9

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