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通过增强现实引导的外科肿瘤学复杂颅面病例:技术报告

Complex Craniofacial Cases through Augmented Reality Guidance in Surgical Oncology: A Technical Report.

作者信息

Tel Alessandro, Raccampo Luca, Vinayahalingam Shankeeth, Troise Stefania, Abbate Vincenzo, Orabona Giovanni Dell'Aversana, Sembronio Salvatore, Robiony Massimo

机构信息

Clinic of Maxillofacial Surgery, Head-Neck and NeuroScience Department, University Hospital of Udine, p.le S. Maria della Misericordia 15, 33100 Udine, Italy.

Department of Oral and Maxillofacial Surgery, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands.

出版信息

Diagnostics (Basel). 2024 May 27;14(11):1108. doi: 10.3390/diagnostics14111108.

DOI:10.3390/diagnostics14111108
PMID:38893634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11171943/
Abstract

Augmented reality (AR) is a promising technology to enhance image guided surgery and represents the perfect bridge to combine precise virtual planning with computer-aided execution of surgical maneuvers in the operating room. In craniofacial surgical oncology, AR brings to the surgeon's sight a digital, three-dimensional representation of the anatomy and helps to identify tumor boundaries and optimal surgical paths. Intraoperatively, real-time AR guidance provides surgeons with accurate spatial information, ensuring accurate tumor resection and preservation of critical structures. In this paper, the authors review current evidence of AR applications in craniofacial surgery, focusing on real surgical applications, and compare existing literature with their experience during an AR and navigation guided craniofacial resection, to subsequently analyze which technological trajectories will represent the future of AR and define new perspectives of application for this revolutionizing technology.

摘要

增强现实(AR)是一种很有前景的技术,可用于提升图像引导手术,是将精确的虚拟规划与手术室中计算机辅助的手术操作执行相结合的完美桥梁。在颅面外科肿瘤手术中,AR为外科医生呈现出数字化的三维解剖结构,有助于识别肿瘤边界和最佳手术路径。术中,实时AR引导为外科医生提供准确的空间信息,确保准确切除肿瘤并保留关键结构。在本文中,作者回顾了AR在颅面外科手术中应用的当前证据,重点关注实际手术应用,并将现有文献与他们在AR和导航引导下的颅面切除术过程中的经验进行比较,随后分析哪些技术轨迹将代表AR的未来,并为这一变革性技术定义新的应用前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9158/11171943/57124f91748c/diagnostics-14-01108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9158/11171943/416b4ece4af4/diagnostics-14-01108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9158/11171943/57124f91748c/diagnostics-14-01108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9158/11171943/416b4ece4af4/diagnostics-14-01108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9158/11171943/57124f91748c/diagnostics-14-01108-g002.jpg

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Br J Oral Maxillofac Surg. 2023 Jul;61(6):428-436. doi: 10.1016/j.bjoms.2023.05.007. Epub 2023 May 23.
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Replacing cutting guides with an augmented reality-based navigation system: A feasibility study in the maxillofacial region.用基于增强现实的导航系统代替切割引导器:颌面区域的可行性研究。
Int J Med Robot. 2023 Jun;19(3):e2499. doi: 10.1002/rcs.2499. Epub 2023 Feb 1.
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