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增强现实导航系统（SIRIO）在椎体肿瘤消融中的神经保护作用。

Augmented Reality Navigation System (SIRIO) for Neuroprotection in Vertebral Tumoral Ablation.

机构信息

Department of Diagnostic and Interventional Radiology, University Hospital Campus Bio-Medico of Rome, Via Alvaro del Portillo, 200, 00128 Rome, Italy.

出版信息

Curr Oncol. 2024 Aug 30;31(9):5088-5097. doi: 10.3390/curroncol31090376.

DOI:10.3390/curroncol31090376
PMID:39330004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11431310/
Abstract

(1) This study evaluates the impact of the CT-guided SIRIO augmented reality navigation system on the procedural efficacy and clinical outcomes of neuroprotection in vertebral thermal ablation (RTA) for primary and metastatic bone tumors. (2) Methods: A retrospective non-randomized analysis of 28 vertebral RTA procedures was conducted, comparing 12 SIRIO-assisted and 16 non-SIRIO-assisted procedures. The primary outcomes included dose-length product (DLP) and epidural dissection time. The secondary outcomes included technical success, complication rates, and pain scores at procedural time (VAS Time 0) and three months post-procedure (VAS Time 1). The statistical analyses included t-tests, Mann-Whitney U tests, and multiple regression. (3) Results: SIRIO-assisted procedures significantly reduced DLP (307.42 mGycm vs. 460.31 mGycm, = 2.23 × 10) and procedural epidural dissection time (13.48 min vs. 32.26 min, = 2.61 × 10) compared to non-SIRIO-assisted procedures. Multiple regression confirmed these reductions were significant (DLP: β = -162.38, < 0.001; time: β = -18.25, < 0.001). Pain scores (VAS Time 1) did not differ significantly between groups, and tumor type did not significantly influence outcomes. (4) Conclusions: The SIRIO system enhances neuroprotection efficacy and safety, reducing radiation dose and procedural time during spine tumoral ablation while maintaining consistent pain management outcomes.

摘要

(1) 本研究评估了 CT 引导的 SIRIO 增强现实导航系统对原发性和转移性骨肿瘤椎体热消融 (RTA) 中神经保护程序功效和临床结果的影响。(2) 方法：对 28 例椎体 RTA 手术进行回顾性非随机分析，比较了 12 例 SIRIO 辅助手术和 16 例非 SIRIO 辅助手术。主要结局包括剂量长度乘积 (DLP) 和硬膜外分离时间。次要结局包括技术成功率、并发症发生率以及手术时 (VAS Time 0) 和术后三个月 (VAS Time 1) 的疼痛评分。统计分析包括 t 检验、Mann-Whitney U 检验和多元回归。(3) 结果：与非 SIRIO 辅助手术相比，SIRIO 辅助手术显著降低了 DLP（307.42 mGycm 比 460.31 mGycm， = 2.23 × 10）和手术硬膜外分离时间（13.48 min 比 32.26 min， = 2.61 × 10）。多元回归证实这些减少是显著的（DLP：β = -162.38， < 0.001；时间：β = -18.25， < 0.001）。两组间 VAS Time 1 的疼痛评分无显著差异，肿瘤类型也未显著影响结局。(4) 结论：SIRIO 系统增强了神经保护的效果和安全性，在进行脊柱肿瘤消融时降低了辐射剂量和手术时间，同时保持了一致的疼痛管理效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/511a90fc91f2/curroncol-31-00376-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/95a125cb6f2b/curroncol-31-00376-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/8355ad335f75/curroncol-31-00376-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/af64d15f2028/curroncol-31-00376-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/cd7ac115bf43/curroncol-31-00376-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/c3c44e3b66ab/curroncol-31-00376-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/3d2822f62a16/curroncol-31-00376-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/511a90fc91f2/curroncol-31-00376-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/95a125cb6f2b/curroncol-31-00376-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/8355ad335f75/curroncol-31-00376-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/af64d15f2028/curroncol-31-00376-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/cd7ac115bf43/curroncol-31-00376-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/c3c44e3b66ab/curroncol-31-00376-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/3d2822f62a16/curroncol-31-00376-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/11431310/511a90fc91f2/curroncol-31-00376-g007.jpg

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