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我是如何做到的：术前模拟和增强现实辅助手术切除布罗卡区脑胶质瘤。

How I do it: preoperative simulation and augmented reality assisted surgical resection of Glioblastoma in Broca's area.

机构信息

Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.

Institute for Intelligent Healthcare, Tsinghua University, Beijing, China.

出版信息

Acta Neurochir (Wien). 2024 Nov 27;166(1):481. doi: 10.1007/s00701-024-06368-5.

DOI:10.1007/s00701-024-06368-5
PMID:39604586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11602775/
Abstract

BACKGROUND

The emergence of virtual reality and augmented reality makes preoperative simulation and intraoperative real-time guidance possible, especially for lesions in functional areas.

METHOD

Preoperatively, the virtual reality technique allowed the simulation of tumor resection while visualizing the fiber tracts. During resection, we used augmented reality to localize the terminations of dorsal language pathways and strictly followed the preoperative plan to perform the surgery. Gross total resection and favorable functional outcome were finally achieved.

CONCLUSION

This case demonstrates that preoperative simulation and augmented reality can truly assist in glioma surgery in functional areas.

摘要

背景

虚拟现实和增强现实的出现使得术前模拟和术中实时引导成为可能，尤其是对于功能区的病变。

方法

术前，虚拟现实技术允许模拟肿瘤切除，同时可视化纤维束。在切除过程中，我们使用增强现实技术定位背侧语言通路的终点，并严格按照术前计划进行手术。最终实现了大体全切除和良好的功能结局。

结论

本病例表明，术前模拟和增强现实技术确实可以辅助功能区脑肿瘤手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/666217e37e9f/701_2024_6368_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/d4445fd0ae59/701_2024_6368_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/3f2383e97fd3/701_2024_6368_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/527da13a30b2/701_2024_6368_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/a5dd11505ace/701_2024_6368_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/b9359655d92b/701_2024_6368_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/666217e37e9f/701_2024_6368_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/d4445fd0ae59/701_2024_6368_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/3f2383e97fd3/701_2024_6368_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/527da13a30b2/701_2024_6368_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/a5dd11505ace/701_2024_6368_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/b9359655d92b/701_2024_6368_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd00/11602775/666217e37e9f/701_2024_6368_Fig6_HTML.jpg

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Impact of augmented reality fiber tractography on the extent of resection and functional outcome of primary motor area tumors.增强现实纤维束成像对原发性运动区肿瘤切除范围和功能结果的影响。
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Intraoperative Augmented Reality Fiber Tractography for Primary Motor Area Glioma Resection.术中增强现实纤维束成像在原发性运动区脑胶质瘤切除术中的应用。
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清醒与睡眠状态下行功能区胶质瘤切除术：一项系统评价与荟萃分析
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