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基于79例O型臂的立体定向脑活检术后可行性、准确性和安全性评估。

Evaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsies.

作者信息

Bouscatel Inès, Marlier Benoit, Litré Claude-Fabien, Batchinsky-Parrou Valéry, Rivollier Maxime, Loniewski Stanislas, Kleiber Jean-Charles

机构信息

Department of Neurosurgery, Reims University Hospital, 45 rue Cognacq-Jay, Reims, 51092, France.

出版信息

Sci Rep. 2025 Jan 22;15(1):2799. doi: 10.1038/s41598-025-86069-w.

DOI:10.1038/s41598-025-86069-w
PMID:39843472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11754428/
Abstract

Frame-based Stereotactic Brain Biopsy (FSBB) is a minimally invasive procedure with a view to increasing the diagnostic yield. The aim of this study was to investigate the accuracy and safety of FSBB with the help of the intraoperative 3D O-ARM system. A preoperative MRI allowed for targeting the tissue to be sampled. A Leksell stereotactic frame was bolted to patient's skull in the operating room, and we proceeded to the intraoperative 3D O-ARM acquisition. A software platform was used to calculate stereotactic coordinates through combining both exams. A second 3D O-ARM acquisition was performed to control the final needle target point. A total of 79 patients were included in our study population, 68 biopsies (86.1%) yielded the diagnosis. Biopsy-related complications occurred in 11 patients (13.9%), of whom 8 were successfully diagnosed. Per and post-procedure complications occurred in 3 (3.8%) and 8 cases (10.1%) respectively. Mean operating time was 102 min. FSBB using the intraoperative 3D O-ARM system is a promising alternative. The rate of non-contributory biopsies is moderate given that this new procedure is conducted in the operating room from beginning to end. Complications were not directly linked to the procedure and does not compromise the diagnosis.

摘要

基于框架的立体定向脑活检（FSBB）是一种微创手术，旨在提高诊断率。本研究的目的是借助术中3D O-ARM系统研究FSBB的准确性和安全性。术前MRI用于确定待采样组织的靶点。在手术室将Leksell立体定向框架固定在患者颅骨上，然后进行术中3D O-ARM采集。使用软件平台通过结合两项检查来计算立体定向坐标。进行第二次3D O-ARM采集以控制最终的穿刺靶点。我们的研究人群共纳入79例患者，68例活检（86.1%）得出诊断结果。11例患者（13.9%）发生活检相关并发症，其中8例被成功诊断。术中及术后并发症分别发生在3例（3.8%）和8例（10.1%）患者中。平均手术时间为102分钟。使用术中3D O-ARM系统的FSBB是一种有前景的替代方法。鉴于该新手术从始至终都在手术室进行，无诊断价值活检的发生率适中。并发症与手术无直接关联，且不影响诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/eb9b506a0547/41598_2025_86069_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/3b1139fbf692/41598_2025_86069_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/e5962d3f4281/41598_2025_86069_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/3b878cb32415/41598_2025_86069_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/04985abb6825/41598_2025_86069_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/fb575281973c/41598_2025_86069_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/566726d61970/41598_2025_86069_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/b66cd4e9df52/41598_2025_86069_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/efa719425f05/41598_2025_86069_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/eb9b506a0547/41598_2025_86069_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/3b1139fbf692/41598_2025_86069_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/e5962d3f4281/41598_2025_86069_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/3b878cb32415/41598_2025_86069_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/04985abb6825/41598_2025_86069_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/fb575281973c/41598_2025_86069_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/566726d61970/41598_2025_86069_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/b66cd4e9df52/41598_2025_86069_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/efa719425f05/41598_2025_86069_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b029/11754428/eb9b506a0547/41598_2025_86069_Fig9_HTML.jpg

相似文献

[1]
Evaluation of feasibility accuracy and safety after 79 O-ARM based stereotactic brain biopsies.

Sci Rep. 2025-1-22

[2]
Comparative effectiveness of frame-based, frameless, and intraoperative magnetic resonance imaging-guided brain biopsy techniques.

World Neurosurg. 2015-3

[3]
Stereotactic operations using the o-arm.

Stereotact Funct Neurosurg. 2012

[4]
Frame-based stereotactic biopsies using an intraoperative MR-scanner are as safe and effective as conventional stereotactic procedures.

PLoS One. 2018-10-23

[5]
Intraoperative Stereotactic Frame Registration Using a Three-Dimensional Imaging System with and without Preoperative Computed Tomography for Image Fusion.

Stereotact Funct Neurosurg. 2020

[6]
Comparison of Frame-Based Versus Frameless Image-Guided Intracranial Stereotactic Brain Biopsy: A Retrospective Analysis of Safety and Efficacy.

World Neurosurg. 2022-8

[7]
Intraoperative visualisation of functional structures facilitates safe frameless stereotactic biopsy in the motor eloquent regions of the brain.

Br J Neurosurg. 2018-8

[8]
Frameless stereotactic neurosurgery using intraoperative magnetic resonance imaging: stereotactic brain biopsy.

Neurosurgery. 2000-11

[9]
Fusion of Preoperative and Postoperative Imaging May Predict the Diagnostic Yield of Stereotactic Needle Brain Biopsies.

World Neurosurg. 2022-1

[10]
MRI-guided frame-based stereotactic brainstem biopsy procedure: A single-center experience.

Neurocirugia (Astur : Engl Ed). 2019

本文引用的文献

[1]
Comparison of Frame-Based Versus Frameless Image-Guided Intracranial Stereotactic Brain Biopsy: A Retrospective Analysis of Safety and Efficacy.

World Neurosurg. 2022-8

[2]
A comparison of the efficacy, safety, and duration of frame-based and Remebot robot-assisted frameless stereotactic biopsy.

Br J Neurosurg. 2021-6

[3]
The risk of hemorrhage in stereotactic biopsy for brain tumors.

J Med Invest. 2019

[4]
Safety and accuracy of frameless electromagnetic-navigated (AXIEM)-guided brain lesion biopsies: a large single-unit study.

Acta Neurochir (Wien). 2019-10-23

[5]
Current Trends for Improving Safety of Stereotactic Brain Biopsies: Advanced Optical Methods for Vessel Avoidance and Tumor Detection.

Front Oncol. 2019-10-2

[6]
Frameless stereotactic neuronavigated biopsy: A retrospective study of morbidity, diagnostic yield, and the potential of fluorescence: A single-center clinical investigation.

Clin Neurol Neurosurg. 2019-6

[7]
Frame-based Stereotactic Biopsy: Description and Association of Anatomical, Radiologic, and Surgical Variables with Diagnostic Yield in a Series of 407 Cases.

J Neurol Surg A Cent Eur Neurosurg. 2019-5

[8]
Tubular brain tumor biopsy improves diagnostic yield for subcortical lesions.

J Neurooncol. 2018-11-16

[9]
Frame-based stereotactic biopsies using an intraoperative MR-scanner are as safe and effective as conventional stereotactic procedures.

PLoS One. 2018-10-23

[10]
Comparison between free-hand and O-arm-based navigated posterior lumbar interbody fusion in elderly cohorts with three-level lumbar degenerative disease.

Int Orthop. 2018-6-6

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