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便携式神经外科电磁导航系统的研发与应用

Development and Application of the Portable Electromagnetic Navigation for Neurosurgery.

作者信息

Gan Zhi-Chao, Wang Qun, Xu Xing-Hua, Li Fang-Ye, Zhang Jia-Shu, Meng Cai, Chen Xiao-Lei

机构信息

Medical School of Chinese PLA, Beijing, 100853, China.

Department of Neurosurgery, The First Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.

出版信息

Curr Med Sci. 2025 May 21. doi: 10.1007/s11596-025-00059-7.

DOI:10.1007/s11596-025-00059-7
PMID:40397298
Abstract

BACKGROUND AND OBJECTIVE

Electromagnetic navigation technology has demonstrated significant potential in enhancing the accuracy and safety of neurosurgical procedures. However, traditional electromagnetic navigation systems face challenges such as high equipment costs, complex operation, bulky size, and insufficient anti-interference performance. To address these limitations, our study developed and validated a novel portable electromagnetic neuronavigation system designed to improve the precision, accessibility, and clinical applicability of electromagnetic navigation technology in cranial surgery.

METHODS

The software and hardware architecture of a portable neural magnetic navigation system was designed. The key technologies of the system were analysed, including electromagnetic positioning algorithms, miniaturized sensor design, optimization of electromagnetic positioning and navigation algorithms, anti-interference signal processing methods, and fast three-dimensional reconstruction algorithms. A prototype was developed, and its accuracy was tested. Finally, a preliminary clinical application evaluation was conducted.

RESULTS

This study successfully developed a comprehensive portable electromagnetic neuronavigation system capable of achieving preoperative planning, intraoperative real-time positioning and navigation, and postoperative evaluation of navigation outcomes. Through rigorous collaborative testing of the system's software and hardware, the accuracy of electromagnetic neuronavigation has been validated to meet clinical requirements.

CONCLUSIONS

This study developed a portable neuroelectromagnetic navigation system and validated its effectiveness and safety through rigorous model testing and preliminary clinical applications. The system is characterized by its compact size, high precision, excellent portability, and user-friendly operation, making it highly valuable for promoting navigation technology and advancing the precision and minimally invasive nature of neurosurgical procedures.

摘要

背景与目的

电磁导航技术在提高神经外科手术的准确性和安全性方面已显示出巨大潜力。然而,传统的电磁导航系统面临着设备成本高、操作复杂、体积庞大以及抗干扰性能不足等挑战。为解决这些局限性,我们的研究开发并验证了一种新型便携式电磁神经导航系统,旨在提高电磁导航技术在颅脑手术中的精度、可及性和临床适用性。

方法

设计了一种便携式神经磁导航系统的软件和硬件架构。分析了该系统的关键技术,包括电磁定位算法、小型化传感器设计、电磁定位与导航算法的优化、抗干扰信号处理方法以及快速三维重建算法。开发了一个原型,并测试了其准确性。最后,进行了初步的临床应用评估。

结果

本研究成功开发了一种全面的便携式电磁神经导航系统,能够实现术前规划、术中实时定位与导航以及术后导航结果评估。通过对系统软件和硬件的严格协同测试,电磁神经导航的准确性已得到验证,符合临床要求。

结论

本研究开发了一种便携式神经电磁导航系统,并通过严格的模型测试和初步临床应用验证了其有效性和安全性。该系统具有体积紧凑、精度高、便携性好和操作方便等特点,对推广导航技术以及提高神经外科手术的精准性和微创性具有很高的价值。

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本文引用的文献

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Using AI to navigate complex neurosurgical procedures in rare gliomas.利用人工智能指导罕见胶质瘤的复杂神经外科手术。
Neurosurg Rev. 2024 Sep 20;47(1):649. doi: 10.1007/s10143-024-02910-2.
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Comparison of the efficacy of neuronavigation-assisted intracerebral hematoma puncture and drainage with neuroendoscopic hematoma removal in treatment of hypertensive cerebral hemorrhage.神经导航辅助下颅内血肿穿刺引流术与神经内镜血肿清除术治疗高血压脑出血的疗效比较。
BMC Surg. 2024 Mar 12;24(1):86. doi: 10.1186/s12893-024-02378-3.
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NeuroIGN: Explainable Multimodal Image-Guided System for Precise Brain Tumor Surgery.
神经影像引导:用于精确脑肿瘤手术的可解释多模态影像引导系统。
J Med Syst. 2024 Feb 23;48(1):25. doi: 10.1007/s10916-024-02037-3.
4
Neuronavigation-assisted neuroendoscopy versus conventional craniotomy for hypertensive cerebellar hemorrhage: A comparative analysis of efficacy and outcomes.神经导航辅助神经内镜与传统开颅术治疗高血压性小脑出血:疗效和结局的对比分析。
Clin Neurol Neurosurg. 2023 Oct;233:107960. doi: 10.1016/j.clineuro.2023.107960. Epub 2023 Sep 4.
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Role of neuronavigation in the surgical management of brainstem gliomas.神经导航在脑干胶质瘤手术治疗中的作用。
Front Oncol. 2023 May 2;13:1159230. doi: 10.3389/fonc.2023.1159230. eCollection 2023.
6
Pinless Electromagnetic Neuronavigation During Awake Craniotomies: Technical Pearls, Pitfalls, and Nuances.清醒开颅术中无针电磁神经导航:技术要点、陷阱和细微差别。
World Neurosurg. 2023 Jul;175:e159-e166. doi: 10.1016/j.wneu.2023.03.045. Epub 2023 Mar 15.
7
Karawun: a software package for assisting evaluation of advances in multimodal imaging for neurosurgical planning and intraoperative neuronavigation.卡劳文:一个软件包,用于协助评估神经外科手术计划和术中神经导航的多模态成像进展。
Int J Comput Assist Radiol Surg. 2023 Jan;18(1):171-179. doi: 10.1007/s11548-022-02736-7. Epub 2022 Sep 7.
8
Frameless neuronavigation-assisted brain biopsy with electromagnetic tracking: how I do it?无框架神经导航辅助下的电磁跟踪脑活检:我是怎么做的?
Acta Neurochir (Wien). 2022 Dec;164(12):3317-3322. doi: 10.1007/s00701-022-05252-4. Epub 2022 May 23.
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Virtual Reality in Neurosurgery: Beyond Neurosurgical Planning.虚拟现实技术在神经外科中的应用:超越神经外科规划。
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Intraoperative MR Imaging during Glioma Resection.术中磁共振成像在脑胶质瘤切除术中的应用。
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