Sarubbo Silvio, Vergani Fracesco, Yang Joseph Yuan-Mou
Department of Neurosurgery, "S. Chiara" University-Hospital, Azienda Provinciale per i Servizi Sanitari, Trento, 38122, Italy.
Center for Mind/Brain Sciences (CIMeC), University of Trento, Via delle Regole, 101, Mattarello, Trento, 38123, Italy.
Brain Struct Funct. 2025 Jun 10;230(6):93. doi: 10.1007/s00429-025-02956-y.
Over the past two decades, surgical treatment of intrinsic brain tumors has shifted towards maximizing resection while preserving cognitive and functional abilities. Tractography plays a key role in neurosurgical planning by mapping patient-specific white matter anatomy, enhancing surgical safety. However, did you know its standalone use is limited by methodological challenges, particularly in tumor cases? Future research should focus on standardizing tractography methods, integrating advanced neuroimaging, and validating its role with intraoperative mapping to optimize surgical outcomes. Such unified approach will set the foundation to help fully harness tractography's potential to enhance surgical outcomes and as a valuable training and education tool for future neurosurgeons.
在过去的二十年里,脑内肿瘤的外科治疗已转向在保留认知和功能能力的同时最大限度地进行切除。纤维束成像通过描绘患者特定的白质解剖结构,在神经外科手术规划中发挥着关键作用,提高了手术安全性。然而,你知道它的单独使用受到方法学挑战的限制吗,特别是在肿瘤病例中?未来的研究应专注于标准化纤维束成像方法、整合先进的神经影像学,并通过术中定位验证其作用,以优化手术结果。这种统一的方法将为充分发挥纤维束成像在提高手术结果方面的潜力奠定基础,并成为未来神经外科医生宝贵的培训和教育工具。