Shields Lisa B E, Abri Hunain, Karakas Cemal, Davis Shannon D, Mutchnick Ian S
Norton Neuroscience Institute, Norton Healthcare, Louisville, Kentucky, USA.
Surgical Theater, Beachwood, Ohio, USA.
Epilepsia Open. 2025 Jul 9. doi: 10.1002/epi4.70094.
Advances in the analysis and collation of radiographic datasets have enhanced presurgical planning for various neurosurgical procedures, including clipping of cerebral aneurysms, surgical resection of tumors, and arteriovenous malformation management. The surgical theater (ST) system converts radiographic datasets, traditionally interpreted as a series of two-dimensional images, into three-dimensional interactive models better allowing understanding of anatomy as well as the complex anatomic relationships between different diagnostic phase I datasets.
We reviewed the capabilities and impact of the ST system on patients treated by our pediatric epilepsy service at our institution.
The ST system was used in the treatment of 85 patients in our pediatric epilepsy service. Multiple layers of phase I data were converted into a single, multi-layered 3D model which added precision to points of collaboration on creating Phase II plans, allowed for the collaborative creation of detailed surgical plans and facilitated VR practice of complex surigcal plans with intraoperative augmented reality navigation. We highlight both current and future applications and present 4 cases to illustrate how ST is applied in our clinical setting.
The multi-layered and 3D model of the ST system facilitates epilepsy decision-making for both diagnosis and treatment, enhances surgical navigation, and even allows, in a robust virtual reality (VR) environment, the practice of complex surgical procedures.
The surgical theater (ST) system converts two-dimensional imaging tests (eg MRI, MEG, CT and PET) into three-dimensional interactive models. This helps physicians understand complex Phase I datasets and make decisions for the diagnosis and treatment of pediatric epilepsy. These models also facilitate patient and family education, which may reduce their anxiety. In this article, we discuss the current and future applications of the ST system and how it is used to treat pediatric patients with epilepsy at our Institution. We also describe four of our patients to show how the ST system works in a clinical setting.
放射影像数据集分析与整理方面的进展提升了各类神经外科手术的术前规划水平，包括脑动脉瘤夹闭术、肿瘤手术切除以及动静脉畸形的治疗。手术术野（ST）系统将传统上视为一系列二维图像的放射影像数据集转换为三维交互式模型，能更好地帮助理解解剖结构以及不同诊断阶段I数据集之间复杂的解剖关系。
我们回顾了ST系统对我院儿科癫痫诊疗服务所治疗患者的作用及影响。
我院儿科癫痫诊疗服务中，85例患者接受了ST系统治疗。多层面的阶段I数据被转换为单个多层3D模型，这为制定阶段II计划时的协作点增添了精确性，允许共同创建详细的手术计划，并通过术中增强现实导航促进复杂手术计划的虚拟现实实践。我们重点介绍了当前和未来的应用，并列举4个病例来说明ST系统在我们临床环境中的应用方式。
ST系统的多层3D模型有助于癫痫诊断和治疗的决策制定，增强手术导航，甚至在强大的虚拟现实（VR）环境中允许进行复杂手术操作的实践。
手术术野（ST）系统将二维成像检查（如MRI、MEG、CT和PET）转换为三维交互式模型。这有助于医生理解复杂的阶段I数据集，并为儿科癫痫的诊断和治疗做出决策。这些模型还有助于患者及家属的教育，可能会减轻他们的焦虑。在本文中，我们讨论了ST系统的当前和未来应用，以及它在我们机构如何用于治疗儿科癫痫患者。我们还描述了4例患者，以展示ST系统在临床环境中的工作方式。
