League D
Fairfax Hospital, Falls Church, Va., USA.
AORN J. 1995 Feb;61(2):360-70. doi: 10.1016/s0001-2092(06)63888-x.
Interactive, image-guided, stereotactic neurosurgery systems and advanced computer programs enable neurosurgery teams to use magnetic resonance imaging (MRI) and computed tomography (CT) scans to perform less-invasive intracranial tumor excisions. This new methodology, also known as frameless stereotactic neurosurgery, provides accurate, precise preoperative and intraoperative patient information to neurosurgeons. Neurosurgeons use a pointing device to communicate surgical locations quickly to a computer system. The computer then provides immediate, three-dimensional displays of pertinent MRI and CT scan information on the monitor. These intracranial images serve as navigational guides to neurosurgeons before and during surgical intervention. Interactive, image-guided, stereotactic neurosurgery systems, however, are only surgical tools, not substitutes for health care providers' knowledge or expertise. Neurosurgeons must balance their medical judgment with interpretations of computer-generated information throughout the surgical procedures. Interactive, image-guided systems should not interfere with patient care priorities but rather should be worked into the intraoperative nursing routine.
交互式、图像引导的立体定向神经外科手术系统和先进的计算机程序使神经外科团队能够利用磁共振成像（MRI）和计算机断层扫描（CT）扫描来进行侵入性较小的颅内肿瘤切除手术。这种新方法，也被称为无框架立体定向神经外科手术，为神经外科医生提供准确、精确的术前和术中患者信息。神经外科医生使用一个指向设备将手术位置快速传达给计算机系统。然后计算机在显示器上立即提供相关MRI和CT扫描信息的三维显示。这些颅内图像在手术干预之前和期间为神经外科医生提供导航指导。然而，交互式、图像引导的立体定向神经外科手术系统只是手术工具，而不是医疗保健提供者知识或专业技能的替代品。在整个手术过程中，神经外科医生必须在其医学判断与对计算机生成信息的解读之间取得平衡。交互式、图像引导系统不应干扰患者护理的优先事项，而应融入术中护理常规。
