Kikinis R, Gleason P L, Moriarty T M, Moore M R, Alexander E, Stieg P E, Matsumae M, Lorensen W E, Cline H E, Black P M, Jolesz F A
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Neurosurgery. 1996 Apr;38(4):640-9; discussion 649-51.
We have used three-dimensional reconstruction magnetic resonance imaging techniques to understand the anatomic complexity of operative brain lesions and to improve preoperative surgical planning. We report our experience with 14 cases, including intra- and extra-axial tumors and a vascular malformation. In each case, preoperative planning was performed using magnetic resonance imaging-based three-dimensional renderings of surgically critical structures, such as eloquent cortices, gray matter nuclei, white matter tracts, and blood vessels. Simulations, using the interactive manipulation of three-dimensional data, provided an efficient and comprehensive way to appreciate the anatomic relationships. Interactive three-dimensional computer-assisted preoperative simulations provided otherwise inaccessible information that was useful for the surgical removal of brain lesions.
我们运用三维重建磁共振成像技术来了解脑部手术病变的解剖复杂性，并改进术前手术规划。我们报告了14例病例的经验，包括轴内和轴外肿瘤以及1例血管畸形。在每例病例中，术前规划均使用基于磁共振成像的手术关键结构三维渲染图进行，这些结构包括明确的皮质、灰质核团、白质束和血管。通过对三维数据的交互式操作进行模拟，提供了一种高效且全面的方式来认识解剖关系。交互式三维计算机辅助术前模拟提供了通过其他方式无法获取的信息，这些信息对于脑部病变的手术切除很有用。
