Moriarty T M, Kikinis R, Jolesz F A, Black P M, Alexander E
Division of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Neurosurg Clin N Am. 1996 Apr;7(2):323-31.
The field of image-guided neurosurgery has developed under the premise that integrating the enhanced discrimination powers of CT scan and MR imaging into the operating room improves the accuracy, safety and precision of neurosurgery, and expand the realm of surgically treatable lesions. Through cooperation between General Electric Corporation and the Brigham and Women's Hospital, and open-configuration MR suite was designed and implemented to attain these goals through real-time, intraoperative MR imaging in a true surgical suite. This system allows intraoperative acquisition of MR images without moving the patient, online image-guided stereotaxy without preoperative imaging, and "real-time" tracking of instruments in the operative field registered to the MR images. The design and implementation of neurosurgery in the open-configuration MR imaging suite are summarized in this article.
图像引导神经外科领域的发展基于这样一个前提,即把CT扫描和磁共振成像(MR)增强的分辨能力整合到手术室中,可提高神经外科手术的准确性、安全性和精确性,并扩大可手术治疗病变的范围。通过通用电气公司与布莱根妇女医院的合作,设计并实施了一种开放式磁共振设备,以通过在真正的手术环境中进行实时术中磁共振成像来实现这些目标。该系统能够在不移动患者的情况下进行术中磁共振图像采集,无需术前成像即可进行在线图像引导立体定向,以及对手术区域内与磁共振图像配准的器械进行“实时”跟踪。本文总结了开放式磁共振成像设备中神经外科手术的设计与实施情况。