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以有5300年历史的因斯布鲁克冰人为例的3D图像引导手术。

3D image-guided surgery on the example of the 5,300-year-old Innsbruck Iceman.

作者信息

Thumfart W F, Freysinger W, Gunkel A R, Truppe M J

机构信息

ENT Department, University of Innsbruck, Austria.

出版信息

Acta Otolaryngol. 1997 Mar;117(2):131-4. doi: 10.3109/00016489709117753.

DOI:10.3109/00016489709117753
PMID:9105432
Abstract

Interventional Video Tomography (IVT) is regularly used for computer-assisted 3D navigation in ear-, nose, throat, and head & neck surgery in our clinic. We present the technology and its application to collect biopsies of a 5,300 year old, completely conserved male cadaver, the Iceman. IVT links intraoperative live video with medical imaging data sets, realizing real-time surgical guidance in the live video and/or in the medical images. The IVT data contain the video images and the spatial sensor information; this has a large potential for documentation, training, teaching, and telepresence. IVT allowed us to sample the Iceman's mucosa by the minimally invasive endoscopic approach of the maxillary sinus, the nasal cavity, and the larynx, minimizing tissue damage. Visual inspection of the sinuses and the mucosa revealed the typical mucosa of a fresh cadaver, albeit originating from the stone-age.

摘要

介入式视频断层扫描(IVT)在我们诊所常用于耳、鼻、喉及头颈外科的计算机辅助三维导航。我们展示了该技术及其在采集一名5300岁、保存完好的男性冰人尸体活检样本中的应用。IVT将术中实时视频与医学成像数据集相连接,在实时视频和/或医学图像中实现实时手术引导。IVT数据包含视频图像和空间传感器信息;这在记录、培训、教学和远程临场方面具有巨大潜力。IVT使我们能够通过对上颌窦、鼻腔和喉部进行微创内窥镜检查的方法采集冰人的黏膜样本,将组织损伤降至最低。鼻窦和黏膜的目视检查显示出新鲜尸体典型的黏膜,尽管其来自石器时代。

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In what ways can human skeletal remains be used to understand health and disease from the past?人类骨骼遗骸可以通过哪些方式被用于了解过去的健康与疾病情况?
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Image-guided endoscopic ENT surgery.影像引导的耳鼻喉科内镜手术
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