发布日期：2024-05-30 15:44 点击次数：105
Intraoperative magnetic resonance imaging in pediatric neurosurgery: safety and utility
赤子神经外科术中磁共振成像:告成和实用
英文摘抄：
Objective The use of high-field intraoperative MRI has been largely studied for the treatment of intracranial tumors in adult patients. In this study, the authors investigated the safety, advantages, and limitations of high-field iMRI for cranial
neurosurgical procedures in pediatric patients, with particular attention to craniopharyngiomas and gliomas.
Methods The authors performed 82 surgical procedures in patients under 16 years of age (range 0.8–15 years) over an 8-year period (2007–2014) using iMRI. The population was divided into 3 groups based on the condition treated: sellar region tumors (Group 1), gliomas (Group 2), and other pathological entities (Group 3). The patients’ pre- and postoperative neurological status, the presence of residual tumor, the number of intraoperative scans, and complications were evaluated.
伸开剩余69%Results In Group 1, gross-total resection (GTR) was performed in 22 (88%) of the procedures and subtotal resection (STR) in 3 (12%). In Group 2, GTR, STR, and partial resection (PR) were performed, respectively, in 15 (56%), 7 (26%), and 5 (18%) of the procedures. In Group 3, GTR was performed in 28 (93%) and STR in 2 (7%) of the procedures. In cases of craniopharyngioma (Group 1) and glioma (Group 2) in which a complete removal was planned, iMRI allowed localization of residual lesions and attainment of the surgical goal through further resection, respectively, in 18% and 27% of the procedures. Moreover, in gliomas the resection could be extended from partial to subtotal in 50% of the cases. In 17% of the patients in Group 3, iMRI enabled the identification and further removal of tumor remnants. There was no intra- or postoperative complication related to the use of iMRI despite special technical difficulties in smaller children.
Conclusions In this study, the use of iMRI in children proved to be safe. It was most effective in increasing the extent of tumor resection, especially in patients with low-grade gliomas and craniopharyngiomas. The most prominent disadvantage of high-field iMRI was the limitation with respect to operative positioning due to the configuration of the surgical table.
华文摘抄：
方向：讨论高场强术中MRI在成东谈主颅内肿瘤治疗中的运用。在这项链接中，作家链接了高场iMRI的告成性、优点和局限性。神经外科手术在赤子患者中的运用，要防范颅咽管瘤和胶质瘤。
递次：对16岁以下(0.8-15岁)8年间(2007-2014)82例患者行iMRI手术治疗。The 东谈主口 分红 3 组 说明 条款 treated: sellar 地区 肿瘤 (Group 1 ), 神经胶质瘤 (Group 2 ), 和 其他 病理 实体 (Group 3 ). The patients’ pre 和 postoperative 神经 status, 存在 残余 tumor, 术 中 评价 scans, 和 并发症 的 数目
恶果：1组22例(88%)行全切(GTR)， 3例(12%)行次全切(STR)。在2组中，15例(56%)、7例(26%)和5例(18%)分裂进行了GTR、STR和部分切除(PR)。在三组中，28例(93%)进行了GTR治疗，2例(7%)进行了STR治疗。In 例 颅 咽 管瘤 (Group 1 ) 和 神经胶质瘤 (Group 2 ) 的 一 个 齐全 切除 是 planned, iMRI 允许 localization 残余 病灶 , 达到 手术 方向 通过 进一步 resection, respectively, 在 18% 和 27%
的才智。此外，在神经胶质瘤中，50%的病例不错将切除限度从局部扩大到次全切除。在三组17%的患者中，iMRI大略识别并进一步撤销肿瘤残留。尽管在较小的儿童中存在不同的工夫艰辛，迪士尼彩乐园但莫得与iMRI使用干系的里面或术后并发症。
论断：在本链接中，儿童使用iMRI是告成的。它在增多肿瘤切除限度方面较合乎，是对初级别胶质瘤和颅咽管瘤患者。高场强iMRI较隆起的裂缝是手术台的结构铁心了手术定位。
发布于：上海市可能每个人身边，都会有一个抠门的朋友。但是在日本有一个人，为了蹭吃蹭喝，入股了900多家公司，在接下来的34年里迪士尼彩乐园彩票，从来没有花过自己一分钱，这其中发生了什么事？日本知名的将棋天才