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Modeling Surgical Procedures to Assist in Understanding Surgical Approach

机译:建模手术程序以帮助理解手术方法

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摘要

Often within the clinical environment of a neurosurgical brain tumor procedure, the surgeon is faced with the difficulty of orienting the patient's head to maximize the success of removing the pathology. Currently, these decisions are based on the experience of the surgeon. The primary objective of this paper is to demonstrate how a mathematical model can be used to evaluate the different patient positioning for tumor resection therapies. Specifically, therapies involving gravity-induced shift are used to demonstrate how a series of candidate approaches to the tumor can result in significantly different deformation behavior of brain tissue. To quantitatively assess the advantages and disadvantages of potential approaches, three different midline tumor locations were used to evaluate for the extent of tumor exposure and the magnitude of tensile stress at the brain-tumor interface, both of which are reliable indicators of the ease of resection. Preliminary results indicate that the lateral decubitus position is best suited for midline tumors.
机译:通常在神经外科脑瘤手术的临床环境中,外科医生面临使患者的头部定向以最大程度地成功去除病理的困难。当前,这些决定基于外科医生的经验。本文的主要目的是演示如何使用数学模型来评估不同患者在肿瘤切除治疗中的位置。具体而言,涉及重力引起的移位的疗法被用于证明针对肿瘤的一系列候选方法如何导致脑组织的明显不同的行为。为了定量评估潜在方法的优缺点,使用了三个不同的中线肿瘤位置来评估肿瘤暴露程度和脑-肿瘤界面处的拉应力大小,这两者都是切除容易程度的可靠指标。初步结果表明,外侧卧位最适合中线肿瘤。

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