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Future perspectives in intraoperative imaging.

机译:术中影像学的未来前景。

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摘要

Of all the advances in imaging science in the past twenty years, none has had a greater impact than Magnetic Resonance Imaging. Since its introduction as a diagnostic tool in the mid-1980's, MRI has evolved into the premier neuroimaging modality, and with the addition of higher field magnets, we are able to achieve spatial resolution of such superb quality that even the most exquisite details of the brain anatomy can be visualized. With the implementation of intraoperative, neurosurgical MRI, we can not only monitor brain shifts and deformations; we can achieve intraoperative navigation using intraoperative image updates. In the future, intraoperative MRI can be used not only to localize, target, and resect brain tumors and other lesions but also to fully comprehend the surrounding cortical and white matter functional anatomy. In addition to the inclusion of new imaging methods such as diffusion tensor imaging, new therapeutic methods will be applied. Especially encouraging are the promising results inMRI-guided Focused Ultrasound Surgery, in which the non-invasive thermal ablation of tumors is monitored and controlled by MRI. With the clinical introduction of these advances, intraoperative MRI is changing the face of Neurosurgery today.
机译:在过去的20年中,成像科学的所有进步中,没有一个比磁共振成像具有更大的影响力。自1980年代中期MRI作为一种诊断工具问世以来,MRI已经发展成为主要的神经影像学手段,并且通过添加更高的磁场磁体,我们能够获得如此卓越的质量的空间分辨率,即使是最精致的图像细节也是如此。可以看到大脑解剖结构。随着术中神经外科MRI的实施,我们不仅可以监视大脑的移动和变形,还可以监视大脑的移动和变形。我们可以使用术中图像更新来实现术中导航。将来,术中MRI不仅可以用于定位,靶向和切除脑部肿瘤和其他病变,还可以充分理解周围的皮质和白质功能解剖结构。除了包括新的成像方法(如扩散张量成像)外,还将应用新的治疗方法。特别令人鼓舞的是在MRI引导的聚焦超声手术中的有希望的结果,其中通过MRI监测和控制肿瘤的非侵入性热消融。随着这些进展的临床介绍,术中MRI正在改变当今神经外科的面貌。

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