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首页> 外文期刊>Neurosurgery >OBJECTIVE: To assess the value of muliiplanar reconstruction software in trajectory planning for depth electrode insertion in medically refractory epilepsy. METHODS: A series of 2() paiients undergoing frame-based hippocampal depth electrode insertio
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OBJECTIVE: To assess the value of muliiplanar reconstruction software in trajectory planning for depth electrode insertion in medically refractory epilepsy. METHODS: A series of 2() paiients undergoing frame-based hippocampal depth electrode insertio

机译:目的:评估多平面重建软件在医用难治性癫痫深度电极插入轨迹规划中的价值。方法:一系列2()患者正在接受基于框架的海马深度电极插入术

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OBJECTIVE: To assess the value of muliiplanar reconstruction software in trajectory planning for depth electrode insertion in medically refractory epilepsy. METHODS: A series of 2() paiients undergoing frame-based hippocampal depth electrode insertion were identified. In 19 patients, preoperalive trajectory planning was conducted in axial, coronal, and sagittal planes using standard-axis software. In 10 patients, preoperalive trajeclorv planning was concluded with mulliplanar reconstruction software. Postoperative magnetic resonance imaging scans were evaluated to study the quality of insertion. Target act uracy was assessed b measuring the mean shortest distance to strictly defined hippocampal borders in the coronal plane ("coronal deviation"). Additionally, the number of electrode contacts placed within the amygdalo-hippocampal structure was assessed. RESULTS: With the use of mulliplanar reconstruction software, there was a statisticallv insignificant increase in coronal deviation islandard-axis software group, 0.09+-0.50mm; mulliplanar reconstruction group, 0.57 +- 1.16 mm). However, the use of mulliplanar planning strategies resulted in approximately one additional electrode contact inserted in the amygdalohippocampal structure islandard-axis software group, 3.42+-0.89; mulliplanar reconstruction group, 4.36 +- 0.93; P< 0.011). CONCLUSION: The use of reconstructed planes in prooperalive Irajoclory planning allows for the insertion of additional electrode conlac Is within the targe! structure.
机译:目的:评估多平面重建软件在医用难治性癫痫深度电极插入轨迹规划中的价值。方法:确定了一系列2()患者正在接受基于框架的海马深电极插入。在19例患者中,使用标准轴软件在轴向,冠状和矢状面进行了术前轨迹规划。在10例患者中,术前trajeclorv计划已通过多唇重建软件得出结论。评估术后磁共振成像扫描以研究插入质量。通过测量到冠状平面中严格定义的海马边界的平均最短距离(“冠状偏差”)来评估目标行为。另外,评估了位于杏仁核-海马结构内的电极触点的数量。结果:使用多瓣重建软件,冠状偏差岛状轴软件组增加了0.09 + -0.50mm,无统计学意义的增加。多唇重建组,0.57±1.16mm)。但是,使用多瓣计划策略导致在杏仁核海马结构岛状轴软件组中插入了大约一个额外的电极触点,即3.42 + -0.89;多唇重建组,4.36±0.93; P <0.011)。结论:在重建伊拉克计划的伊拉霍克洛计划中使用重建平面可以在目标内插入额外的电极。结构体。

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