Neuronavigation without Rigid Pin Fixation of the Head in Left Frontotemporal Tumor Surgery with Intraoperative Speech Mapping

Olaf Suess

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Neuronavigation without Rigid Pin Fixation of the Head in Left Frontotemporal Tumor Surgery with Intraoperative Speech Mapping

机译：左额颞叶肿瘤术中语音映射无头固定针的神经导航。

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OBJECTIVE: Intraopcralive speech mapping has evolved inio the "gold standard" for neurosurgical removal of lesions near ihe language corlex.The integration of neuron-aigalion into a nuillimoclal protocol can improve tho reliability of Ihis lype of opera-lion, bul most systems require rigid fixation of the patient's head throughout the operation. This article describes and evaluates a new noninvasivelv attached sensor-based reference tool, which can replace rigid pin fixation of the patient's head during awake c raniolomies. METHODS: The attachment technique and the resulting application accuracy were investigated under clinical conditions in13 patients undergoing awake craniolonn with intraoperalive mapping of cortic al language sites. RESULTS: Spatial information was used for updating Ihe image guidance by continuously adjusting Ihe image planer relative to the position of the patient's head. The mean registration error achieved with this technique was 1.53 (+-) 0.51 mm (fiducial registration error +- standard deviation.). The system's median application accuracy between dura opening and closure ranged from 0.8 5 to 1.85 mm (position erron. CONCLUSION: I'he use of a reference sensor can replace uncomfortable pin fixation of the patient's head during navigation-supported awake craniotomies. Application accuracy is not affected bv repositioning of the patienl or by unavoidable head movements. Thus, this technique enables full exploitation of the benefits of navigation in a mullimodal operative protocol without the need to rigidly fix the patient's head.

机译：目的：颅内语音映射已发展成为神经外科切除语言皮层附近病变的“金标准”。将神经元融合到神经胶质协议中可以提高大多数系统的手术伊利弗氏菌的可靠性。在整个手术过程中需要牢固固定患者的头部。本文介绍并评估了一种新的基于传感器的无创连接的参考工具，该工具可在清醒的颅骨检查中代替患者头部的刚性销钉固定。方法：对13例清醒颅脑外科患者的术中皮质皮质语言部位进行术中定位，研究了其附着技术和由此产生的应用准确性。结果：空间信息被用于通过相对于患者头部的位置连续调节图像平面来更新图像指导。用该技术获得的平均套准误差为1.53（±）0.51 mm（基准套准误差±标准差）。该系统在硬脑膜打开和闭合之间的中位应用准确性范围为0.8 5到1.85 mm（位置erron。）结论：我使用参考传感器可以代替在导航支持的清醒术中不适的患者头部固定。因此，该技术能够在多模式手术方案中充分利用导航的优势，而无需严格固定患者的头部。

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《Neurosurgery》 |2007年第2期|共9页
作者
Olaf Suess;
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正文语种 eng
中图分类头部及神经外科学;
关键词
Patients; Head; Psychological fixation; Awake; 病人; 头部;

机译：Patients;Head;Psychological fixation;Awake;病人;头部;

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1. Neuronavigation without Rigid Pin Fixation of the Head in Left Frontotemporal Tumor Surgery with Intraoperative Speech Mapping [J] . Olaf Suess Neurosurgery . 2007,第2期

机译：左额颞叶肿瘤术中语音映射无头固定针的神经导航。
2. Intraoperative Motor Symptoms during Brain Tumor Resection in the Supplementary Motor Area (SMA) without Positive Mapping during Awake Surgery [J] . Nakajima Riho, Nakada Mitsutoshi, Miyashita Katsuyoshi, Neurologia medico-chirurgica. . 2015,第5期

机译：在清醒手术过程中，在未进行正向映射的辅助运动区（SMA）进行脑肿瘤切除术期间的术中运动症状
3. Intraoperative Motor Symptoms during Brain Tumor Resection in the Supplementary Motor Area (SMA) without Positive Mapping during Awake Surgery [J] . Riho NAKAJIMA, Mitsutoshi NAKADA, Katsuyoshi MIYASHITA, Neurologia medico-chirurgica. . 2015,第5期

机译：在清醒手术过程中，在未进行正向映射的辅助运动区（SMA）进行脑肿瘤切除术期间的术中运动症状
4. Preoperative brain mapping and intraoperative monitoring in brain tumor surgery [C] . T. Miyagishima, A. Takahashi, S. Ishiuchi, International Evoked Potentials Symposium . 2005

机译：脑肿瘤手术中术前脑部测绘和术中监测
5. Factors influencing patterns of language laterality and localization as measured by the Wada test and intraoperative electrical cortical stimulation speech mapping. [D] . Chicota, Cammy Lynn. 2004

机译：通过Wada测试和术中电皮层刺激语音映射测量的影响语言偏侧性和本地化模式的因素。
6. Intraoperative Motor Symptoms during Brain Tumor Resection in the Supplementary Motor Area (SMA) without Positive Mapping during Awake Surgery [O] . Riho NAKAJIMA, Mitsutoshi NAKADA, Katsuyoshi MIYASHITA, 2015

机译：在清醒手术过程中在未进行正向映射的辅助运动区（SMA）进行脑肿瘤切除术期间的术中运动症状
7. MODERATED EPOSTERS1385Longitudinal strain assessment in dilated cardiomyopathy patients using a novel accelerated DENSE sequence1407Simultaneous T1 and T2 cardiac quantification with CABIRIA: initial clinical experience1423Head-to-head comparison of acceleration algorithms in 4-dimensional flow CMR1502Left ventricular function and size evaluated by hybrid cardiac positron emission tomography-magnetic resonance: Intraindividual comparison of left ventricular ejection fraction and ventricular volumes derived by two modalities1510Left Atrium assessed by Cardiovascular Magnetic Resonance at 1.5 and 3 Tesla – age and gender effects1514Comparison of Free Breathing Cardiac MRI Radial technique to the Standard Multi breath-hold cine SSFP CMR technique for the assessment of LV Volumes and Function1536Self-navigated free-breathing isotropic 3D whole heart phase sensitive inversion recovery magnetic resonance without navigator for detection of myocardial infarction1547Assessment of Right Ventricular Strain Using Myocardial Deformation Recovery Semi Automated Technique: Initial Experience and Normal Values1586Tissue tracking myocardial deformation analysis and prediction of left ventricular remodeling in acute myocardial infarction1589Investigating strategies for optimal 31P MRS clinical cardiac at 3T: Initial Results1620Quantitative Criteria for the Diagnosis of the Congenital Absence of Pericardium by Cardiac Magnetic Resonance1632Widespread tissue injury during acute myocardial infarction: evidence from advanced CMR relaxometry1322Computed tomography coronary angiography verSus sTRess cArdiac magneTic rEsonance for the manaGement of sYmptomatic revascularized patients: a cost effectiveness study (STRATEGY study)1339Comparison of low- versus high-dose of gadobutrol for late gadolinium enhancement imaging at 1.5 Tesla: a clinical feasibility study1347Multi-parametric Cardiac Magnetic Resonance for Prediction of Cardiac Complications in Thalassemia Intermedia: a Prospective Multicenter Study1461Prognostic value of Cardiovascular Magnetic Resonance derived indexes of myocardial fibrosis in heart transplant recipients1523The role of CMR in the acute phase of hospitalization: changing paradigms1542Preoperative CMR-based score predict ventricular response after surgical left ventricular reconstruction in ischemic heart failure patients1555Excellent response rate to cardiac resynchronization therapy guided with magnetic resonance imaging1626The ECG as a predictor of arrhythmogenic substrate on Cardiac Magnetic Resonance Imaging in patients undergoing ablation for premature ventricular contractions1649Comparison of T1-mapping at 3.0T CMR and angiographic APPROACH score for area at risk assessment in ST-segment elevation myocardial infarction1340Pathological correlates of left bundle branch disease in patients with non-ischemic cardiomyopathy: a cardiovascular magnetic resonance study1342Myocardial remodelling and fibrosis in nonischaemic dilated cardiomyopathy: insights from cardiovascular magnetic resonance1411The association between fibrosis and contractile dysfunction in hypertrophic cardiomyopathy assessed by cardiovascular magnetic resonance1622Persistent myocardial inflammation due to intramyocardial haemorrhage in reperfused STEMI as a precursor to adverse LV remodelling - insights from multi-parametric mapping1566Semiquantitative analysis of low and high b value DWI for detecting myocardial edema in acute myocarditis1567Value of Cardiac MRI In Detecting Coronary Artery Disease In Newly Diagnosed Systolic Dysfunction1570Usefulness of cardiac magnetic resonance in tuberous sclerosis complex1578Papillary muscles offer further insight into hypertrophied hearts: a cardiovascular magnetic resonance study1627Diagnostic and clinical implications of CMR timing (early versus late) in patients with troponin positive acute coronary syndromes and unobstructed coronary arteries: Table 1. [O] . Upasana Tayal, Alexandros Kallifatidis, P. Garg, 2016

机译：在使用新的扩张型心肌病的患者缓和EPOSTERS1385Longitudinal应变评估加速DENSE sequence1407Simultaneous T1和T2与CABIRIA心脏定量：在4维流动的加速算法初始临床experience1423Head对头比较CMR1502Left心室功能和尺寸由混合心脏正电子发射断层摄影术评价 - 磁性共振：由两个modalities1510Left庭派生左室射血分数和心室体积的个体间的比较，在1.5和3特斯拉评估心血管磁共振 - 免费的年龄和性别effects1514Comparison呼吸心脏MRI径向技术标准的多屏气电影SSFP CMR技术的LV卷和Function1536Self-导航自由呼吸各向同性3D整个心脏相位敏感反转恢复磁共振导航仪没有检测右Ventricu心肌infarction1547Assessment的评估拉尔菌株使用心肌变形恢复半自动技术：初步经验和正常Values1586Tissue跟踪心肌变形分析和预测左室重构急性心肌infarction1589Investigating策略优化31P MRS临床心脏在3T：初始Results1620Quantitative标准的先天缺失的诊断心包心脏磁Resonance1632Widespread组织损伤急性心肌梗死时：证据先进CMR relaxometry1322Computed CT冠状动脉成像与压力心脏磁共振对症的管理吻合血管患者：成本效益研究（战略研究）1339Comparison低与高剂量钆布醇在1.5特斯拉晚钆增强成像的临床可行性，在中间型地贫心脏并发症的预测study1347Multi参数心脏核磁共振的前瞻性德穆尔心血管磁共振的ticenter Study1461Prognostic价值衍生心肌纤维化指标在住院的急性期CMR的心脏移植recipients1523The作用：改变基于CMR-paradigms1542Preoperative比分预测缺血性心脏衰竭patients1555Excellent响应速度外科左心室重建心脏再同步化后心室反应治疗与磁共振imaging1626The ECG导引作为心脏磁共振成像致心律失常性基板的在ST段抬高心肌infarction1340Pathological在风险评估经历在3.0T CMR T1映射的室性早搏contractions1649Comparison和血管造影APPROACH分数区域消融患者的预测左束支传导疾病的患者与非缺血性心肌病相关因素：心血管磁共振study1342Myocardial重塑和纤维化nonischaemic扩张型心肌病：在从在由心血管磁性resonance1622Persistent心肌炎症评估肥厚型心肌病的纤维化和收缩功能障碍之间心血管磁性resonance1411The协会由于心肌内出血景点在再灌注STEMI为先导，以不利的LV重塑 - 从低的多参数mapping1566Semiquantitative分析和高的b值DWI的见解为在心脏MRI检测冠状动脉疾病急性myocarditis1567Value在结节性硬化症complex1578Papillary肌肉初诊收缩期Dysfunction1570Usefulness心脏磁共振检测心肌水肿提供进一步的深入了解肥大心脏：心血管磁共振study1627Diagnostic和CMR定时的临床意义（早期与晚）患者肌钙蛋白阳性的急性冠脉综合征和通畅的冠状动脉：表1。

Neuronavigation without Rigid Pin Fixation of the Head in Left Frontotemporal Tumor Surgery with Intraoperative Speech Mapping

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