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首页> 外文期刊>Surgical Endoscopy >Tumor ablation therapy of liver cancers with an open magnetic resonance imaging-based navigation system.
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Tumor ablation therapy of liver cancers with an open magnetic resonance imaging-based navigation system.

机译:基于开放式磁共振成像的导航系统对肝癌的肿瘤消融治疗。

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BACKGROUND: As minimally invasive treatments for liver cancers, percutaneous ablation therapies represent a valid alternative to liver resections, especially in patients with poor liver function. Recently, image-guided surgical and interventional procedures using open magnetic resonance imaging (MRI) have been introduced. METHODS: We performed percutaneous ablation therapy for 51 nodules of liver cancer in 34 patients using a navigation system based on open MRI. During the ablation therapy, the ultrasonography (US) probe, needle, and tumor were displayed on the MR image. Immediately after the procedure, the therapeutic effect was evaluated by open MRI. RESULTS: In all cases, percutaneous puncture into the tumors was successful, even in the case of tumor undetectable by US. Mean fiducial registration error was approximately 3 mm. MR images captured after the procedure clearly demonstrated the ablated area. No mortality or major complications occurred, except for mild hemorrhage, pyrexia, and ascites. CONCLUSIONS: We developed a novel navigation system integrating US and MR images using open MRI for percutaneous ablation therapy of liver cancers. The presented system allows a safe and accurate approach to liver cancers, especially certain tumors that cannot be adequately visualized by US, and an evaluation of therapeutic results immediately after the procedures.
机译:背景:作为肝癌的微创治疗方法,经皮消融治疗是肝切除术的有效替代方法,尤其是在肝功能较差的患者中。近来,已经引入了使用开放磁共振成像(MRI)的图像引导的外科手术和介入程序。方法:我们使用基于开放式MRI的导航系统对34例肝癌的51个结节进行了经皮消融治疗。在消融治疗过程中,在超声图像上显示了超声(US)探头,针头和肿瘤。手术后立即通过开放式MRI评估疗效。结果:在所有情况下,即使在US无法检测到的肿瘤中,经皮穿刺均成功地穿入了肿瘤。平均基准配准误差约为3 mm。手术后捕获的MR图像清楚地显示出消融区域。除轻度出血,发热和腹水外,未发生死亡或重大并发症。结论:我们开发了一种新颖的导航系统,使用开放式MRI将US和MR图像整合在一起,用于肝癌的经皮消融治疗。所提出的系统允许对肝癌,尤其是某些US无法充分观察到的肿瘤进行安全,准确的处理,并在手术后立即评估治疗效果。

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