多模态图像融合及三维重建技术在后颅窝肿瘤手术中的应用  

Application of multimodal image fusion and 3D reconstruction techniques in posterior cranial fossa tumour surgery

作　　者：王俊[1] 孙而艺 许恩喜[1] 周洲 陈波[1] WANG Jun;SUN Eryi;XU Enxi;ZHOU Zhou;CHEN Bo(Department of Neurosurgery,the Affiliated People’s Hospital of Jiangsu University,Zhenjiang 212002,Jiangsu,China)

机构地区：[1]江苏大学附属人民医院神经外科,江苏镇江2120021

出　　处：《中国现代医生》2024年第29期58-61,共4页China Modern Doctor

摘　　要：目的旨在探讨多模态图像融合及三维重建技术在后颅窝肿瘤手术治疗中的应用效果。方法回顾性分析2022年1月至2023年9月在江苏大学附属人民医院神经外科接受手术治疗的19例后颅窝肿瘤患者的临床资料。所有患者在术前均接受头部CT和MRI检查,并将影像数据输入影像融合工作站进行图像融合和三维重建。医生利用这些融合后的影像进行肿瘤空间评估和模拟手术入路。术后统计肿瘤全切除率和术后并发症,并对其应用价值进行评估。结果多模态图像融合及三维重建技术能清晰显示后颅窝肿瘤与周围结构的解剖关系,19例患者中肿瘤全切除15例(78.9%),次全切除4例,无围手术期死亡患者。术后并发症包括脑水肿2例,颅内感染1例,面瘫2例,吞咽困难1例。根据医生的反馈,多模态图像融合及三维重建技术在手术中表现出显著价值的案例有16例,辅助价值的案例有3例。结论多模态图像融合及三维重建技术可精准、清晰地显示后颅窝肿瘤与周围重要组织的空间关系,有助于医生设计更精准的手术切口和选择更合理的手术入路,对手术顺利完成有较高的辅助价值。Objective To investigate the effectiveness of Multimodal image fusion and 3D reconstruction techniques in the surgical treatment of posterior cranial fossa tumours surgery.Methods Retrospective analysis of medical records of 19 patients with posterior cranial fossa tumours who underwent surgical treatment between January 2022 and September 2023 in Department of Neurosurgery,the Affiliated People’s Hospital of Jiangsu University.All patients underwent preoperative CT and MR imaging of the head,and these image data were input into an image fusion workstation for image fusion and 3D reconstruction.The surgeon then used these fused images for spatial assessment of the tumour and simulation of surgical access.Results The multimodal image fusion techniques could clearly show the anatomical relationship between the tumour of the posterior cranial fossa and the surrounding structures,and there were 15 cases of total resection of the tumour in 19 patients(78.9%),4 cases of subtotal resection,and no perioperative death patients.Postoperative complications included cerebral oedema in 2 cases,intracranial infection in 1 case,facial paralysis in 2 cases,and dysphagia in 1 case.According to the feedback from the surgeons,the multimodal image fusion techniques showed significant value in surgery in 16 cases and ancillary value in 3 cases.Conclusion Multimodal image fusion technology and 3D reconstruction techniques in can accurately and clearly show the spatial relationship between the tumour in the posterior cranial fossa and the surrounding important tissues,which helps the surgeon to more accurately design the surgical incision and choose a more reasonable surgical approach.It has a high auxiliary value for the successful completion of surgery.

关 键 词：后颅窝 多模态图像融合及三维重建技术 脑肿瘤 神经外科 

分 类 号：R651.1[医药卫生—外科学]