术中超声在脑肿瘤诊断与治疗中的应用  

Clinical practice of intraoperative ultrasound in brain tumor surgery

作　　者：郭嘉禾 张晓磊 张恺 GUO Jia‐he;ZHANG Xiao‐lei;ZHANG Kai(Department of Neurosurgery,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua Medicine,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院神经外科,102218

出　　处：《中国现代神经疾病杂志》2025年第2期126-135,共10页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：北京市自然科学基金资助项目(项目编号:L246048)~~。

摘　　要：术中超声(iUS)是脑肿瘤手术中一种低成本、简便且易操作的辅助工具,但缺乏规范化操作指南。本文阐述iUS原理和应用流程、脑内病变超声可见度分级系统、iUS在脑肿瘤特别是胶质瘤切除评估中的应用效果和局限性、多模态超声成像及人工智能在iUS中的应用,多角度展示iUS在脑肿瘤手术中的应用,并提出实践规范。Intraoperative ultrasound(iUS)is a low‐cost,portable and user‐friendly auxiliary tool in brain tumor surgery,yet there is a lack of standardized operational guidelines.This review begins with the ultrasound physics and summarizes the workflow of iUS,followed by a grading system for ultrasonographic visibility of intracerebral lesions,iUS in assessing brain tumor resection,the limitations of iUS‐guided brain tumor resection,multimodal ultrasound imaging,and the application of artificial intelligence(AI)in iUS.This review shows the clinical practice of iUS in brain tumor surgery from multiple perspectives and proposes practical standards.

关 键 词：脑肿瘤 超声检查 监测 手术中 多模态成像 综述 

分 类 号：R739.41[医药卫生—肿瘤]