PDF(Pubmed)
Abstract：
Giant supratentorial brain tumors (GSBTs) in children are uncommon and extremely challenging entities unique to pediatric neurosurgery. Factors such as young patient age, need for urgent intervention, intraoperative blood loss, and ongoing raised intracranial pressure symptoms are examples of difficulties faced. Recently, there has been a growing body of literature on augmented reality (AR) in adult neurosurgery. In contrast, the use of AR in pediatric neurosurgery is comparatively less. Nonetheless, we postulate that AR systems will be helpful for understanding spatial relationships of complex GSBT anatomy for preoperative planning in a timely fashion. This study describes our experience in trialing AR as a potential tool for three cases of pediatric GSBTs. Overall, the AR platform offers our neurosurgical team excellent visuospatial insights for preoperative decision-making. However, we observe that substantial time is required to set up the AR system prior to each clinical case discussion by the neurosurgical team. In congruency with existing literature, our preliminary results report that there are still obstacles that need to be addressed before the technology can be seamlessly implemented into the clinical workflow for these time-sensitive childhood brain tumors. To our knowledge, this is the first study to report the potential use of AR for complex pediatric GSBT cases.
摘要：
儿童巨大的幕上脑肿瘤（GSBT）是小儿神经外科手术中罕见且极具挑战性的实体。诸如年轻患者年龄等因素，需要紧急干预，术中失血,和持续升高的颅内压症状是所面临的困难的例子。最近,关于成人神经外科增强现实（AR）的文献越来越多。相比之下,AR在小儿神经外科手术中的应用相对较少。尽管如此，我们假设AR系统将有助于理解复杂GSBT解剖结构的空间关系,以便及时进行术前规划。这项研究描述了我们在将AR作为三例小儿GSBT的潜在工具进行试验方面的经验。总的来说,AR平台为我们的神经外科团队提供了出色的术前决策视觉空间见解。然而,我们观察到,在神经外科团队讨论每个临床病例之前,需要大量时间来建立AR系统.与现有文献一致，我们的初步研究结果显示,在这些对时间敏感的儿童脑肿瘤的临床工作流程中无缝实施该技术之前,仍有一些障碍需要解决.据我们所知,这是第一项报道AR用于复杂儿科GSBT病例的潜在用途的研究.
