■胶质瘤切除术旨在最大程度地切除肿瘤,同时保留神经功能。神经导航系统(NS),术中成像,通过精确的肿瘤定位和详细的解剖导航彻底改变了这一过程。
■为了评估神经导航和术中影像学在神经胶质瘤切除术中的疗效和广度,确定运营挑战,并为医学生和非神经外科医生提供有关其实际应用的教育见解。
■本系统综述分析了2012年至2023年在神经导航下接受手术切除的神经胶质瘤患者的研究,来自MEDLINE(PubMed),Embase,和WebofScience。采用了特定于数据库的搜索策略,独立审稿人使用Rayyan筛选资格,并使用JoannaBriggsInstitute(JBI)工具提取数据。
■神经导航系统与术中成像模式如iMRI的整合,IUS,和5-ALA可显着提高总切除率(GTR)和切除程度(EOR)。虽然先进的技术提高了手术效果,它并没有普遍减少手术时间,对长期生存的影响各不相同。与单独使用NS相比,NS+iMRI和NS+5-ALA+iMRI等组合可获得更高的GTR率。这表明先进的影像学辅助手段提高了肿瘤切除的准确性和成功率。结果强调了成功手术结果的多面性。
■术中成像与神经导航相结合可改善神经胶质瘤切除。持续的研究对于完善技术至关重要,提高准确性,降低成本,改进培训,考虑影响患者生存的各种因素。
UNASSIGNED: Glioma resection aims for maximal tumor removal while preserving neurological function.
Neuronavigation systems (NS), with intraoperative imaging, have revolutionized this process through precise tumor localization and detailed anatomical navigation.
UNASSIGNED: To assess the efficacy and breadth of
neuronavigation and intraoperative imaging in glioma resections, identify operational challenges, and provide educational insights to medical students and non-neurosurgeons regarding their practical applications.
UNASSIGNED: This systematic review analyzed studies from 2012 to 2023 on glioma patients undergoing surgical resection with
neuronavigation, sourced from MEDLINE (PubMed), Embase, and Web of Science. A database-specific search strategy was employed, with independent reviewers screening for eligibility using Rayyan and extracting data using the Joanna Briggs Institute (JBI) tool.
UNASSIGNED: The integration of
neuronavigation systems with intraoperative imaging modalities such as iMRI, iUS, and 5-ALA significantly enhances gross total resection (GTR) rates and extent of resection (EOR). While advanced technology improves surgical outcomes, it does not universally reduce operative times, and its impact on long-term survival varies. Combinations like NS + iMRI and NS + 5-ALA + iMRI achieve higher GTR rates compared to NS alone, indicating that advanced imaging adjuncts enhance tumor resection accuracy and success. The results underscore the multifaceted nature of successful surgical outcomes.
UNASSIGNED: Integrating intraoperative imaging with
neuronavigation improves glioma resection. Ongoing research is vital to refine technology, enhance accuracy, reduce costs, and improve training, considering various factors impacting patient survival.