神经导航的临床应用
杨勇，杨义 杨勇、杨义，中国医学科学院 北京协和医学院 北京协和医院神经外科，100730
摘要: 随着现代科学技术的迅速发展，计算机辅助外科手术得到了迅速的发展。图像引导的外科手术(image guided surgery，IGS)是其中发展最迅速的技术之一。神经导航(neuro-navigation)正是基于这一技术发展而来，神经导航在近二十年内发展并成熟起来 [1] ，因其具有定位准确、实时追踪、微创、缩短手术时间、优化手术路径、提高手术质量等优点而在临床得到广泛的应用。 一、神经导航的发展历史 1. 框架式立体定向技术..
HTML
PDF文献标引:杨勇，杨义.神经导航的临床应用.中华临床医师杂志（电子版）,2008,2(1):108-114.
参考文献
[1] Gumpercht HK，Widenka DC，Lumenta CB.Brainlab Vectorvision Neuronavigation System：technology and clinical experiences in 131 cases.Neurosurgery，1999，44(1)：97－104.[PubMed][2] Roberts DW，Strohbehm JW，Hatch JF，et al.A frameless stereotaxic integration of computerized tomographic imaging and the operating microscope.J Neurosurg，1986，65(4)：545－549.[PubMed]
[3] Watanabe E， Watanabe T， Manaka S，et al. Three-dimensional digitizer(neuronavigator)：new equipment for CT guided stereotaxic surgery.Surg Neurol，1987，27(6)：543－557.[PubMed]
[4] Nixon MA，Mccallum BC，Fright WR.The effects of metals and interfering fields on Electro-magnetic trackers.Presence，1998，7(2)：204－218.
[5] Koivukangas J， Louhisami Y， Alakujala J， et al.Ultrasound controlled neuronavigator guided brain surgery.J Neurosyrg，1993，79(1)：36－42.[PubMed]
[6] Bohinski RJ，Warnick RE，Caskill-Shipley MF，et al.Intraoperative magnetic resonance imaging to determine the extent of resection of pituitary macroadenomas during transsphenoidal microsurgery.Neurosurgery，2001，49(5)：1133－1144.[PubMed]
[7] Couldwell WT，Sabit I，Weiss MH，et al.Transmaxiliiary approach to the anterior cavernous sinus：a microanatomic study.Neurosyrgery，1997，40(6)：1307－1311.[PubMed]
[8] Kleinpeter G，Lothaller C.Frameless neuronavigation using the ISG-system in practice：from craniotomy to delineation of lesion.Minim Invasive Neurosurg，2003，46(5)：257－264.[PubMed]
[9] Ganslandt O，Behari S，Gralla J，et al.Neuronavigation：concept，techniques and applications.Neuro India，2002，50(3)：244－255.[PubMed]
[10] Kiya N， Dureza C， Fukushima T，et al.Computer navigational microscope for minimally invasive neurosurgery.Minim Invasive Neurosurg，1997，40(3)：110－115.[PubMed]
[11] Bartt GH. Frameless stereotaxy. In： Haye AH， Black PM.Operative Neurosurgery，London：Churchill， 2000.117－123.
[12] Russell SM， Woo HH， Joseffer SS， et al. Role of frameless stereotaxy in the surgical treatment of cerebral arteriovenous malformations： technique and outcomes in a controlled study of 44 consecutive patients.Neurosurgery，2002，51(5)：1108－1116.[PubMed]
[13] Gralla J， Nimsky C， Buchfelder M，et al.Frameless stereotactic brain biopsy procedures using the Stealth Station：indications，accuracy and results.Zentralbl Neurochir，2003，64(4)：166－170.[PubMed]
[14] Grunert P，Espinosa J，Busert C，et al.Stereotactic biopies guided by an optical navigation system： technique and clinical experience.Minim Invasive Neurosurg，2002，45(1)：11－15.[PubMed]
[15] Wurm G， Wies W，Schnizer M，et al.Advanced surgical approach for selective amygdalohippocampectomy through neuronavigation.Neurosurgery，2000，46(6)：1377－1382.[PubMed]
[16] Karatas A， Erdem A， Savas A，et al.Identification and removal of an epiletogenic lesion using Ictal-EEG，functional-neuronavigation and electrocorticography.J Clin Neurosci，2004，11(3)：343－346.[PubMed]
[17] Yang Y， Shao YI， Wang HW， et al. Neuronavigation-assisted percutaneous radiofrequency thermocoagulation therapy in trigeminal neuralgia.Clin J Pain，2007 ，23(2)：159－164.[PubMed]
[18] Nakano T，Ohkuma H，Ebina K，et al.Neuroendoscopic surgery for intracerebral haemorrhage-comparison with traitional therapies.Minim Invasive Neurosurg，2003，46(5)：278－283.[PubMed]
[19] Rohde V，Rohde I，Reinges MH，et al.Frameless stereotactically guided catheter placement and fibrinolytic therapy for spontaneous intracerebral hematomas：technical aspects and initial clinical results.Minim Invasive Neurosurg，2000，43(1)：9－17.[PubMed]
[20] Vougioukas VI， Hubbe U， Van Velthoven V， et al. Neuronavigation-assisted cranial reconstruction.Neurosurgery，2004，55(1)：162－167.[PubMed]
[21] Spetzger U，Hubbe U，Struffert T，et al.Error analysis in cranial neuronavigation.Minim Invasive Neurosurg，2002，45(1)：6－10.[PubMed]
[22] Witwer BP， Moftakhar R， Hasan KM， et al.Diffusion-tensor imaging of white matter tracts in patients with cerebral neoplasm.J Neurosurg，2002，97(3)：568－575.[PubMed]
[23] Donward NL， Alberti O， Velani B， et al. Postimaging brain distortion：magnitude，correlates，and impact on neuronavigation.J Neurosurg，1998，88(4)：656－662.[PubMed]
[24] Wong GK，Poon WS，Lam M.The impact of an armless frameless neuronavigation system on routine brain tumour surgery： a prospective analysis of 51 cases.Minim Invasive Neurosurg，2001，44(2)：99－103.[PubMed]
[25] 曲元明，韩韬，孙为群，等.神经导航系统系统手术中脑组织移位及相关因素研究.立体定向和功能性神经外科杂志，2001，14(3)：151－153.
[26] Gralla J， Ganslandt O， Kober H， et al. Image guided removal of supratentorial cavemomas in critial brain areas： application of neuronavigation and intraoperational magnetic resonance imaging.Minim Invasive Neurosurg，2003，46(2)：72－77.[PubMed]
[27] Unsgaard G， Ommedal S， Muller T，et al.Neuronavigation by intraoperative three-dimensional ultrasound ：initial experience during brain tumor resection.Neurosurgery，2002，50(4)：804－812.[PubMed]
[28] Hadani M， Spiegelman R， Feldman Z，et al.Novel，compact，intraoperative magnetic resonance imaging-guided system for conventional neurosurgical operating rooms.Neurosurgery，2001，48(4)：799－807.[PubMed]
[29] Gumprecht H，Lumenta CB.Intraoperative imaging using a mobile computed tomography scanner.Minim Invasive Neurosurg，2003，46(6)：317－322.[PubMed]
[30] Nimsky C， Ganslandt O， Hastreiter P， et al.Intraoperative compensation for brain shift.Surg Neurol，2001，56(6)：357－364.[PubMed]
[31] Coenen VA， Krings T， Axer H， et al. Intraoperative three-dimensional visualization of the pyramidal tract in a neuronavigation system(PTV) reliably predicts true position of principal motor pathways.Surg Neurol，2003，60(5)：381－90.[PubMed]
[32] Lindseth F， Lango T， Bang J，et al.Accuracy evaluation of a 3D ultrasound-based neuronavigation system.Comput Aided Surg，2002，7(4)：197－222.[PubMed]
[33] Gore JC. Principles and practice of functional MRI of the human brain.J Clin Invest，2003，112(1)：4－9.[PubMed]
[34] Haberg A， Kvistad KA ， Unsgard G， et al.Preoperative blood oxygen level-dependent functional magnetic resonance imaging in patients with primary brain tumors：clinical application and outcome.Neurosurgery，2004，54(4)：902－914.[PubMed]
[35] Inoue T ，Ogasawara K，Beppu T，et al.Diffusion tensor imaging for preoperative evaluation of tumor grade in gliomas.Clin Neurol Neurosurg，2005，107(3)：174－180.[PubMed]
[36] Roux FE， Boulanouar K， Lotterie JA，et al.Language functional magnetic resonance imaging in preoperative assessment of language areas：correlation with direct stimulation.Neurosurgery，2003，52(6)：1335－1345.[PubMed]
[37] Duffau H，Capelle L，Denvil D，et al.Usefulness of intraoperative electrical subcortical mapping during surgery for low-grade gliomas located within eloquent brain regions： functional results in a consecutive series of 103 patients.J Neurosurg，2003，98(4)：764－778.[PubMed]
