外科手术中图像引导导航的进展

Dr. Seyedeh Zahra Tarassoli, Dr. Farough Bahramiazar
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摘要

由于有了图像引导导航,外科医生现在可以更精确、更准确、更安全地进行复杂的手术。本文分析了图像引导导航设备如何改变外科手术。由于计算机断层扫描(CT)、磁共振成像(MRI)和超声等成像方式与手术导航系统的整合,外科医生现在采用不同的方法进行手术。利用这些技术的实时、三维解剖可视化,外科医生可以自信地导航复杂的解剖特征并规划手术路径。随着增强现实(AR)和虚拟现实(VR)的发展,图像导航技术也在不断发展。增强现实(AR)设备通过将患者特定的解剖数据叠加到外科医生的视野中来提高空间意识并减少错误。VR允许外科医生在虚拟环境中进行复杂的手术,提高他们的技能并帮助术前计划。另一项创新是图像导航系统中的机器学习和人工智能(AI)算法。这些算法评估大量的患者数据,包括医疗图片、手术计划和结果,以帮助外科医生做出预测和判断。人工智能导航系统中的数据驱动算法可优化外科手术、准确性和患者预后。小型化和无线跟踪系统提供较少侵入性的图像引导导航。电磁和光学监测设备允许外科医生跟踪患者体内的手术工具,提供实时反馈和指导。图像引导导航被用于腹腔镜、内窥镜和机器人辅助手术。图像导航仍然面临挑战。结合不同的成像模式,系统的准确性,以及与手术器械的平滑兼容性正在进行研究和发展。为了促进这些技术的广泛采用,必须解决成本效益、培训和法规问题。图像引导导航改善了手术的可视化、导航和决策。增强现实、虚拟现实、机器学习和微小跟踪已经改善了手术和患者的治疗效果。随着这一领域的不断研究和改进,图像导航将成为一种常见的外科手术。
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Advancements in Image-Guided Navigation for Surgical Procedures
Surgeons may now conduct complex surgeries with more precision, accuracy, and safety thanks to image-guided navigation. This article analyzes how image-guided navigation devices have changed surgical operations. Surgeons now approach procedures differently thanks to the integration of imaging modalities like Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and ultrasound with surgical navigation systems. Surgeons can confidently navigate complex anatomical features and plan surgical paths using these technologies' real-time, three-dimensional anatomy visualization. Image-guided navigation has advanced with Augmented Reality (AR) and Virtual Reality (VR). Augmented Reality (AR) devices improve spatial awareness and reduce errors by superimposing patient-specific anatomical data onto the surgeon's field of view. VR allows surgeons to perform complex surgeries in a virtual environment, increasing their skills and aiding preoperative planning. Another innovation is machine learning and Artificial Intelligence (AI) algorithms in image-guided navigation systems. These algorithms evaluate massive volumes of patient data, including medical pictures, surgery plans, and results, to help surgeons make predictions and judgments. Data-driven algorithms in AI-driven navigation systems optimize surgical operations, accuracy, and patient outcomes. Miniaturized and wireless tracking systems provide less invasive image-guided navigation. Electromagnetic and optical monitoring devices allow surgeons to track surgical tools inside the patient's body, providing real-time feedback and instruction. Image-guided navigation is being used in laparoscopic, endoscopic, and robotic-assisted surgeries. Image-guided navigation still faces challenges. The incorporation of diverse imaging modalities, system accuracy, and smooth compatibility with surgical instruments are ongoing research and development. To promote widespread adoption of these technologies, cost-effectiveness, training, and regulations must be addressed. Image-guided navigation has improved surgical visualization, navigation, and decision-making. Augmented reality, virtual reality, machine learning, and tiny tracking have improved surgery and patient outcomes. Image-guided navigation could become common surgery with continued study and improvement in this sector.
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