篇名 | 應用多軸位C型手臂影像導引抽取顱內血塊-假體模擬 |
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卷期 | 11:1 |
並列篇名 | Image Guided Stereotactic Aspiration with the Zeego-guided of Intracerebral Hemorrhage: a Phantom Simulation |
作者 | 黃世叡 、 李孟儒 、 李崇新 、 尹嘉展 、 謝玲鈴 |
頁次 | 1043-1050 |
關鍵字 | 影像導引 、 即時影像 、 多軸位C 型手臂影像導引 、 Image Guided 、 Real Time Image 、 Zeego-Guided |
出刊日期 | 201503 |
多軸位C 型手臂影像導引(Zeego-Guided)是一項新型的影像導引技術,具有二維透視影像與三維電腦斷層影 像顯示功能,可利用工作站進行雙圖層融合,使多軸位C型機械手臂與工作站三維影像同步,並藉由二維X 光透 視即時影像導引做修正,在影像導引技術上具有顯著進步。本實驗利用自製壓克力假體,灌入洋菜凍模擬腦部並 以注入稀釋顯影劑的氣球模擬顱內血塊,應用於手術中電腦斷層導引抽顱內血塊。藉由假體模擬的方式,提升此 新型的影像導引技術之效率。實驗結果顯示,血塊深度約8 cm 以內,無論是5c.c.或者是30c.c.血塊的假體,透過 即時影像輔助導引穿刺,均可在三分鐘以內穿刺到達定位,十分鐘以內完成影像導引程序。
Zeego-guided is a new type of image-guided technology, with two-dimensional fluoroscopy and three-dimensional computed tomography imaging. Workstations of Zeego can be used for dual layer fusion. Surgeon can accurately position a catheter into the intracranial hematoma by X-ray real-time image-guided as C-type multi-axis robot arm was synchronized to the direction of three-dimensional image in the workstation. Image-guided technology has significant improvement. In this study, we used a home-made acrylic prosthesis filling agar jelly to simulate the brain and we put a balloon with contrast inside the acrylic prosthesis to simulate intracranial hematoma. In this model, we successfully showed the image-guided technique by accurately put a catheter into the balloon filling with contrast which simulates intracranial hematoma. The experimental results make a hypothesis that blood clots within a depth of about 8 cm, whether those in size of 5c.c. or 30c.c. could be positioned within a catheter to achieve aspiration of hematoma in three minutes, no more than ten minutes, by this image-guided technique.