Volume of Operative Maneuverability as a New Measurement in Neuroanatomical Research: A Methodological Quantitative Study and Translational Use in the Operating Room.

 0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Megan Cosgrove, Erion Jr De Andrade, Francesco DiMeco, Tomas Garzon-Muvdi, Samir Lohana, Justin Maldonado, Biren Patel, Edoardo Porto, Gustavo Pradilla, J Manuel Revuelta Barbero, Alejandra Rodas, C Arturo Solares, Roberto Soriano, Leonardo Tariciotti, Jackson Vuncannon, Youssef M Zohdy

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: United States : World neurosurgery , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 702165

OBJECTIVE: The lack of standardized metrics in neuroanatomical research limits the objective assessment of neurosurgical approaches. We introduce a novel volume-based parameter, the Volume of Operative Maneuverability (VOM), and evaluate its utility in quantifying surgical corridor dimensions. METHODS: Seven microscopic and endoscopic skull base approaches were performed on 4 embalmed latex-injected human cadaveric specimens. A spatial principal component analysis algorithm converted surgical entry and target areas into ellipses, allowing ellipsoidal-based VOM calculations. Corridor length ("target distance") and a fixed 10 mm distance from the target ("standardized VOM" [sVOM]) were also measured. Feasibility and reproducibility were assessed using three-dimensional photogrammetry, preoperative imaging models, and a clinical case. RESULTS: Endoscopic endonasal and anterior transmaxillary approaches offered sufficient corridor volume and trajectory distance but created longer, narrower surgical corridors with lower sVOM than transcranial approaches. Conversely, pretemporal-orbitozygomatic and subtemporal corridors showed the highest VOM and sVOM. Illustrative examples confirmed consistent measurement in photogrammetry and preoperative imaging. A clinical case involving a right spheno-cavernous meningioma demonstrated a VOM of 2.328 cm³, sVOM of 0.615 cm³, and a target distance of 18 mm during extradural anterior clinoidectomy. CONCLUSIONS: VOM provides a quantitative, reproducible metric for assessing surgical maneuverability toward irregular target surfaces, overcoming the limitations of traditional qualitative assessments. Preliminary data support its use in quantitative neuroanatomical research and suggest potential integration into surgical planning and intraoperative data collection.
Tạo bộ sưu tập với mã QR

THƯ VIỆN - TRƯỜNG ĐẠI HỌC CÔNG NGHỆ TP.HCM

ĐT: (028) 36225755 | Email: tt.thuvien@hutech.edu.vn

Copyright @2024 THƯ VIỆN HUTECH