CT-MRI Image Fusion-Based Computer-Assisted Navigation Management of Communicative Tumors Involved the Infratemporal-Middle Cranial Fossa

Rong Yang; Han Lu; Yang Wang; Xin Peng; Chi Mao; Zhiqiang Yi; Yuxing Guo; Chuanbin Guo

doi:10.1055/s-0040-1701603

Journal of Neurological Surgery Part B: Skull Base, Inhaltsverzeichnis

J Neurol Surg B Skull Base 2021; 82(S 03): e321-e329
DOI: 10.1055/s-0040-1701603

Original Article

CT-MRI Image Fusion-Based Computer-Assisted Navigation Management of Communicative Tumors Involved the Infratemporal-Middle Cranial Fossa

Authors

Rong Yang

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China
Han Lu

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China
Yang Wang

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China
Xin Peng

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China
Chi Mao

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China
Zhiqiang Yi

⁵Department of Neurosurgery, Peking University First Hospital, Beijing, P.R. China
Yuxing Guo

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China
Chuanbin Guo

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China

Abstract

Objective Computed tomography (CT) and magnetic resonance imaging (MRI) are crucial for preoperative assessment of the three-dimensional (3D) spatial position relationships of tumor, vital vessels, brain tissue, and craniomaxillofacial bones precisely. The value of CT-MRI-based image fusion was explored for the preoperative assessment, virtual planning, and navigation surgery application during the treatment of communicative tumors involved the infratemporal fossa (ITF) and middle cranial fossa.

Methods Eight patients with infratemporal-middle cranial fossa communicative tumors (ICFCTs) were enrolled in this retrospective study. Plain CT, contrast CT, and MRI image data were imported into a workstation for image fusion, which were used for 3D image reconstruction, virtual surgical planning, and intraoperative navigation sequentially. Therapeutic effect was evaluated through the clinical data analysis of ICFCT patients after CT-MRI image fusion-based navigation-guided biopsy or surgery.

Results High-quality CT-MRI image fusion and 3D reconstruction were obtained in all eight cases. Image fusion combined with 3D image reconstruction enhanced the preoperative assessment of ICFCT, and improved the surgical performance via virtual planning. Definite pathological diagnosis was obtained in all four navigation-guided core needle biopsies. Complete removal of the tumor was achieved with one exception among the seven navigation-guided operations. Postoperative cerebrospinal fluid leakage occurred in one patient with recurrent meningioma.

Conclusion CT-MRI image fusion combined with computer-assisted navigation management, optimized the accuracy, safety, and surgical results for core needle biopsy and surgery of ICFCTs.

Keywords

CT - MRI - image fusion - computer-aided navigation - infratemporal-middle cranial fossa - tumor

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Referenzen

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