Application of preoperative three-dimensional reconstruction of tumor in craniotomy for supratentorial convex brain tumor_West China Medical Journal

Authors：

WANG Han ^1,2 , LIU Yi ¹ , LIU Zhiyong ¹ , WANG Yuelong ¹ , YI Yong ² , QIU Jun ² ,  XU Jianguo ¹

1. Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Neurosurgery, the Second People’s Hospital of Yibin, West China Hospital, Yibin Hospital, Sichuan University, Yibin, Sichuan 644000, P. R. China;

Corresponding author：

XU Jianguo, Email: xujg@scu.edu.cn

Keywords：

Supratentorial convex brain tumor; preoperative positioning; three-dimensional imaging; craniotomy

DOI：

10.7507/1002-0179.202201084

Video：

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Objective To investigate the accuracy of preoperative three-dimensional reconstruction of tumor in craniotomy for supratentorial convex brain tumors, and to provide an accurate and safe auxiliary method for craniotomy. Methods Patients with supratentorial convexity brain tumors who were admitted to the Department of Neurosurgery, West China Hospital, Yibin Hospital, Sichuan University between April 2018 and November 2020 were prospectively enrolled and randomly divided into reconstruction group and control group. In the reconstruction group, preoperative three-dimensional reconstruction of the tumor was used for craniotomy positioning, while in the control group, traditional two-dimensional tomographic imaging was used. The basic conditions, intraoperative localization and tumor exposure satisfaction rate, maximum diameter of bone window, operation time, cerebral draining vein injury, and postoperative subcutaneous effusion or intracranial infection were compared between the two groups. Results A total of 43 patients were included, 22 in the reconstruction group and 21 in the control group. There was no significant differences in age, gender composition, incidence of midline shift, tumor growth site and tumor size between the two groups (P>0.05). There was no significant difference in the incidence of cerebral drainage vein injury and postoperative subcutaneous effusion or intracranial infection between the two groups (P>0.05). The satisfaction rate of intraoperative positioning and tumor exposure in the reconstruction group (95.5% vs. 66.7%) was higher than that in the control group, the maximum diameter of the bone window [(6.26±1.32) vs. (7.31±1.13) cm] and the operation time [(194.00±22.76) vs. (214.57±26.53) min] were lower than the control group, and the differences were statistically significant (P<0.05). Conclusions Preoperative three-dimensional reconstruction helps to locate the tumor more accurately, improves the satisfaction rate of tumor exposure, reduces the diameter of the craniotomy window, and shortens the operation time. Compared with traditional two-dimensional tomographic positioning, it has more advantages.

Citation： WANG Han, LIU Yi, LIU Zhiyong, WANG Yuelong, YI Yong, QIU Jun, XU Jianguo. Application of preoperative three-dimensional reconstruction of tumor in craniotomy for supratentorial convex brain tumor. West China Medical Journal, 2022, 37(3): 397-401. doi: 10.7507/1002-0179.202201084 Copy

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5.	Sariali E, Mueller M, Klouche S. A higher reliability with a computed tomography scan-based three dimensional technique than with a two dimensional measurement for lower limb discrepancy in total hip arthroplasty planning. Int Orthop, 2021, 45(12): 3129-3137.
6.	Talmazov G, Bencharit S, Waldrop TC, et al. Accuracy of implant placement position using nondental open-source software: an in vitro study. J Prosthodont, 2020, 29(7): 604-610.
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9.	Torres Berdeguez MB, Thomas S, Rafful P, et al. A new approach for radiosynoviorthesis: a dose-optimized planning method based on Monte Carlo simulation and synovial measurement using 3D Slicer and MRI. Med Phys, 2017, 44(7): 3821-3829.
10.	宋飞, 侯远征, 许百男, 等. 弥散张量成像的纤维束追踪重建面神经可行性研究. 中华耳科学杂志, 2013, 11(1): 37-41.
11.	孙国臣, 陈晓雷, 侯远征, 等. 基于简易虚拟现实和增强现实定位的内镜辅助下清除幕上自发性脑内血肿. 中华神经外科杂志, 2017, 33(1): 15-18.
12.	李志强, 李筱姝, 夏吉勇, 等. 3D Slicer多模态影像融合技术在脑膜瘤手术中的应用. 中国临床神经外科杂志, 2021, 26(10): 758-760.
13.	申向竹, 张山, 韩亚非, 等. 高血压性脑出血微创手术治疗中3D Slicer的应用效果研究. 临床神经外科杂志, 2021, 18(6): 622-626.
14.	Kikinis R, Gleason PL, Moriarty TM, et al. Computer-assisted interactive three-dimensional planning for neurosurgical procedures. Neurosurgery, 1996, 38(4): 640-649.
15.	Sastry R, Bi WL, Pieper S, et al. Applications of ultrasound in the resection of brain tumors. J Neuroimaging, 2017, 27(1): 5-15.
16.	Hlavac M, Wirtz CR, Halatsch ME. Intraoperative magnetic resonance imaging. HNO, 2017, 65(1): 25-29.
17.	Nussbaum ES, Defillo A, Nussbaum L. The use of indocyanine green videoangiography to optimize the dural opening for intracranial parasagittal lesions. Neurosurgery, 2012, 70(Suppl 1): 61-63.

1. 韩仁强, 周金意, 张思维, 等. 2015年中国脑瘤发病与死亡分析. 中国肿瘤, 2021, 30(1): 29-34.
2. Nanda A, Bir SC, Maiti TK, et al. Relevance of Simpson grading system and recurrence-free survival after surgery for World Health Organization Grade Ⅰ meningioma. J Neurosurg, 2017, 126(1): 201-211.
3. Eftekhar B. A smartphone app to assist scalp localization of superficial supratentorial lesions-technical note. World Neurosurg, 2016, 85: 359-363.
4. 王家良. 临床流行病学: 临床科研设计、测量与评价. 4版. 上海: 上海科学技术出版社, 2014: 89-95.
5. Sariali E, Mueller M, Klouche S. A higher reliability with a computed tomography scan-based three dimensional technique than with a two dimensional measurement for lower limb discrepancy in total hip arthroplasty planning. Int Orthop, 2021, 45(12): 3129-3137.
6. Talmazov G, Bencharit S, Waldrop TC, et al. Accuracy of implant placement position using nondental open-source software: an in vitro study. J Prosthodont, 2020, 29(7): 604-610.
7. Saito N, Kin T, Oyama H, et al. Surgical simulation of cerebrovascular disease with multimodal fusion 3-dimensional computer graphics. Neurosurgery, 2013, 60(Suppl 1): 24-29.
8. Narizzano M, Arnulfo G, Ricci S, et al. SEEG assistant: a 3D Slicer extension to support epilepsy surgery. BMC Bioinformatics, 2017, 18(1): 124.
9. Torres Berdeguez MB, Thomas S, Rafful P, et al. A new approach for radiosynoviorthesis: a dose-optimized planning method based on Monte Carlo simulation and synovial measurement using 3D Slicer and MRI. Med Phys, 2017, 44(7): 3821-3829.
10. 宋飞, 侯远征, 许百男, 等. 弥散张量成像的纤维束追踪重建面神经可行性研究. 中华耳科学杂志, 2013, 11(1): 37-41.
11. 孙国臣, 陈晓雷, 侯远征, 等. 基于简易虚拟现实和增强现实定位的内镜辅助下清除幕上自发性脑内血肿. 中华神经外科杂志, 2017, 33(1): 15-18.
12. 李志强, 李筱姝, 夏吉勇, 等. 3D Slicer多模态影像融合技术在脑膜瘤手术中的应用. 中国临床神经外科杂志, 2021, 26(10): 758-760.
13. 申向竹, 张山, 韩亚非, 等. 高血压性脑出血微创手术治疗中3D Slicer的应用效果研究. 临床神经外科杂志, 2021, 18(6): 622-626.
14. Kikinis R, Gleason PL, Moriarty TM, et al. Computer-assisted interactive three-dimensional planning for neurosurgical procedures. Neurosurgery, 1996, 38(4): 640-649.
15. Sastry R, Bi WL, Pieper S, et al. Applications of ultrasound in the resection of brain tumors. J Neuroimaging, 2017, 27(1): 5-15.
16. Hlavac M, Wirtz CR, Halatsch ME. Intraoperative magnetic resonance imaging. HNO, 2017, 65(1): 25-29.
17. Nussbaum ES, Defillo A, Nussbaum L. The use of indocyanine green videoangiography to optimize the dural opening for intracranial parasagittal lesions. Neurosurgery, 2012, 70(Suppl 1): 61-63.

West China Medical Journal

Application of preoperative three-dimensional reconstruction of tumor in craniotomy for supratentorial convex brain tumor

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