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find Keyword "立体定位" 2 results
  • 立体定向脑电图相关并发症的系统评价

    立体定向脑电图(SEEG)是针对难治性癫痫患者的一项术前评估手段,可定位致痫灶及可能相关的功能皮质区的解剖位置。避免大骨瓣开颅术及其植入精确性,SEEG可能减少相关并发症。然而,由于植入并发症相对较高,颅内电极被认为是具有过度侵入性的操作。此前并无关于SEEG并发症的系统文献综述及Meta分析。该研究的目的是定量回顾文献中SEEG电极植入后各种手术并发症的发生率并进行汇总评估,以便内科医生能够就该术外侵入性监测的相关潜在并发症提供准确建议。此项系统评价是基于PRISMA实现的。通过检索MEDLINE, Scopus, Web of Science数据库,用逆方差加权的固定效应模型对并发症的发生率进行分析。Meta分析与森林图的制作都是通过成熟的制表软件完成的。主要结局指标是总效应量及其95%置信区间(CI)。检索到的1 901篇文献,除重787篇后,通过标题和摘要对1 114篇文章进行了筛选。在这一阶段,排除了没有提及SEEG术后并发症或未达到纳入标准的研究。在排除1 057篇文献后,对剩余的57篇文献进行全文阅读以确定合格标准。最常见的并发症是出血[合并患病率1.0%,95%CI (0.6, 1.4)]或感染[合并患病率0.8%,95%CI(0.3, 1.2)]。确定了5例死亡[合并患病率0.3%,95%CI(0.1, 0.6)]。文章分析确定了与SEEG植入和监测相关的121例手术并发症[合并患病率1.3%,95%CI(0.9, 1.7)]。对SEEG相关并发症的实际发生率的综合评估。相比其他术外侵入性监测方法,SEEG并发症的发生率实际上更低。这些数据可能减轻一些关于“立体定位”方法的安全性的担忧,在选择不同的侵入性监测方法时做出更好的决策,并减轻深度电极植入相关的恐惧。

    Release date:2017-07-26 04:06 Export PDF Favorites Scan
  • Research and application of magnetic resonance coordinate transformation method for brain control technology of carp robots

    To solve the problem of precise positioning of carp brain tissue coordinates, it is proposed in this paper for a method for transforming the coordinates of magnetic resonance imaging of carp brain tissue into the coordinates of electrode implantation using a brain stereotaxic apparatus. In this study, the 3.0T magnetic resonance imaging instrument was used to scan the carp brain. We independently established the three-dimensional positioning coordinate system of the brain, the three-dimensional coordinate assistance system of skull surface and the three-dimensional coordinate assistance system in brain tissue. After two coordinate transformations, the magnetic resonance image coordinates of the brain electrodes implantation sites were converted into the three-dimensional stereotactic coordinate system to guide the electrodes implantation. The experimental groups were divided into two groups, A and B. Group A was the group of magnetic resonance imaging apparatus combining with the brain stereotaxic apparatus, and group B was the group of brain atlas combining with the brain stereotaxic apparatus. Each group had 20 tails of carps (n = 20). This two methods were used to implant the electrodes into the cerebellar motor area. The underwater experiments of the carp robots were carried out to test the two methods. The results showed that the accuracy of the implanted electrodes were 90% in group A and 60% in group B. The success rate of group A was significantly higher than that of group B (P < 0.05). Therefore, the new method in this paper can accurately determine the coordinates of carp brain tissue.

    Release date:2019-02-18 02:31 Export PDF Favorites Scan
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