CT-GUIDED AND COMPUTER-ASSISTED STEREOTAXIC BIOPSY - TECHNIQUE, RESULTS, INDICATIONS

被引:66
作者
VOGES, J
SCHRODER, R
TREUER, H
PASTYR, O
SCHLEGEL, W
LORENZ, WJ
STURM, V
机构
[1] UNIV COLOGNE,INST PATHOL,NEUROPATHOL LAB,D-50931 COLOGNE,GERMANY
[2] GERMAN CANC RES CTR,W-6900 HEIDELBERG 1,GERMANY
关键词
STEREOTAXIC TECHNIQUE; CT-GUIDED STEREOTAXY; COMPUTER-ASSISTED TREATMENT PLANNING; HISTOLOGICAL DIAGNOSIS; BRAIN NEOPLASMS;
D O I
10.1007/BF01401842
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
On the base of a stereotactic device originally described by Riechert and Mundinger a three-dimensional localization and treatment planning system for CT-guided computer assisted stereotactic procedures has been developed. The experience with 338 patients, in which image guided stereotaxy has been used for the assessment of various intracerebral lesions, is presented. In 54 of these patients the cannula was introduced with a 20 MHz Doppler-probe positioned at the tip of the needle. A comparison of tissue specimens taken stereotactically with tissue material after tumour resection and/or autopsy was performed in 35 patients. The accuracy of the histological diagnosis was 88%. Bleeding as a complication due to the stereotactic intervention occurred in 8 patients (2.4%). Two of these patients had a fatal outcome (mortality: 0.6%). The morbidity (transient and permanent deterioration of the clinical status) was 1.2%.
引用
收藏
页码:142 / 149
页数:8
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