3D Slicer-Assisted Preoperative Planning Enhances Hematoma Evacuation in Stereotactic Aspiration for Intracerebral Hemorrhage.

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

World neurosurgery Pub Date : 2025-01-17 DOI:10.1016/j.wneu.2025.123684

Shiwei Li, Lin Wang

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引用次数: 0

Abstract

Objective: This study aims to assess whether preoperative hematoma reconstruction and precise volume calculation can improve hematoma evacuation rate in patients with spontaneous intracerebral hemorrhage(sICH) undergoing stereotactic aspiration(SA).

Methods: A retrospective analysis was conducted on patients with sICH who underwent SA from January 2021 to December 2023. Patients were divided into two groups based on the use of 3D Slicer for preoperative hematoma reconstruction and volume calculation. Propensity score matching (PSM) was applied to adjust for baseline differences between groups. Statistical analysis was performed to compare hematoma evacuation rate and residual hematoma volume.

Results: After PSM, the 3Dslicer group achieved a higher mean evacuation rate (70.9%) compared to the non-3Dslicer group (53.1%), with a median residual hematoma volume of 7.4 mL versus 15.3 mL, respectively.

Conclusion: Preoperative hematoma reconstruction and volume calculation using 3D Slicer in patients with sICH undergoing SA significantly improves hematoma evacuation rate and reduces residual hematoma volume.

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三维切片机辅助下的术前规划提高了脑出血立体定向穿刺中血肿的清除。

目的：探讨自发性脑出血（sICH）患者行立体定向抽吸术（SA）时，术前血肿重建及精确体积计算是否能提高血肿排出率。方法：回顾性分析2021年1月至2023年12月期间接受SA治疗的siich患者。根据术前血肿重建及体积计算使用3D切片机将患者分为两组。使用倾向评分匹配（PSM）来调整组间基线差异。对血肿排出率和残余血肿体积进行统计分析。结果：PSM后，3d切片机组的平均排出率（70.9%）高于非3d切片机组（53.1%），中位残余血肿体积分别为7.4 mL和15.3 mL。结论：应用3D切片机对sICH行SA手术患者进行血肿重建及体积计算，可显著提高血肿排出率，减少残余血肿体积。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

3.90

自引率

15.00%

发文量

1765

审稿时长

47 days

期刊介绍： World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS