Advanced integration of stereotaxis and real-time MRI for precise and safe medical navigation: a future paradigm for minimally invasive interventions

Lorenzo Söderholm Raygo, Wojcieszynski Puder Tonutti
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Abstract

Minimally invasive techniques have transformed medicine by improving patient outcomes and reducing invasiveness. Existing navigation methods, which use fluoroscopy or pre-operative imaging, lack real-time visualization and precision during complex surgeries. Fluoroscopy may also expose patients and medical staff to ionizing radiation. We propose enhanced stereotaxis and real-time magnetic resonance imaging (MRI) integration to overcome these problems and improve minimally invasive intervention precision and safety. Stereotactic guiding and high-resolution real-time MRI imaging are combined in this research to improve medical navigation. The conceptual framework includes modeling the stereotactic system's magnetic field, real-time tracking of magnetic-sensored medical devices, and dynamic MRI imaging for continuous visibility throughout treatments. Stereotactic and MRI data can be fused for simultaneous vision and navigation, and adaptive path planning algorithms allow real-time targeting and avoidance of key structures. A simulated cardiac electrophysiology catheter ablation treatment shows the combined approach's potential benefits. Real-time adaptive navigation reduces radiation exposure and problems while targeting precisely. This research establishes a new medical navigation paradigm that improves precision, patient safety, and radiation exposure. This integrated method could revolutionize minimally invasive procedures across medical disciplines, despite limitations in patient-specific data integration and real-time algorithm development. This new navigation approach needs further research, validation, and clinical trials to confirm its feasibility and efficacy and improve medical patient care
立体定向和实时MRI的先进整合,用于精确和安全的医疗导航:微创干预的未来范例
微创技术通过改善病人的治疗效果和减少侵入性改变了医学。现有的导航方法,使用透视或术前成像,在复杂的手术中缺乏实时可视化和精度。透视也可能使病人和医务人员暴露在电离辐射中。我们提出增强立体定向和实时磁共振成像(MRI)集成来克服这些问题,提高微创介入的精度和安全性。本研究将立体定向和高分辨率实时MRI成像相结合,以改善医疗导航。概念框架包括立体定向系统的磁场建模,磁传感医疗设备的实时跟踪,以及在整个治疗过程中持续可见的动态MRI成像。立体定向和MRI数据可以融合在一起,同时实现视觉和导航,自适应路径规划算法允许实时定位和避开关键结构。模拟心脏电生理导管消融治疗显示了联合方法的潜在益处。实时自适应导航在精确瞄准的同时减少了辐射暴露和问题。这项研究建立了一种新的医疗导航模式,可以提高精度、患者安全和辐射暴露。尽管在患者特定数据集成和实时算法开发方面存在局限性,但这种集成方法可以彻底改变医学学科的微创手术。这种新的导航方法需要进一步的研究、验证和临床试验,以确认其可行性和有效性,并改善医疗患者护理
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