Sistema computadorizado de localización por angiografía estereotáxica transoperatoria como guía en abordajes microquirúrgicos
Computarized system for intraoperative stereotactic angiography localization
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Gutiérrez Díaz, G. Sánchez Aniceto, A. Romance, R.D. Lobato, A. Cabrera, R. Alday" "autores" => array:6 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Gutiérrez Díaz" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Sánchez Aniceto" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Romance" ] 3 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera" ] 5 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399707888?idApp=UINPBA00004B" "url" => "/11301473/0000001000000004/v1_201305151014/S1130147399707888/v1_201305151014/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Sistema computadorizado de localización por angiografía estereotáxica transoperatoria como guía en abordajes microquirúrgicos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "284" "paginaFinal" => "289" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "E. Guerra Figueredo, G. López Flores, J. Teijeiro Amador, L. Ochoa Zaldívar" "autores" => array:4 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Guerra Figueredo" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "López Flores" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Teijeiro Amador" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Ochoa Zaldívar" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Centro Internacional de Restauración Neurológica (CIREN). La Habana. Cuba" ] ] ] 1 => array:3 [ "autoresLista" => "J. Jordan, C. Ugarte" "autores" => array:2 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Jordan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Ugarte" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Radiología. Centro de Investigaciones Médico-Quirúrgicas (CIMEQ). La Habana. Cuba" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Computarized system for intraoperative stereotactic angiography localization" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec156724" "palabras" => array:3 [ 0 => "Angiografía estereotáxica" 1 => "Neurocirugía asistida por computadora" 2 => "Malformaciones arteriovenosas" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec156725" "palabras" => array:3 [ 0 => "Stereotactic angiography" 1 => "Computed-assisted neurosurgery" 2 => "Arteriovenous malformations" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La técnica de localización estereotáxica dirigida por angiografía cerebral, también llamada angiografía estereotáxica, consiste en la obtención de imágenes no paralelas del árbol vascular cerebral realizando una angiografía con la colocación de un marco estereotáxico y localizadores adecuados. El sistema computadorizado de localización por angiografía estereotáxica (ANGIOWIN), diseñado en el Centro Internacional de Restauración Neurológica es un “software” médico para la localización de estructuras vasculares del cerebro. Puede ser utilizado como complemento en abordajes microquirúrgicos guiados por imagen (TAC y RM) Yasistidos por computadora, tales como resecciones de malformaciones arteriovenosas (MAV), fístulas durales (carótido-cavernosas), tumores cerebrales con patrón vascular definido y cierre de aneurismas micóticos periféricos o asociados a hematoma perilesional. La metodología de trabajo consiste en obtener dos imágenes angiográficas cerebrales utilizando la técnica de sustracción digital durante el transoperatorio de abordajes microquirúrgicos. Una vez obtenidas, éstas son transferidas a una computadora personal donde el sistema calcula la matriz de transformación que relaciona las coordenadas estereotáxicas (3D) de un blanco con su posición en el plano de la imagen (2D). Hecho esto el cirujano puede obtener las coordenadas estereotáxicas de cualquier blanco angiográfico de interés quirúrgico como pueden ser las arterias aferentes de una MAV. De esta forma, el sistema contribuye a mejorar el trabajo microquirúrgico, facilitando el reconocimiento espacial de estructuras vasculares de interés. Esto evita una mayor manipulación y daño al tejido cerebral circundante, lo cual repercute en una reducción del riesgo de complicaciones y en una disminución del tiempo quirúrgico. En este trabajo se presentan las principales características, posibilidades y ventajas del sistema así como la metodología de trabajo.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The stereotactic localization directed by cerebral angiography, usually stereotactic angiography, consists in obtaining two non-parallel images of the vascular cerebral tree carrying out an angiography with the placement of a stereotactic frame and a set of fiducials markers. The Computarized System for Intraoperative Stereotactic Angiography Localization (ANGIOWIN), designed at the International Center for Neurological Restoration, is a medical software for the localization of vascular cerebral structures. It can be used as complement in computed-assisted image-guided microsurgical approaches, such as arteriovenous malformations (AVMs) resections, mycotic or haematoma associated aneurysms clipping, vascularized tumors resections, etc. Two angiographic images are obtained using the known DSA method during the intraoperative microsurgical approach. Afterward, they are transferred to a personal computer and the projections of fiducial markers are used to calculate a homogeneous transformation matrix that relates the 3D frame coordinate of a target to its projected position in the image planeo Then, the neurosurgeon can obtain the stereotactic coordinates of any angiographic target like AVM feeding arteries. In this way, the system contributes to improve the microsurgical approach, facilitating the spatial recognition of vascular structures. This fact, avoids more manipulation and damage to the surrounding cerebral tissue, which rebounds in a reduction of the complications risk and in a decrease of the surgical time. In this work the principal characteristics, possibilities and advantages of its use are introduced, as well as the work methodology.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Guerra Figueredo, E.; López Flores, G.; Teijeiro Amador, J.; Ochoa Zaldívar, L.; Jordán, J.; Ugarte, C.: Sistema computadorizado de localización por angiografía estereotéxica transoperatoria como guía en abordajes microquirúrgicos. Neurocirugía 1999; 10: 284–290.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 1 | 3 |
| 2020 Diciembre | 0 | 4 | 4 |
| 2018 Febrero | 34 | 6 | 40 |
| 2018 Enero | 14 | 41 | 55 |
| 2017 Diciembre | 20 | 28 | 48 |
| 2017 Noviembre | 18 | 28 | 46 |
| 2017 Octubre | 9 | 8 | 17 |
| 2017 Septiembre | 11 | 11 | 22 |
| 2017 Agosto | 7 | 8 | 15 |
| 2017 Julio | 14 | 18 | 32 |
| 2017 Junio | 21 | 8 | 29 |
| 2017 Mayo | 14 | 10 | 24 |
| 2017 Abril | 18 | 25 | 43 |
| 2017 Marzo | 5 | 7 | 12 |
| 2017 Febrero | 5 | 5 | 10 |
| 2017 Enero | 8 | 7 | 15 |
| 2016 Diciembre | 28 | 10 | 38 |
| 2016 Noviembre | 24 | 12 | 36 |
| 2016 Octubre | 28 | 18 | 46 |
| 2016 Septiembre | 34 | 10 | 44 |
| 2016 Agosto | 49 | 15 | 64 |
| 2016 Julio | 25 | 11 | 36 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Noviembre | 1 | 0 | 1 |
| 2015 Julio | 1 | 6 | 7 |
| 2015 Junio | 6 | 11 | 17 |
| 2015 Mayo | 19 | 16 | 35 |
| 2015 Abril | 16 | 17 | 33 |
| 2015 Marzo | 16 | 21 | 37 |
| 2015 Febrero | 11 | 23 | 34 |
| 2015 Enero | 15 | 17 | 32 |
| 2014 Diciembre | 11 | 21 | 32 |
| 2014 Noviembre | 12 | 23 | 35 |
| 2014 Octubre | 17 | 27 | 44 |
| 2014 Septiembre | 15 | 42 | 57 |
| 2014 Agosto | 20 | 43 | 63 |
| 2014 Julio | 18 | 30 | 48 |
| 2014 Junio | 16 | 19 | 35 |
| 2014 Mayo | 20 | 26 | 46 |
| 2014 Abril | 14 | 20 | 34 |
| 2014 Marzo | 11 | 18 | 29 |
| 2014 Febrero | 13 | 26 | 39 |
| 2014 Enero | 13 | 22 | 35 |
| 2013 Diciembre | 15 | 10 | 25 |
| 2013 Noviembre | 14 | 12 | 26 |
| 2013 Octubre | 16 | 14 | 30 |
| 2013 Septiembre | 17 | 27 | 44 |
| 2013 Agosto | 19 | 22 | 41 |
| 2013 Julio | 20 | 24 | 44 |
| 2013 Junio | 8 | 22 | 30 |
| 2013 Mayo | 10 | 19 | 29 |
| 2013 Abril | 7 | 21 | 28 |
| 2013 Marzo | 12 | 30 | 42 |
| 2013 Febrero | 11 | 20 | 31 |
| 2013 Enero | 8 | 17 | 25 |
| 2012 Diciembre | 12 | 14 | 26 |
| 2012 Noviembre | 1 | 15 | 16 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 8 | 0 | 8 |
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