マルヤマ　タカシ   MARUYAMA Takashi   丸山　隆志    所属   医学部 医学科（東京女子医科大学病院）    職種   非常勤講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Automatic laser scanning ablation system for high-precision treatment of brain tumors.
掲載誌名	正式名：Lasers in medical science 略　 称：Lasers Med Sci ISSNコード：1435604X(Electronic)02688921(Linking)
掲載区分	国外
巻・号・頁	28(3),pp.891-900
著者・共著者	LIAOHongen†, FUJIWARAKeisuke, ANDOTakehiro, MARUYAMATakashi, KOBAYASHIEtsuko, MURAGAKIYoshihiro, ISEKIHiroshi, SAKUMAIchiro
発行年月	2013/05
概要	Complete removal of malignant gliomas is important for the prognosis in neurosurgery treatment. Currently, the challenge is how to detect any remaining tumors and resect them during the operation. We have developed a laser ablation system with accurate tumor analysis and fluorescence guidance for high-precision brain tumor resection during neurosurgery. A 5-aminolevulinic acid-induced fluorescent protoporphyrins IX (PpIX)-based intra-operative fluorescence measurement and corresponding spectra analysis technique is used to identify the position of tumors. A galvano mirror scanning mechanism is integrated into the fluorescence measurement and the laser ablation devices for automatic tumor area scanning and corresponding laser ablation. A set of phantom experiments was performed to evaluate the proposed system. Results showed that the galvano scanning mechanism enabled both PpIX fluorescence detection and laser ablation in the same optical axis. In vitro experiments using porcine brain were performed to evaluate the effectiveness of the automatic laser scanning, fluorescence detection, and laser ablation system. The proposed fluorescence-guided laser ablation system can provide accurate analysis and high-precision treatment for tumor resection in neurosurgery. With further improvement, the systemcan be used in neurosurgical implementation to provide accurate, safe, and simple surgical diagnosis and therapy.
DOI	10.1007/s10103-012-1164-6
文献番号	22865089