neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2021-23-3-104-112neurosurgery-1083Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWИнтраоперационная сонография в краниальной нейрохирургии: новые возможности и интеграция с нейронавигацией. Обзор литературыIntraoperative sonography in cranial neurosurgery: new possibilities and integration with neuronavigation. Reviewhttps://orcid.org/0000-0002-7635-9701ДмитриевА. Ю.DmitrievA. Yu.

Александр Юрьевич Дмитриев

129010 Москва, Большая Сухаревская пл., 3,

127473 Москва, ул. Делегатская, 20, стр. 1

Alexander Yu. Dmitriev

3 Bolshaya Sukharevskaya Sq., Moscow 129010,

Bld. 1, 20 Delegatskaya St., Moscow 127473

dmitriev@neurosklif.ruhttps://orcid.org/0000-0002-5847-9435ДашьянВ. Г.DashyanV. G.

129010 Москва, Большая Сухаревская пл., 3,

127473 Москва, ул. Делегатская, 20, стр. 1

3 Bolshaya Sukharevskaya Sq., Moscow 129010,

Bld. 1, 20 Delegatskaya St., Moscow 127473

ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»; ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава РоссииРоссияN.V. Sklifosovsky Research Institute for Emergency, Moscow Healthcare Department; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Healthcare of Russia;Russian Federation202125102021233104112Copyright © Дмитриев А.Ю., Дашьян В.Г., 20212021Дмитриев А.Ю., Дашьян В.Г.Dmitriev A.Y., Dashyan V.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1083

В обзоре представлены новые возможности интраоперационной сонографии, внедренные в клиническую практику за последние 20 лет. Ультразвуковое исследование (УЗИ) с контрастированием и метод визуализации кровотока (BFI – blood flow imaging) предназначены для оценки церебральной гемодинамики. Эластография различает ткани по их плотности. Совмещение сонографии с навигацией направлено на купирование эффекта интраоперационного сдвига мозга. Комбинация УЗИ с эндоскопией оказалась эффективной при удалении внутрижелудочковых опухолей и аденом гипофиза. Внедренная трехмерная сонография предназначена для облегчения интерпретации результатов УЗИ и минимизации краниотомии.

In current review we represented new possibilities of intraoperative sonography introduced into clinical practice for the last 20 years. Contrast‑enhanced ultrasound and blood flow imaging (BFI) method are intended for assessment of cerebral hemodynamics. Elastosonography distinguishes tissues by differences of their density. Fusion of sonography with navigation is forwarded to brainshift reduction. Combination of ultrasound with endoscopy is effective in resection of intraventricular tumors and pituitary adenomas. Embedded three‑dimensional sonography is intended to facilitate interpretation of ultrasound results and tailoring craniotomy.

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The authors declare that there are no conflicts of interest present.