Ua hoʻolaha ʻo Accuray Incorporated i kēia lā ʻo ka ʻikepili hahai lōʻihi mai ke aʻo ʻana o nā kāne a me nā wahine me ka trigeminal neuralgia (TN) i hōʻike ʻia he 72 ka nui o ka hoʻomau ʻana i ka hōʻeha ʻeha 10 mau makahiki ma hope o ka loaʻa ʻana o nā lāʻau radiosurgery alakaʻi kiʻi i hāʻawi ʻia me ka CyberKnife® System. ʻO ka abstract haʻawina, i kapa ʻia ʻo "Robotic Image-Guided Radiosurgery for Trigeminal Neuralgia: Nā hopena ma hope o 10 mau makahiki," ua ʻike ʻia ʻo ia ʻo Best Clinical Abstract ma ka Hui Pūʻulu Radiosurgical 2022 hou ma Carlsbad, Kaleponi.
Loaʻa pinepine ka TN i nā poʻe ma luna o 50 mau makahiki a ʻoi aku ka maʻamau i nā wahine ma mua o nā kāne. ʻO kahi maʻi ʻeha mau e pili ana i ke aʻalolo craniofacial nona ke kuleana nui no ka hoʻouna ʻana i nā manaʻo mai ka maka a i ka lolo, ua wehewehe ʻia ʻo TN e kekahi poʻe maʻi ʻo ka ʻeha nui loa e hiki ke loaʻa i ke kanaka. Hiki ke lawe ʻia ka ʻeha mai ka hoʻopā māmā ʻana i ka maka, hiki i ka makani mālie ke hoʻomaka i kahi hōʻeha ʻeha.
"ʻAʻole maopopo ka nui o ka poʻe i ka hoʻonāwaliwali ʻana o ka ʻeha mau e pili ana me ka trigeminal neuralgia. Inā haʻalele ʻole ʻia, a mālama ʻole ʻia paha, hiki ke paʻakikī ke hana i nā hana o kēlā me kēia lā a ka hapa nui o mākou e manaʻo nei - mai ka ʻai ʻana i ka ʻai, ka holoi ʻana i ko mākou maka a i ʻole ka palaki ʻana i ko mākou mau niho, a hiki i ke kamaʻilio ʻana. ʻO ia ke kumu nui o nā haʻawina e like me kēia. Hōʻike lākou me nā koho lapaʻau e like me CyberKnife radiosurgery, hiki iā mākou ke hāʻawi i kā mākou poʻe maʻi i ka hoʻomalu ʻeha no ka wā lōʻihi - me ka ʻole o ke poʻo paʻa, ʻokiʻoki a me nā lāʻau lapaʻau. Hiki iā mākou ke hāʻawi i kā mākou poʻe maʻi i ka manaʻolana a me ka manawa e noʻonoʻo hou ai i nā mea hiki i ko lākou ola, "wahi a Alfredo Conti, ka mea kaukaʻi o ka neurosurgery ma ke Kulanui ʻo Alma Mater Bologna ma Bologna, Italia.
Hiki i ka TN ke hoʻopilikia i nā poʻe maʻi i ka wā o ko lākou ola, e hana ana i ka mālama olakino lōʻihi he pono. Hoʻomaka ka mālama ʻana i ka TN me ka lāʻau lapaʻau e pale i nā hōʻailona ʻeha i hoʻouna ʻia i ka lolo. I ka wā lōʻihi, ua emi ka maikaʻi o kekahi mau lāʻau, a ʻike kekahi mau maʻi i nā hopena ʻaoʻao maikaʻi ʻole. ʻO nā lāʻau lapaʻau ʻē aʻe, e like me ka injections, radiofrequency, balloon compression, surgery or radiosurgery, hiki ke koi ʻia no kēia mau maʻi.
"Ke hoʻomau nei ka ʻikepili clinical i nā pono lōʻihi e hiki ai i ka radiosurgery CyberKnife ke hāʻawi i ka wā lōʻihi. Hāʻawi ka ʻōnaehana i nā lapaʻau radiotherapy kiʻekiʻe me ka pololei sub-millimeter, he mea koʻikoʻi koʻikoʻi i ka wā e mālama ai i nā ʻōpū a me nā ʻeha i loko o ka lolo, ʻoiai e hōʻemi ana i ka hopena o nā hopena ʻaoʻao, "wahi a Suzanne Winter, pelekikena o Accuray. "Ke hoʻoikaika nei kēia noiʻi neuralgia trigeminal hou loa i ke kumu e huli ai nā hui lapaʻau i CyberKnife radiosurgery inā pono ka pololei a me ka pololei a hōʻike i ka hopena maikaʻi o kēia koho lapaʻau non-invasive i ke ola o ka poʻe e noho nei me kēia koʻikoʻi a paʻakikī. kino kino."
Ua hoʻolālā ʻia ka Pūnaehana CyberKnife e mālama i nā maʻi ma ke poʻo a me ke kumu o ka iwi poʻo, a me nā maʻi hana, me ka radiosurgery - me ka hoʻohana ʻole ʻana i kahi pahu paʻa i hoʻopaʻa ʻia i ke poʻo o ka mea maʻi. Hōʻike ka ʻōnaehana i ka linear accelerator (linac) i kau pololei ʻia ma luna o kahi lopako e neʻe a kūlou a puni ka mea maʻi no ka hoʻopuka ʻana i nā kukuna radiation non-isocentric, non-coplanar mai nā tausani o nā kihi kūʻokoʻa, e hoʻomaʻamaʻa i nā lāʻau lapaʻau pololei loa - maʻamau i hoʻokahi wale nō. i elima kipa ana.
Me ka hoʻohana ʻana i ka kiʻi kiʻi kiʻi kiʻi a me ka Accuray-exclusive Synchrony® ka nānā ʻana i ka pahuhopu manawa maoli me ka ʻenehana hoʻopuka hoʻolalelale, hiki i ka CyberKnife® System ke nānā i ka ʻōpū a i ʻole ka lesion a hōʻoia mau i kona kūlana, hoʻoponopono ʻakomi a hoʻololi i ke kūlana kukuna radiation no ka neʻe liʻiliʻi. Hoʻohana ʻo Synchrony i nā algorithms kiʻekiʻe a me ka naʻauao artificial (AI) e hoʻokau i ka helu hoʻopuka hoʻolalelale no ka neʻe ʻana me ka hāʻawi ʻana i ka lāʻau lapaʻau ʻole a me ka hōʻoluʻolu nui o ka poʻe maʻi. No ka laʻana, inā hoʻoneʻe ka mea maʻi i ko lākou poʻo i ka wā o ka mālama ʻana, ʻike ka CyberKnife System i kēia neʻe ʻana a hoʻonohonoho i ka lāʻau lapaʻau hoʻopuka i ke kūlana hou o ka ʻōpū a i ʻole ka lesion i ka manawa maoli.
He aha e lawe ʻia mai kēia ʻatikala:
- The CyberKnife System was designed to treat diseases in the head and base of the skull, and functional disorders, with radiosurgery – without the use of a fixed frame bolted to the patient’s head.
- The system features a linear accelerator (linac) directly mounted on a robot that moves and bends around the patient to deliver non-isocentric, non-coplanar radiation beams from potentially thousands of unique angles, facilitating highly precise and accurate treatments – typically in just one to five visits.
- A chronic pain condition affecting a craniofacial nerve that is primarily responsible for transmitting sensations from the face to the brain, TN is described by some patients as the most excruciating pain human beings can suffer.
