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Biomedical subjects

S M Borodkin

Publications and source records attributed to S M Borodkin.

9 recordsLinked to original sources

Functional neurosurgery using 3-D computer stereotactic atlas.

To facilitate a full-scale representation of thalamic nuclei and surrounding subcortical structures in the course of stereotactic procedures, a 3-D computer atlas of this region has been created, which permits visualization of the operative field including the involved structures and the position of the instrument. Necessary adaptation is performed according to the position of the intracranial reference points derived from CT-scan. Working with the atlas permitted more accurate and safer surgery. An IBM PC/AT computer was used.

Adult↗

3-D computer model of subcortical structures of human brain.

Three-dimensional computer model of thalamus and adjacent formations of human brain has been elaborated on the basis of sagittal slices from the Schaltenbrand-Bailey stereotactic atlas. The model includes 120 morphologically distinguishable structures and consists of more than 16 million points (volume elements) each of them being associated with the particular structure in the brain. The model is stored in the long-term computer memory. A special software has been developed to facilitate utilizing the model obtained. The software facilitates synthesizing arbitrary cross-sections through the brain and provides the correspondence between the stereotactic coordinates of any point and its position on the screen of monitor. The coordinates of the point in the system of stereotactic atlas and the name of the structure, the point belongs to, are also supplied. It is also possible to get magnified images of cross-sections and to get isometrical images. The system enables the neurosurgeon to improve the planning and execution of stereotactic operations, and will also be helpful for education.

Brain↗

[Computerized system of dosimetric planning of interstitial multiposition stereotaxic irradiation in neutron therapy of brain tumors].

A computerized system PLUT-B intended for a dosimetric design of stereotaxic neutron brachytherapy of brain tumors, was developed. It is capable of simulating dose distribution in various parameters of irradiation, manipulating them, retaining the surgical aspects within the field of vision, and arriving at an acceptable dosimetric plan. The system permits visualization of a target with an applied dose field in the multiwindow mode, layer-by-layer vision in any direction, displaying a scheme of implantation, and drawing up of maps of isodose distributions. It is intended to be used by a physician, convenient in operation, the time at the design stage is 35-40 minutes.

Brachytherapy↗

[The CT-stereotaxic neutron brachytherapy of brain tumors with californium sources on the ANET-B apparatus].

A method for stereotaxic intratissue radiotherapy of brain tumors based on the findings of computed tomography is described. Radiosurgical implantation of sources with increased 252Cf content emitting mixed neutron + gamma-radiation was accomplished by means of an ANET-B apparatus by the afterloading method. Neutron irradiation is particularly effective in patients with malignant tumors possessing a large fraction of cells in a state of deep anoxia. Dosimetric planning was conducted by means of an original computer system. Devices and radiation-technical equipment for adaptation of the ANET-B apparatus for irradiation of neurosurgical patients are described. The indications for the use of this method and its place among the complex of measures for the treatment of patients with new growths of the brain are discussed. The first experience in using CT-stereotaxic neutron brachytherapy with californium sources on the ANET-B apparatus for the treatment of 6 patients with malignant glial tumors of the brain is dwelt on.

Adult↗

[Intraoperative monitoring of the EEG in patients with arterial aneurysms of the cerebral vessels].

Visual EEG monitoring and EEG monitoring using a special "Neuro-2" monitor controlling the changes in quantitative EEG parameters (power range and coherence) have been used during surgery in 42 patients with arterial aneurysms of brain vessels performed in conditions of profound controlled arterial hypotension. Computer processing facilitates EEG analysis and reveals the most early signs of the developing cerebral ischemia on the basis of specific changes in power ranges and coherence.

Adult↗

[Dynamics of the spectral-coherent characteristics of the human EEG in healthy subjects and brain pathology].

EEGs of 15 healthy subjects and 30 patients in early period after surgical ablation of tumours with basal localization, were investigated by means of monitor "Neuro-1" which allows to obtain in continuous regime characteristics of EEG dynamics according to power spectra and reveal the characteristics of intercentral relations of electrical brain processes by coherence and phase shifts. In healthy subjects in the period of transition from wakefulness to drowsiness highly coherent beta-rhythm (16-18 Hz) was revealed, preceeding typical picture of drowsiness and sleep. Study of the patients shows that certain characteristics of coherence and phasic shifts have an important prognostic value. Conclusion is made that for estimation of the functional state of healthy subjects during transition from wakefulness to drowsiness and of patients in early postoperative period the data on spectra of coherence are most informative.

Beta Rhythm↗