Abstract:

Surgical treatment of spontaneous intracerebral hemorrhage (sICH) is increasingly oriented toward minimally invasive, precise, and safe, with growing emphasis on disease and prognostic assessment, and perioperative monitoring. As a medical image processing software, 3D Slicer has been gradually applied in the diagnosis and treatment of sICH. It enables precise quantification of hematoma-related pathological changes, assists in preoperative trajectory simulation and intraoperative localization, greatly enriching the approaches for sICH evaluation, monitoring, and treatment. This article reviews the use of 3D Slicer software in sICH monitoring and prognostic evaluation, preoperative pathway planning and surgical simulation, intraoperative localization and puncture guidance, and the design and use of postoperative neuroprotective devices, aiming to provide novel insights to advance clinical practice.

Key words: Cerebral hemorrhage, 3D Slicer (not in MeSH), Tomography, X-ray computed, Printing, three-dimensional, Review

摘要：

自发性脑出血的外科治疗更趋向微创、精准及安全，患者病情和预后评估及围手术期监测愈发重要。3D Slicer作为医学影像学后处理软件，已经逐渐应用于自发性脑出血的诊疗中，可实现血肿相关病理改变精准量化、协助术前手术路径规划、辅助术中精准定位等，极大地丰富自发性脑出血的评估、监测和治疗手段。本文就3D Slicer软件在自发性脑出血病情监测与预后评估、术前手术路径规划与模拟手术、术中定位与穿刺引导、术后脑保护装置设计与使用等方面的应用进行综述，以为临床实践提供新思路。

关键词: 脑出血, 3D Slicer软件（非MeSH词）, 体层摄影术，X线计算机, 打印，三维, 综述