The Comparison of Fluoroscopy-Guided Epidural Anesthesia with Conscious Sedation and General Anesthesia for Endoscopic Lumbar Decompression Surgery: A Retrospective Analysis

Kang, Seung Youn; Cho, Hae Sun; Yi, Jihwan; Kim, Hyeun Sung; Jang, Il Tae; Kim, Do-Hyeong

doi:10.1016/j.wneu.2021.12.019

World Neurosurgery

2022

DOI: 10.1016/j.wneu.2021.12.019

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The Comparison of Fluoroscopy-Guided Epidural Anesthesia with Conscious Sedation and General Anesthesia for Endoscopic Lumbar Decompression Surgery: A Retrospective Analysis

Seung Youn Kang¹,

Hae Sun Cho²,

Jihwan Yi³

et al.

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Cited by 5 publications

References 22 publications

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Enhancing epidural needle guidance using a polarization‐sensitive optical coherence tomography probe with convolutional neural networks

Wang,

Liu,

Calle

et al. 2023

Journal of Biophotonics

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Epidural anesthesia helps manage pain during different surgeries. Nonetheless, the precise placement of the epidural needle remains a challenge. In this study, we developed a probe based on polarization‐sensitive optical coherence tomography (PS‐OCT) to enhance the epidural anesthesia needle placement. The probe was tested on six porcine spinal samples. The multimodal imaging guidance used the OCT intensity mode and three distinct PS‐OCT modes: (1) phase retardation, (2) optic axis, and (3) degree of polarization uniformity (DOPU). Each mode enabled the classification of different epidural tissues through distinct imaging characteristics. To further streamline the tissue recognition procedure, convolutional neural network (CNN) were used to autonomously identify the tissue types within the probe's field of view. ResNet50 models were developed for all four imaging modes. DOPU imaging was found to provide the highest cross‐testing accuracy of 91.53%. These results showed the improved precision by PS‐OCT in guiding epidural anesthesia needle placement.

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Enhancing epidural needle guidance using a polarization‐sensitive optical coherence tomography probe with convolutional neural networks

Wang,

Liu,

Calle

et al. 2023

Journal of Biophotonics

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Comparative analysis of perioperative characteristics and early outcomes in transforaminal endoscopic lumbar diskectomy: general anesthesia versus conscious sedation

et al. 2023

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Surgical management of spinal pathologies in the octogenarian: a narrative review

Evans,

Bakhsheshian,

Graffeo

et al. 2024

GeroScience

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The Comparison of Fluoroscopy-Guided Epidural Anesthesia with Conscious Sedation and General Anesthesia for Endoscopic Lumbar Decompression Surgery: A Retrospective Analysis

Cited by 5 publications

References 22 publications

Enhancing epidural needle guidance using a polarization‐sensitive optical coherence tomography probe with convolutional neural networks

Enhancing epidural needle guidance using a polarization‐sensitive optical coherence tomography probe with convolutional neural networks

Comparative analysis of perioperative characteristics and early outcomes in transforaminal endoscopic lumbar diskectomy: general anesthesia versus conscious sedation

Surgical management of spinal pathologies in the octogenarian: a narrative review

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