融合图像的展示:方法、解读及诊断改进。

Display of fused images: methods, interpretation, and diagnostic improvements.

作者信息

Stokking Rik, Zubal I George, Viergever Max A

机构信息

Department of Radiology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

出版信息

Semin Nucl Med. 2003 Jul;33(3):219-27. doi: 10.1053/snuc.2003.127311.

Abstract

The use of integrated visualization for medical images aims at assisting clinicians in the difficult task of mentally translating and integrating medical image data from multiple sources into a three-dimensional (3D) representation of the patient. This interpretation of the enormous amount and complexity of contemporary, multiparameter, and multimodal image data demands efficient methods for integrated presentation. This article reviews methods for fused display with the main focus on integration of functional with anatomical images. First, an overview of integrated two-dimensional (2D) and 3D medical image display techniques is presented, and topics related to the interpretation of the integrated images are discussed. Then we address the key issue for clinical acceptance, ie, whether these novel visualization techniques lead to diagnostic improvements. Methods for fused display appear to be powerful tools to assist the clinician in the retrieval of relevant information from multivariate medical image data. Evaluation of the different methods for fused display indicates that the diagnostic process improves, notably as concerns the anatomical localization (typically of functional processes), the registration procedure, enhancement of signal, and efficiency of information presentation (which increases speed of interpretation and comprehension). Consequently, fused display improves communication with referring specialists, increases confidence in the observations, and facilitates the intra- and intersubject comparison of a large part of the data from the different sources, thereby simplifying the extraction of additional, valuable information. In most diagnostic tasks the clinician is served best by providing several (interactive and flexible) 2D and 3D methods for fused display for a thorough assessment of the wealth of image information from multiple sources.

摘要

医学图像的集成可视化旨在帮助临床医生完成一项艰巨的任务,即将来自多个来源的医学图像数据在脑海中进行转换并整合为患者的三维(3D)表示。对当代大量、复杂的多参数和多模态图像数据进行这种解读需要高效的集成呈现方法。本文回顾了融合显示的方法,主要侧重于功能图像与解剖图像的整合。首先,概述了二维(2D)和三维(3D)医学图像集成显示技术,并讨论了与集成图像解读相关的主题。然后我们探讨临床接受度的关键问题,即这些新颖的可视化技术是否能提高诊断水平。融合显示方法似乎是帮助临床医生从多变量医学图像数据中检索相关信息的有力工具。对不同融合显示方法的评估表明,诊断过程得到了改善,特别是在解剖定位(通常是功能过程的定位)、配准程序、信号增强以及信息呈现效率(这提高了解读和理解的速度)方面。因此,融合显示改善了与转诊专家的沟通,增强了对观察结果的信心,并便于对来自不同来源的大部分数据进行受试者内和受试者间比较,从而简化了额外有价值信息的提取。在大多数诊断任务中,为临床医生提供几种(交互式且灵活的)融合显示的二维和三维方法,以便对来自多个来源的丰富图像信息进行全面评估,能使其得到最大程度的帮助。

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