Zhu Xin-yong, Fang Chi-hua, Bao Su-su, Quan Xian-yue, Zhong Shi-zhen
Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2008 Mar;28(3):345-7.
To study the segmentation methods of the liver CT images and the value of 3-dimensional (3D) reconstruction of the liver in the planning of hepatic surgery.
The 2D Digital Imaging and Communications in Medicine (DICOM) format data of the liver obtained from healthy volunteers were transformed into bmp format image, and the liver image segmentation was performed using Photoshop software. The 3D model was reconstructed using MIMICS software.
The DICOM format data of the liver obtained by 64 slice spiral CT included totally 658 slice images. The segmented liver image showed clear profiles and complete intrahepatic duct data were reserved. The segmented liver images were free of discontinuation during continuous observation. The liver surface and internal ductal system, including the hepatic arteries and veins, and the hepatic portal system and their branches, were represented clearly. The reconstructed liver allowed clear identification of the anatomic landmark and matched the actual liver volume. The reconstructed ductal structure were distinct and continuous with natural texture. The reconstructed liver and the hepatic internal duct system were simultaneously displayed by adjusting the transparency of the liver, and the blood vessels were also represented.
Segmentation of the liver images in different phases using Photoshop can be feasible for liver reconstruction. The reconstructed liver and the intrahepatic ductal structure allow vivid 3D observation of the spatial relationship among the major tracts and accurate estimation of the liver volume.
研究肝脏CT图像的分割方法以及肝脏三维(3D)重建在肝脏手术规划中的价值。
将从健康志愿者获取的肝脏二维医学数字成像和通信(DICOM)格式数据转换为bmp格式图像,使用Photoshop软件进行肝脏图像分割。使用MIMICS软件重建3D模型。
64层螺旋CT获取的肝脏DICOM格式数据共658层图像。分割后的肝脏图像轮廓清晰,保留了完整的肝内胆管数据。连续观察时分割后的肝脏图像无间断。肝脏表面及内部管道系统,包括肝动脉、肝静脉、肝门静脉系统及其分支,均清晰显示。重建后的肝脏能清晰识别解剖标志,且与实际肝脏体积相符。重建的管道结构清晰且纹理自然连续。通过调整肝脏透明度可同时显示重建的肝脏及肝内管道系统,血管也能显示。
使用Photoshop对不同期相的肝脏图像进行分割可用于肝脏重建。重建后的肝脏及肝内管道结构能生动地进行三维观察主要管道之间的空间关系,并准确估计肝脏体积。