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[胆囊结石患者胆囊切开取石及胆囊切除术的虚拟手术]

[Virtual surgery of cholecystotomy for calculus removal and cholecystectomy in patients with cholecystolithiasis].

作者信息

Fang Chi-hua, Tang Yun-qiang, Lu Chao-min, Liu Yu-bin, Peng Feng-ping, Bao Su-su

机构信息

Departmeny of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2008 Mar;28(3):356-9.

PMID:18359689
Abstract

OBJECTIVE

To study the two-dimensional (2D) image segmentation, three-dimensional (3D) reconstruction and virtual surgery of cholecystectomy based on the 2D image data of the liver, biliary track and cholecystolithiasis obtained by 64-slice spiral CT.

METHODS

The image data of the liver, biliary track and cholecystolithiasis were obtained by 64-slice spiral CT scanning. Segmentation and automatic extraction of the images were performed using auto-adapting region growing algorithm. 3D reconstruction of the segmented data was carried out using MIMICS10.0 and self-designed software, and the data of the 3D model of the liver with the billiary tract were imported into FreeForm Modeling System for registration and smoothing. Virtual surgery of cholecystotomy for calculus removal and cholecystectomy were performed with Phantom.

RESULTS

The auto-adapting region growing algorithm allowed rapid image segmentation, and the 3D model of the liver based on the segmentation data clearly displayed vivid 3D structures of the liver. Virtual operations of cholecystectomy could be performed in the FreeForm Modeling System.

CONCLUSION

The algorithm we proposed can correctly and rapidly complete image segmentation and 3D reconstruction of cholecystolithiasis from the data 64-slice spiral CT, and allows virtual operations on the gallbladder.

摘要

目的

基于64层螺旋CT获取的肝脏、胆道及胆囊结石的二维图像数据,研究胆囊切除术的二维(2D)图像分割、三维(3D)重建及虚拟手术。

方法

通过64层螺旋CT扫描获取肝脏、胆道及胆囊结石的图像数据。采用自适应区域生长算法进行图像分割及自动提取。利用MIMICS10.0和自行设计的软件对分割后的数据进行三维重建,并将带有胆道的肝脏三维模型数据导入FreeForm Modeling System进行配准和平滑处理。使用Phantom进行胆囊切开取石术和胆囊切除术的虚拟手术。

结果

自适应区域生长算法可实现快速图像分割,基于分割数据的肝脏三维模型清晰显示了肝脏生动的三维结构。在FreeForm Modeling System中可进行胆囊切除术的虚拟操作。

结论

我们提出的算法能够正确、快速地从64层螺旋CT数据中完成胆囊结石的图像分割和三维重建,并可对胆囊进行虚拟手术。

相似文献

1
[Virtual surgery of cholecystotomy for calculus removal and cholecystectomy in patients with cholecystolithiasis].[胆囊结石患者胆囊切开取石及胆囊切除术的虚拟手术]
Nan Fang Yi Ke Da Xue Xue Bao. 2008 Mar;28(3):356-9.
2
[Value of virtual surgery in arterial reconstruction in liver recipients with type II hepatic artery variation].[虚拟手术在肝动脉变异II型肝移植受者动脉重建中的价值]
Nan Fang Yi Ke Da Xue Xue Bao. 2009 Jan;29(1):16-9.
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[Clinical value of three-dimensional reconstruction of the biliary calculi based on 64-slice spiral CT scanning data].基于64层螺旋CT扫描数据的胆石症三维重建的临床价值
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[Study on visualized virtual surgery of living-related donor liver transplantation].[亲体肝移植可视化虚拟手术的研究]
Zhonghua Wai Ke Za Zhi. 2009 Feb 1;47(3):187-9.
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[Image segmentation and three-dimensional reconstruction of the liver based on 64-slice spiral CT scanning data].基于64层螺旋CT扫描数据的肝脏图像分割与三维重建
Nan Fang Yi Ke Da Xue Xue Bao. 2008 Mar;28(3):345-7.
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[Establishment of a three-dimensional pancreas model for simulating surgical resection of pancreatic tail carcinoma using virtual-reality technique].[利用虚拟现实技术建立模拟胰尾癌手术切除的三维胰腺模型]
Nan Fang Yi Ke Da Xue Xue Bao. 2008 Jun;28(6):926-9.
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[Study on three dimensional reconstruction and simulation surgery of spleen].脾脏的三维重建与模拟手术研究
Zhonghua Wai Ke Za Zhi. 2008 Jul 15;46(14):1097-9.
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Prospective Evaluation of Precision Multimodal Gallbladder Surgery Navigation: Virtual Reality, Near-infrared Fluorescence, and X-ray-based Intraoperative Cholangiography.精准多模态胆囊手术导航的前瞻性评估:虚拟现实、近红外荧光和基于 X 线的术中胆管造影。
Ann Surg. 2017 Nov;266(5):890-897. doi: 10.1097/SLA.0000000000002400.
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[Study on the three dimensional hepatic virtual operation based on the data of 64-slice helical CT scanning].基于64层螺旋CT扫描数据的肝脏三维虚拟手术研究
Zhonghua Wai Ke Za Zhi. 2008 Jan 1;46(1):27-9.
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[The research of virtual hepatectomy].[虚拟肝切除术的研究]
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