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构建三维虚拟骨模型数据库的潜力与局限

Potentialities and limitations of a database constructing three-dimensional virtual bone models.

作者信息

Radetzki F, Mendel T, Noser H, Stoevesandt D, Röllinghoff M, Gutteck N, Delank K S, Wohlrab D

机构信息

Department of Orthopedic Surgery, Martin Luther University Halle-Wittenberg, Magdeburger Straße 22, 06112, Halle (Saale), Germany,

出版信息

Surg Radiol Anat. 2013 Dec;35(10):963-8. doi: 10.1007/s00276-013-1118-0. Epub 2013 Apr 10.

Abstract

BACKGROUND

3D bone reconstructions performed during general clinical practice are of limited use for preclinical research, education, and training purposes. For this reason, we are constructing a database of human 3D virtual bone models compiled from computer tomography (CT) scans.

MATERIALS AND METHODS

CT data sets were post-processed using Amira(®) 5.2 software. In each cut, bone structures were isolated using semiautomatic labeling program codes. The software then generated extremely precise 3D bone models in STL format (standard triangulated language). These bone models offer a sustainable source of information for morphologic studies and investigations of biomechanical bony characteristics in complex anatomic regions. Regarding educational value and student acceptance models were introduced during bedside teaching and evaluated by medical students.

RESULTS

The current database is comprised of 131 pelvises and 120 femurs (ø 60 years, ø 172 cm, ø 76 kg), and is continuously growing. To date, 3D morphometric analyses of the posterior ring and the acetabulum have been successfully completed. Eighty students (96 %) evaluated instruction with virtual 3D bone models as "good" or "very good". The majority of students want to increase learning with virtual bone models covering various regions and diseases.

CONCLUSION

With consistent and steadily increasing case numbers, the database offers a sustainable alternative to human cadaver work for practical investigations. In addition, it offers a platform for education and training.

摘要

背景

在一般临床实践中进行的三维骨骼重建对于临床前研究、教育和培训目的的用途有限。因此,我们正在构建一个由计算机断层扫描(CT)扫描汇编而成的人类三维虚拟骨骼模型数据库。

材料与方法

使用Amira(®) 5.2软件对CT数据集进行后处理。在每个切片中,使用半自动标记程序代码分离骨骼结构。然后该软件生成STL格式(标准三角语言)的极其精确的三维骨骼模型。这些骨骼模型为复杂解剖区域的形态学研究和生物力学骨骼特征研究提供了可持续的信息来源。关于教育价值和学生接受度,在床边教学期间引入了模型并由医学生进行评估。

结果

当前数据库由131个骨盆和120个股骨组成(平均年龄60岁,平均身高172厘米,平均体重76千克),并且在持续增长。迄今为止,已成功完成后环和髋臼的三维形态计量学分析。80名学生(96%)将使用虚拟三维骨骼模型的教学评价为“好”或“非常好”。大多数学生希望增加使用涵盖不同区域和疾病的虚拟骨骼模型进行学习。

结论

随着病例数量持续且稳步增加,该数据库为实际研究提供了一种可持续的替代人体尸体研究的方法。此外,它还提供了一个教育和培训平台。

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