Postdoctoral Workstation, the General Surgery Center of the Peoples' Liberation Army, Chengdu Army General Hospital, Chengdu, Sichuan, PR China.
PLoS One. 2013 Apr 17;8(4):e62025. doi: 10.1371/journal.pone.0062025. Print 2013.
In past reports, researchers have seldom attached importance to achievements in transforming digital anatomy to radiological diagnosis. However, investigators have been able to illustrate communication relationships in the retroperitoneal space by drawing potential routes in computerized tomography (CT) images or a virtual anatomical atlas. We established a new imaging anatomy research method for comparisons of the communication relationships of the retroperitoneal space in combination with the Visible Human Project and CT images. Specifically, the anatomic pathways of peripancreatic fluid extension to the mediastinum that may potentially transform into fistulas were studied.
We explored potential pathways to the mediastinum based on American and Chinese Visible Human Project datasets. These drainage pathways to the mediastinum were confirmed or corrected in CT images of 51 patients with recurrent acute pancreatitis in 2011. We also investigated whether additional routes to the mediastinum were displayed in CT images that were not in Visible Human Project images.
All hypothesized routes to the mediastinum displayed in Visible Human Project images, except for routes from the retromesenteric plane to the bilateral retrorenal plane across the bilateral fascial trifurcation and further to the retrocrural space via the aortic hiatus, were confirmed in CT images. In addition, route 13 via the narrow space between the left costal and crural diaphragm into the retrocrural space was demonstrated for the first time in CT images.
This type of exploration model related to imaging anatomy may be used to support research on the communication relationships of abdominal spaces, mediastinal spaces, cervical fascial spaces and other areas of the body.
在过去的报告中，研究人员很少重视将数字解剖学转化为放射诊断的成就。然而，研究人员已经能够通过在计算机断层扫描（CT）图像或虚拟解剖图谱中绘制潜在路径来阐明腹膜后空间的沟通关系。我们建立了一种新的影像学解剖研究方法，结合可视人项目和 CT 图像来比较腹膜后空间的沟通关系。具体来说，研究了胰周液体向纵隔潜在延伸并可能转化为瘘管的解剖途径。
我们根据美国和中国可视人项目数据集探索了通往纵隔的潜在途径。这些通往纵隔的引流途径在 2011 年的 51 例复发性急性胰腺炎 CT 图像中得到了证实或纠正。我们还研究了在 CT 图像中是否显示了可视人项目图像中没有显示的通往纵隔的其他途径。
除了从肠系膜后平面穿过双侧筋膜三叉到双侧肾后平面，然后通过主动脉裂孔进入后脊柱空间的途径外，可视人项目图像中显示的所有通往纵隔的假设途径都在 CT 图像中得到了证实。此外，首次在 CT 图像中显示了第 13 条通过左肋和肋膈之间的狭窄空间进入后脊柱空间的途径。
这种与影像学解剖相关的探索模型可用于支持腹部空间、纵隔空间、颈部筋膜空间和身体其他区域的沟通关系研究。
