Akiba Tadashi
Department of Surgery, Jikei University Kashiwa Hospital, 163-1 Kashiwashita, Kashiwa, Chiba, 277-8567, Japan,
Gen Thorac Cardiovasc Surg. 2013 Dec;61(12):676-84. doi: 10.1007/s11748-013-0336-z. Epub 2013 Oct 25.
It is important for general thoracic surgeons to understand the relationship between tumors and surrounding organs during surgery; however, many anatomical variations are possible in the thorax, which can complicate this goal. Multidetector computed tomography (MDCT) is the latest technical breakthrough in CT imaging. MDCT permits rapid scanning of large areas of the body with multiple detectors, thereby allowing for simultaneous acquisition of an increased number of transaxial CT slices, which reduce motion artifacts. Three-dimensional (3D) rendering involves the creation of two-dimensional images that convey the 3D relationship of objects. The 3D reconstruction allows for enormous quantity of data to be utilized intuitively and effectively. The final images can reveal various lesions or organs of interest with high anatomical detail and accuracy to the general thoracic surgeon, which is helpful in performing safer surgeries. Surgeries for the following can benefit from this technology: lung lobectomy or segmentectomy, pulmonary sequestration, cardiovascular malformation, tracheobronchial tree, mediastinum, and chest wall. This article reviews the utility of 3D-MDCT imaging in the field of general thoracic surgery.
对于普通胸外科医生而言，在手术过程中了解肿瘤与周围器官之间的关系非常重要；然而，胸部可能存在许多解剖变异，这可能会使这一目标变得复杂。多排螺旋计算机断层扫描（MDCT）是CT成像领域的最新技术突破。MDCT允许使用多个探测器对身体的大面积区域进行快速扫描，从而能够同时获取更多的横断面CT图像，减少运动伪影。三维（3D）重建涉及创建传达物体三维关系的二维图像。3D重建允许直观且有效地利用大量数据。最终图像能够以高度的解剖细节和准确性向普通胸外科医生展示各种感兴趣的病变或器官，这有助于进行更安全的手术。以下手术可受益于这项技术：肺叶切除术或肺段切除术、肺隔离症、心血管畸形、气管支气管树、纵隔和胸壁。本文综述了3D-MDCT成像在普通胸外科领域的应用。
