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基于形态学的快速脊柱侧凸矫正模拟系统的实现。

Morphology-based realization of a rapid scoliosis correction simulation system.

机构信息

Hefei University of Technology, Hefei, PR China.

The Second Hospital of Anhui Medical University, Hefei, PR China.

出版信息

Comput Biol Med. 2018 Mar 1;94:85-98. doi: 10.1016/j.compbiomed.2018.01.004. Epub 2018 Feb 1.

Abstract

OBJECTIVE

Scoliosis is a complex spinal deformity in 3D space that commonly occurs in teenagers, especially teenage girls, and judging the actual deformed spine situation using only CT images is difficult. However, using 3D finite element models to help doctors analyse the deformed spine is also time-consuming and laborious. Therefore, software that can quickly and easily perform scoliosis correction analysis is needed. To achieve rapid preoperative simulation of scoliosis correction in 3D space and help doctors construct surgical programmes faster, a morphology-based system was developed for simulating scoliosis correction performance.

METHODS

The simulation system first takes advantage of the centre point of each vertebra on the entire spine model to fit a space curve. Then the system obtains information from the models and the space curve, and finally, uses the information to simulate scoliosis correction. The deformed spine model in the system can be corrected to a better state.

RESULTS

During the simulation process, doctors can easily and clearly see how the vertebral models move, and the deformed spine parameters are also updated and shown. Using this system, doctors can easily simulate scoliosis correction according to their experience and quickly construct a surgical programme.

CONCLUSIONS

The experimental results show that this system is capable of simulating scoliosis correction according to a doctor's own experience to speed up the operation and provides a scientific basis for the development of surgical programmes.

摘要

目的

脊柱侧凸是一种三维空间中的复杂脊柱畸形,常见于青少年,尤其是少女,仅通过 CT 图像判断实际变形的脊柱情况较为困难。然而,使用 3D 有限元模型来帮助医生分析变形的脊柱也很耗时费力。因此,需要一种能够快速、简便地进行脊柱侧凸矫正分析的软件。为了在三维空间中快速实现脊柱侧凸矫正的术前模拟,帮助医生更快地构建手术方案,开发了一种基于形态的系统来模拟脊柱侧凸矫正性能。

方法

该模拟系统首先利用整个脊柱模型上每个椎骨的中心点拟合空间曲线。然后,系统从模型和空间曲线中获取信息,最后,使用这些信息模拟脊柱侧凸矫正。系统中的变形脊柱模型可以被矫正到更好的状态。

结果

在模拟过程中,医生可以轻松、清晰地看到椎骨模型的移动情况,并且变形的脊柱参数也会得到更新和显示。使用该系统,医生可以根据自己的经验轻松模拟脊柱侧凸矫正,快速构建手术方案。

结论

实验结果表明,该系统能够根据医生的经验模拟脊柱侧凸矫正,加快手术速度,并为手术方案的制定提供科学依据。

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