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[现代计算机技术在临床实践中的应用效率以及生物力学三维模型在法医学中进一步应用的前景]

[The efficiency of the application of the modern computed technologies in the clinical practice and the prospects for the further use of the biomechanical 3D-models in forensic medicine].

作者信息

Makarov I Yu, Svetlakov A V, Sotin A V, Shigeev S V, Gusarov A A, Smirenin S A, Emelin V V, Stragis V B, Fetisov V A

机构信息

Department of Research Organization, Russian Federal Centre of Forensic Medical Expertise, Ministry of Health of the Russia, Moscow, Russia, 125284; Department of Forensic Medicine, Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russia, Moscow, Russia, 125993.

Department of forensic medical expertise, Academician E.A. Vagner Perm State Medical University, Ministry of Health of the Russia, Perm, Russia, 614990.

出版信息

Sud Med Ekspert. 2018;61(2):58-64. doi: 10.17116/sudmed201861258-64.

DOI:10.17116/sudmed201861258-64
PMID:29667640
Abstract

To-day, the computer-assisted 3D-technologies for the mathematical simulation of the engineering facilities are extensively used for the purpose of technical calculations in all branches of industry and building. The positive experience gained with the application of the 3D-models finds wide application in the joined investigations on the topical problems of the prosthetic and surgical treatment of bones, teeth, joints, cardiac valves, blood vessels, etc. The objective of the present study was the analysis of the positive experience with the involvement of the specialists in the design and practical application of 3D-models for the solution of problems facing the medical prosthetics and the management of various pathological conditions. Another objective was to discuss the possible prospects for the interdisciplinary collaboration in these fields with a view to improving the quality of expert conclusions in the framework of forensic medical and criminalistics examinations. The data readily available from the official domestic and foreign Internet resources were used for the purpose of the study. The analysis of the published data has demonstrated the obvious advantages of the application of the mathematical 3D-models and the biomechanical studies for the solution of the concrete medico-biological problems. The currently available positive experience gained due to the participation of domestic specialists in biomechanics in the solution of the specific clinical problems gives hope that their collaboration between themselves and with the forensic medical experts will open up the promising prospects for the further investigations of the issues of common interest.

摘要

如今,用于工程设施数学模拟的计算机辅助3D技术在工业和建筑的各个分支中广泛用于技术计算目的。3D模型应用所积累的积极经验在骨骼、牙齿、关节、心脏瓣膜、血管等的修复和外科治疗的热点问题联合研究中得到广泛应用。本研究的目的是分析专家参与3D模型设计和实际应用以解决医学修复面临的问题及各种病理状况管理方面的积极经验。另一个目的是讨论这些领域跨学科合作的可能前景,以提高法医和刑事鉴定检查框架内专家结论的质量。本研究使用了国内外官方互联网资源中 readily available的数据。对已发表数据的分析表明,应用数学3D模型和生物力学研究解决具体医学 - 生物学问题具有明显优势。国内生物力学专家参与解决特定临床问题所获得的当前积极经验让人希望他们自身之间以及与法医专家的合作将为进一步研究共同关心的问题开辟广阔前景。

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