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新时代的数字化与智能化肝外科:前景与困境。

Digital and intelligent liver surgery in the new era: Prospects and dilemmas.

机构信息

CHESS, The First Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangdong Provincial Clinical and Engineering Center of Digital Medicine, Guangzhou 510282, China.

CHESS, The First Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangdong Provincial Clinical and Engineering Center of Digital Medicine, Guangzhou 510282, China.

出版信息

EBioMedicine. 2019 Mar;41:693-701. doi: 10.1016/j.ebiom.2019.02.017. Epub 2019 Feb 14.

Abstract

Despite tremendous advances in traditional imaging technology over the past few decades, the intraoperative identification of lesions is still based on naked eye observation or pre-operative image evaluation. However, these two-dimensional image data cannot objectively reflect the complex anatomical structure of the liver and the detailed morphological features of the lesion, which directly limits the clinical application value of these imaging data in surgery in that it cannot improve the curative efficacy of surgery and the prognosis of the patient. This traditional mode of diagnosis and treatment has been changed by digital medical imaging technology in the new era with its significant function of accurate and efficient diagnosis of diseases, selection of reasonable treatment schemes, improvement of radical resection rate and reduction of surgical risk. In this paper, we reviewed the latest application of digital intelligent diagnosis and treatment technology related to liver surgery in the hope that it may help to achieve accurate treatment of liver surgery diseases.

摘要

尽管过去几十年传统影像学技术取得了巨大进展,但病变的术中识别仍然依赖于肉眼观察或术前图像评估。然而,这些二维图像数据无法客观反映肝脏的复杂解剖结构和病变的详细形态特征,这直接限制了这些影像学数据在手术中的临床应用价值,因为它不能提高手术的疗效和患者的预后。新时代的数字医学影像技术改变了这种传统的诊断和治疗模式,其具有准确高效诊断疾病、选择合理治疗方案、提高根治性切除率和降低手术风险的显著功能。本文综述了与肝外科相关的数字智能诊断和治疗技术的最新应用,希望有助于实现肝外科疾病的精准治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87cc/6442371/909214e42bf9/gr1.jpg

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