Department of Thoracic Surgical Oncology, Cancer Institute Hospital, The Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan.
Gen Thorac Cardiovasc Surg. 2021 Sep;69(9):1360-1365. doi: 10.1007/s11748-021-01666-6. Epub 2021 Jun 14.
We developed a novel three-dimensional (3D) image simulation system that is especially focused on pulmonary segmentectomy using new 3D computed tomography (CT) software. Based on contrast-enhanced high-resolution computed tomography (HRCT) images, the new software can quickly construct 3D pulmonary and bronchovascular images and generate a proposal for the appropriate segments to be resected. We performed the 3D image simulation and evaluated its accuracy in 20 patients for whom thoracoscopic segmentectomy was planned. We evaluated the anatomical validity comparing with HRCT findings and anatomical consistency with the operative findings on a three-point scale, respectively. The 3D image was evaluated as "good" for anatomical validity in 19 cases (95%) and for anatomical consistency with operative findings in 18 cases (90%). The novel 3D image simulation appeared to be easy to prepare, was anatomically reliable, and, therefore, was determined to be potentially useful.
我们开发了一种新颖的三维（3D）图像模拟系统，特别专注于使用新型 3D 计算机断层扫描（CT）软件进行肺段切除术。基于增强对比的高分辨率 CT（HRCT）图像，新软件可以快速构建 3D 肺部和支气管血管图像，并生成适当切除的建议段。我们对计划进行胸腔镜肺段切除术的 20 名患者进行了 3D 图像模拟，并评估了其准确性。我们分别通过 HRCT 发现和手术发现来评估解剖有效性和解剖一致性，并进行了三点式评估。对于解剖有效性，19 例（95%）和与手术发现的解剖一致性，18 例（90%）的 3D 图像被评估为“良好”。新型 3D 图像模拟易于准备，解剖可靠，因此被认为具有潜在的用途。
