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CT 医学影像在乒乓球运动员前交叉韧带损伤诊断与康复中的应用。

Application of CT Medical Imaging Combined with Deep Learning 3D Reconstruction in the Diagnosis and Rehabilitation of Anterior Cruciate Ligament Injury in Table Tennis Players.

机构信息

School of Physical Education, Hubei University of Education, Wuhan, Hubei, China.

Graduate School of Medicine, Juntendo University, Tokyo, Japan.

出版信息

J Healthc Eng. 2021 Dec 17;2021:1152368. doi: 10.1155/2021/1152368. eCollection 2021.

DOI:10.1155/2021/1152368
PMID:34956554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8709755/
Abstract

Because of the intense competition, table tennis requires players to bear a strong physiological load, which increases the risk of sports injury. Anterior cruciate ligament (ACL) is an important structure of the knee joint to maintain forward stability and rotational stability and is also a common sports injury in table tennis players. ACL has poor self-repair ability after injury. Therefore, the purpose of this study is to provide a more comprehensive, reliable, and representative theoretical basis for the diagnosis and rehabilitation of anterior cruciate ligament injury in table tennis players, and three-dimensional reconstruction of ACL using dual-source computed tomography (DSCT) combined with deep learning was conducted. For this purpose, a number of table tennis players with ACL injuries were collected, and each patient underwent arthroscopic anterior cruciate ligament reconstruction. DSCT scanning was performed on several knee joints, the 3D model of the knee joint was reconstructed using a CT image postprocessing workstation, and the medial wall of the femoral lateral condyle was reconstructed, as well as the reconstructed single tract of bony canal, tibial plateau, and bony canal. Then, the Lysholm score was used to score the cases, with scores greater than 75 as the excellent group and below 75 as the poor group. The relative positions of the central points of the femoral and tibial canals were marked and measured. The results were as follows: 3D-CT reconstruction could clearly reflect the situation after anterior cruciate ligament reconstruction. In clinic, it is used to evaluate the relationship between bone tunnel location and graft shape so as to guide the surgeon to improve the operation.

摘要

由于竞争激烈,乒乓球运动要求运动员承受较大的生理负荷,增加了运动损伤的风险。前交叉韧带(ACL)是维持膝关节前向稳定性和旋转稳定性的重要结构,也是乒乓球运动员常见的运动损伤部位。ACL 损伤后自我修复能力差。因此,本研究旨在为乒乓球运动员前交叉韧带损伤的诊断和康复提供更全面、可靠、有代表性的理论依据,利用双源 CT(DSCT)结合深度学习对 ACL 进行三维重建。为此,收集了一些 ACL 损伤的乒乓球运动员,每位患者均接受关节镜前交叉韧带重建术。对多个膝关节进行 DSCT 扫描,使用 CT 图像后处理工作站重建膝关节 3D 模型,重建股骨外侧髁内侧壁、重建的单一骨道、胫骨平台和骨道。然后,采用 Lysholm 评分对病例进行评分,评分大于 75 分为优组,评分小于 75 分为差组。标记和测量股骨和胫骨隧道中心点的相对位置。结果如下:3D-CT 重建可清晰反映前交叉韧带重建后的情况。在临床上,用于评估骨隧道位置与移植物形态的关系,从而指导术者改进手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/c8e3d24f88b9/JHE2021-1152368.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/d35d8e814f96/JHE2021-1152368.001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/86aacc9c4b0f/JHE2021-1152368.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/c8e3d24f88b9/JHE2021-1152368.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/d35d8e814f96/JHE2021-1152368.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/e4ecc54eebfc/JHE2021-1152368.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/b13681cf175a/JHE2021-1152368.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/047f720fe27d/JHE2021-1152368.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/0f1861d58f7d/JHE2021-1152368.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/9df74c3c3bcc/JHE2021-1152368.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/86aacc9c4b0f/JHE2021-1152368.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/143a/8709755/c8e3d24f88b9/JHE2021-1152368.008.jpg

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