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[心血管外科中的一种新型虚拟现实成像系统:对外科医生而言具有潜在前景的技术]

[A Novel Virtual-reality Imaging System in Cardiovascular Surgery:a Potentially Promising Technology for Surgeons].

作者信息

Kamiya Kenichi, Nagatani Yukihiro, Terada Shinya, Matsubayashi Yuji, Miwa Shunta, Mori Yotaro, Enomoto Masahide, Minamidate Naoshi, Takashima Noriyuki, Fujii Taihei, Nakata Susumu, Chen YenWei, Suzuki Tomoaki

机构信息

Department of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Japan.

出版信息

Kyobu Geka. 2022 Jun;75(6):403-410.

Abstract

Adequate preoperative planning may facilitate successful procedures in cardiovascular surgery. We have developed a system named the Vesalius 3D suite, combining three-dimensional (3D) image-processing software with an optic-tracking spatial navigation, allowing quick, accessible 3D image interpretation for virtual reality (VR) exploration and measurement from one or more of a range of imaging modalities. We present a novel method of virtual imaging analysis for preoperative planning and simulation in cardiovascular surgery using this 3D-VR system. Based on unimodal or multimodal medical imaging data, digital imaging and communication in medicine (DICOM) data sets can be reconstructed for 3D visualization. Virtually reconstructed images can be viewed on flat-screen or stereoscopic display, revealing each patient's specific anatomy and the internal structures in exquisite detail. Highly accessible 3D interpretation promptly permits precise measurements of repair-relevant anatomical parameters including geometrically complex shapes. This technology may promote understanding of form and function in the cardiovascular system, and facilitate operative procedures in more challenging cases, and it seems especially valuable for any surgeon to gain experience in practicing for rarely-performed procedures or uncommon patient-specific preoperative surgical rehearsal.

摘要

充分的术前规划可能有助于心血管手术的成功进行。我们开发了一个名为维萨里3D套件的系统,它将三维(3D)图像处理软件与光学跟踪空间导航相结合,允许对一系列成像模态中的一种或多种进行快速、便捷的3D图像解读,以用于虚拟现实(VR)探索和测量。我们展示了一种使用此3D-VR系统进行心血管手术术前规划和模拟的虚拟成像分析新方法。基于单模态或多模态医学成像数据,可以重建医学数字成像和通信(DICOM)数据集以进行3D可视化。虚拟重建的图像可以在平板屏幕或立体显示器上查看,能极其详细地显示每个患者的特定解剖结构和内部结构。高度便捷的3D解读能够迅速对包括几何形状复杂的修复相关解剖参数进行精确测量。这项技术可能会促进对心血管系统形态和功能的理解,并有助于在更具挑战性的病例中进行手术操作,而且对于任何外科医生来说,在练习很少进行的手术或针对特定患者的罕见术前手术预演方面积累经验似乎特别有价值。

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