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通过三维计算机断层扫描成像重新审视肺的解剖结构。

Anatomy of the lung revisited by 3D-CT imaging.

作者信息

Nakazawa Seshiru, Nagashima Toshiteru, Kawatani Natsuko, Gedeon Patrick C, DeSimone Ariadne K, Igai Hitoshi, Kosaka Takayuki, Shirabe Ken

机构信息

Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.

出版信息

Video Assist Thorac Surg. 2023 Jun 30;8. doi: 10.21037/vats-23-21. Epub 2023 May 24.


DOI:10.21037/vats-23-21
PMID:37711275
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10501054/
Abstract

The anatomy of the lung was originally described based on data acquired from cadaveric studies and surgical findings. Over time, computed tomography (CT) and three-dimensional (3D) imaging techniques have been developed, allowing for reconstruction and understanding of lung anatomy in a more intuitive way. The wide adoption of 3D-CT imaging technology has led to a variety of anatomical studies performed not only by anatomists but also by surgeons and radiologists. Such studies have led to new or modified classification systems, shed light on lung anatomy from a useful surgical viewpoint, and enabled us to analyze lung anatomy with a focus on particular anatomical features. 3D images also allow for enhanced pre- and intra-operative simulation, improved surgical safety, enhanced educational utility, and the capacity to perform large-scale anatomical studies in shorter time frames. We will review here the key features of 3D-CT imaging of the lung, along with representative anatomical studies regarding (I) general lung anatomy, (II) anatomy of the right and left lobes, and (III) features of interlobar vessels. The current surge of 3D imaging analysis shows that the field is growing, with the technology continuing to improve. Future studies using these new and innovative methodologies will continue to refine our understanding of lung anatomy while enhancing our ability to perform safe and effective surgical resections.

摘要

肺的解剖结构最初是基于尸体研究和手术发现所获得的数据来描述的。随着时间的推移,计算机断层扫描(CT)和三维(3D)成像技术得到了发展,使得以更直观的方式重建和理解肺的解剖结构成为可能。3D-CT成像技术的广泛应用不仅促使解剖学家,也促使外科医生和放射科医生开展了各种解剖学研究。这些研究催生了新的或经过改进的分类系统,从实用的手术角度阐明了肺的解剖结构,并使我们能够专注于特定解剖特征来分析肺的解剖结构。3D图像还能增强术前和术中模拟、提高手术安全性、增强教育实用性,并能够在更短的时间内进行大规模解剖学研究。在此,我们将回顾肺3D-CT成像的关键特征,以及关于(I)肺的一般解剖结构、(II)左右肺叶的解剖结构和(III)叶间血管特征的代表性解剖学研究。当前3D成像分析的热潮表明该领域正在不断发展,技术也在持续改进。未来使用这些新颖创新方法的研究将继续深化我们对肺解剖结构的理解,同时提高我们进行安全有效手术切除的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b972/10501054/a97bdeb4f98c/nihms-1929752-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b972/10501054/7f96bbcc032a/nihms-1929752-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b972/10501054/a9766ac8b9f8/nihms-1929752-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b972/10501054/a97bdeb4f98c/nihms-1929752-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b972/10501054/7f96bbcc032a/nihms-1929752-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b972/10501054/a9766ac8b9f8/nihms-1929752-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b972/10501054/a97bdeb4f98c/nihms-1929752-f0003.jpg

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引用本文的文献

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Advances in the Application of Three-Dimensional Reconstruction in Thoracic Surgery: A Comprehensive Review.

Thorac Cancer. 2025-9

[2]
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[3]
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本文引用的文献

[1]
Preoperative visualization of congenital lung abnormalities: hybridizing artificial intelligence and virtual reality.

Eur J Cardiothorac Surg. 2022-12-2

[2]
Application of three-dimensional computed tomography imaging and reconstructive techniques in lung surgery: A mini-review.

Front Surg. 2022-12-26

[3]
Anatomical type analysis of right interlobar artery based on chest thin-slice CT scan and three-dimensional reconstruction.

J Cardiothorac Surg. 2022-12-20

[4]
A cross-sectional study: analysis of anatomical variation in the right upper lung intersegmental vein V2a based on a 3D reconstruction technique.

J Thorac Dis. 2022-11

[5]
The regularity of anatomical variations of dominant pulmonary segments in the right upper lobe.

Thorac Cancer. 2023-2

[6]
The intersegmental pulmonary vein is not always located on the intersegmental plane of the lung: Evaluation with 3-dimensional volume-rendering image reconstruction.

JTCVS Tech. 2022-9-13

[7]
Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CT.

Front Oncol. 2022-11-21

[8]
Three-dimensional computed tomography reconstruction in video-assisted thoracoscopic segmentectomy (DRIVATS): A prospective, multicenter randomized controlled trial.

Front Surg. 2022-10-13

[9]
Anatomical resection for right B downwards-shifting malformation.

Gen Thorac Cardiovasc Surg. 2023-1

[10]
Prevalence and anatomical characteristics of subsuperior segment in lung lower lobe.

J Thorac Cardiovasc Surg. 2023-3

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