Nakazawa Seshiru, Nagashima Toshiteru, Kawatani Natsuko, Gedeon Patrick C, DeSimone Ariadne K, Igai Hitoshi, Kosaka Takayuki, Shirabe Ken
Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Video Assist Thorac Surg. 2023 Jun 30;8. doi: 10.21037/vats-23-21. Epub 2023 May 24.
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.
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。
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