3D数字手术中手术图像的图像质量与可重复性之间的关系

Relationship between Image Quality and Reproducibility of Surgical Images in 3D Digital Surgery.

作者信息

Sakanishi Yoshihito, Usui-Ouchi Ayumi, Morita Shuu, Sakuma Toshiro, Ebihara Nobuyuki

机构信息

Juntendo University Urayasu Hospital, Tomioka 2-1-1, Urayasu 279-0021, Chiba, Japan.

出版信息

J Clin Med. 2024 May 23;13(11):3051. doi: 10.3390/jcm13113051.

Abstract

Ophthalmic three-dimensional (3D) digital surgery can reproduce high-definition surgical images; however, 3D digital surgery is limited by recording capacities. We examined the relationship between the minimum image quality required to reproduce surgical images and recording capacity. Patients who underwent simultaneous vitrectomy and cataract surgery by the same surgeon using a 3D digital surgery system at Juntendo University Urayasu Hospital between February and October 2021 were evaluated. Various quality (Q) and frame rate (FR) settings were used for each case. Four vitreous surgeons evaluated the reproducibility of recorded images of macular manipulation for epiretinal membrane (ERM) and macular hole (MH) cases and those of peripheral retinal manipulation for rhegmatogenous retinal detachment (RRD) cases. The video bitrate and minimum settings required to reproduce surgical images and factors affecting surgical image reproducibility were examined. A total of 129 eyes of 129 patients were observed. The minimum image quality required to reproduce surgical images was 11.67 Mbps. The Q and FR for periretinal processing and Q for macular manipulation affected surgical image reproducibility ( = 0.025, = 0.019, and = 0.07, respectively). The minimum recording settings required to obtain highly reproducible images were Q = 3 and FR = 40. The total file size for vitrectomy video recordings with these settings was as compact as 3.17 GB for 28 min. During 3D digital surgery, highly reproducible surgical images can be obtained with a small storage capacity using settings of at least Q = 3 and FR = 40.

摘要

眼科三维(3D)数字手术可以再现高清手术图像;然而,3D数字手术受到记录容量的限制。我们研究了再现手术图像所需的最低图像质量与记录容量之间的关系。对2021年2月至10月期间在顺天堂大学浦安医院由同一位外科医生使用3D数字手术系统同时进行玻璃体切除术和白内障手术的患者进行了评估。每个病例使用了各种质量(Q)和帧率(FR)设置。四名玻璃体外科医生评估了视网膜前膜(ERM)和黄斑裂孔(MH)病例黄斑操作记录图像的再现性以及孔源性视网膜脱离(RRD)病例周边视网膜操作记录图像的再现性。研究了再现手术图像所需的视频比特率和最低设置以及影响手术图像再现性的因素。共观察了129例患者的129只眼睛。再现手术图像所需的最低图像质量为11.67Mbps。视网膜周边处理的Q和FR以及黄斑操作的Q影响手术图像的再现性(分别为 = 0.025、 = 0.019和 = 0.07)。获得高再现性图像所需的最低记录设置为Q = 3和FR = 40。使用这些设置进行玻璃体切除视频记录的总文件大小在28分钟内紧凑至3.17GB。在3D数字手术期间,使用至少Q = 3和FR = 40的设置可以用较小的存储容量获得高再现性的手术图像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f18f/11172911/bb30d673bacb/jcm-13-03051-g001.jpg

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