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用于口腔颌面区域肿瘤的先进成像及基于术前磁共振成像的动态渲染重建

Advanced Imaging and Preoperative MR-Based Cinematic Rendering Reconstructions for Neoplasms in the Oral and Maxillofacial Region.

作者信息

Al-Haj Husain Adib, Stojicevic Milica, Hainc Nicolin, Stadlinger Bernd

机构信息

Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland.

Department of Cranio-Maxillofacial and Oral Surgery, University Hospital Zurich, University of Zurich, 8032 Zurich, Switzerland.

出版信息

Diagnostics (Basel). 2024 Dec 26;15(1):33. doi: 10.3390/diagnostics15010033.

Abstract

This case study highlights the use of cinematic rendering (CR) in preoperative planning for the excision of a cyst in the oral and maxillofacial region of a 60-year-old man. The patient presented with a firm, non-tender mass in the right cheek, clinically suspected to be an epidermoid cyst. Conventional imaging, including dental magnetic resonance imaging (MRI) protocols, confirmed the lesion's size, location, and benign nature. CR reconstructions, combining advanced algorithms and novel skin presets, allow for the generation of highly realistic, three-dimensional visualizations from conventional imaging datasets. CR provided an enhanced, detailed depiction of the lesion within its anatomical context, significantly improving spatial understanding for surgical planning. The surgical excision was performed without complications, and histological analysis confirmed the diagnosis of a benign epidermoid cyst with no evidence of dysplasia or malignancy. This case demonstrates the potential of CR to refine preoperative planning, especially in complex anatomical regions such as the face and jaw, by offering superior visualization of superficial and deep structures. Thus, the integration of CR into clinical workflows has the potential to lead to improved diagnostic accuracy and better surgical outcomes.

摘要

本案例研究重点介绍了电影渲染(CR)在一名60岁男性口腔颌面部囊肿切除术前规划中的应用。患者右侧脸颊出现一个质地坚硬、无压痛的肿块,临床怀疑为表皮样囊肿。包括牙科磁共振成像(MRI)方案在内的传统成像检查,确认了病变的大小、位置及良性性质。CR重建技术结合了先进算法和新颖的皮肤预设,能够从传统成像数据集中生成高度逼真的三维可视化图像。CR在解剖背景下对病变进行了增强的、详细的描绘,显著提升了手术规划的空间理解。手术切除过程无并发症,组织学分析证实为良性表皮样囊肿,无发育异常或恶性迹象。本案例表明,CR通过提供浅表和深部结构的卓越可视化效果,在优化术前规划方面具有潜力,尤其是在面部和颌骨等复杂解剖区域。因此,将CR整合到临床工作流程中,有可能提高诊断准确性并改善手术效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0221/11720703/7253b1d104a5/diagnostics-15-00033-g001.jpg

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