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用于血管瘤治疗术前规划的复杂生物表面的图像传感器驱动三维建模

Image Sensor-Driven 3D Modeling of Complex Biological Surfaces for Preoperative Planning of Hemangioma Treatment.

作者信息

Peksa Janis, Kukharenko Dmytro, Perekrest Andrii, Mamchur Dmytro

机构信息

Information Technology Faculty, Turiba University, Graudu Street 68, LV-1058 Riga, Latvia.

Institute of Information Technology, Riga Technical University, Kalku Street 1, LV-1658 Riga, Latvia.

出版信息

Sensors (Basel). 2025 Sep 17;25(18):5781. doi: 10.3390/s25185781.

DOI:10.3390/s25185781
PMID:41013019
Abstract

The advancement of science and technology has elevated the practice of surgery where computer systems now perform the majority of calculations required for successful interventions. This technological progress can be leveraged to foster surgical improvements by developing and implementing novel computer models for the preoperative planning of surgical treatments. Such systems enable surgeons to select optimal treatment tactics and dosages of operative interventions tailored to individual patients. Currently, there is no consensus on the use of expectant management for hemangiomas, as the most effective therapeutic strategy often depends on the tumor's type and location, with early treatment being critical in some cases. Accurate diagnosis and effective treatment necessitate precise determination of the tumor's type, growth characteristics, structure, and location. The use of a surgical method for hemangiomas removal is better for the removal of small formations in places that are not critical from a cosmetic prospective (for example, for males this might be the back and legs). This paper presents a method for creating a three-dimensional (3D) model of hemangioma using polynomial approximation and spline modeling to assist surgeons. The development of the mathematical model, the software implementation, and a comprehensive error analysis are explained in this work. The resulting model demonstrated an average approximation error of 5.6%, and a discriminant analysis confirmed the significance of five key parameters for successful resection. The proposed system offers a robust and economically viable tool for improving the accuracy and outcomes of hemangioma surgery.

摘要

科学技术的进步提升了外科手术的水平,如今计算机系统承担了成功干预所需的大部分计算工作。通过开发和实施用于外科治疗术前规划的新型计算机模型,可以利用这一技术进步来促进手术改进。这样的系统使外科医生能够为个体患者选择最佳的治疗策略和手术干预剂量。目前,对于血管瘤的期待性管理的使用尚无共识,因为最有效的治疗策略通常取决于肿瘤的类型和位置,在某些情况下早期治疗至关重要。准确的诊断和有效的治疗需要精确确定肿瘤的类型、生长特征、结构和位置。从美容角度来看,对于非关键部位的小病灶,采用手术方法切除血管瘤更好(例如,对于男性来说,可能是背部和腿部)。本文提出了一种使用多项式逼近和样条建模来创建血管瘤三维(3D)模型的方法,以协助外科医生。这项工作解释了数学模型的开发、软件实现以及全面的误差分析。所得模型的平均逼近误差为5.6%,判别分析证实了五个关键参数对于成功切除的重要性。所提出的系统为提高血管瘤手术的准确性和效果提供了一个强大且经济可行的工具。

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本文引用的文献

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The Evaluation, Diagnosis, and Management of Infantile Hemangiomas-A Comprehensive Review.婴儿血管瘤的评估、诊断与管理——全面综述
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3D printing as surgical planning and training in pediatric endoscopic skull base surgery - Systematic review and practical example.3D打印在小儿内镜颅底手术中的手术规划与培训——系统评价及实例
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Update on Treatment of Infantile Hemangiomas: What's New in the Last Five Years?婴儿血管瘤治疗的最新进展:过去五年有哪些新变化?
Front Pharmacol. 2022 May 26;13:879602. doi: 10.3389/fphar.2022.879602. eCollection 2022.
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3D Printing and Virtual Surgical Planning in Oral and Maxillofacial Surgery.口腔颌面外科中的3D打印与虚拟手术规划
J Clin Med. 2022 Apr 24;11(9):2385. doi: 10.3390/jcm11092385.
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The Role of 3D Printing in Planning Complex Medical Procedures and Training of Medical Professionals-Cross-Sectional Multispecialty Review.3D打印在复杂医疗程序规划及医学专业人员培训中的作用——横断面多专业综述
Int J Environ Res Public Health. 2022 Mar 11;19(6):3331. doi: 10.3390/ijerph19063331.
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