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用于医学应用的人体肺部结构的计算机模拟。

Computer simulations of human lung structures for medical applications.

作者信息

Martonen T B, Yang Y, Hwang D, Fleming J S

机构信息

Health Effects Research Laboratory, U.S. Environmental Protection Agency, Research Triangle Park, NC 27711, USA.

出版信息

Comput Biol Med. 1995 Sep;25(5):431-46. doi: 10.1016/0010-4825(95)00027-2.

Abstract

Knowledge of the structure of the human lung has salient health effects applications. The clinical issues encompass: (1) aerosol therapy, the targeted delivery of inhaled particles to enhance the efficacies of pharmacologic drugs; and (2) nuclear medicine, where planar gamma camera imaging, Single Photon Emission Computer Tomography (SPECT) and Positron Emission Tomography (PET) assess the distribution patterns of radiolabeled diagnostic particles and gases. If the resolution of such images could be enhanced, medical regimens would greatly benefit. Therefore, the focused objective of our work was to develop 3-D mathematical descriptions of the complex airway networks within the lung. A Silicon Graphics workstation was used to depict the daedal structures. The computer-generated color illustrations presented herein are intended to complement medical investigation. They will assist the clinician by serving as templates for the lung and, thereby, providing a real basis for the analysis of relatively abstract images. The illustrations identify individual airways and could be of great importance to physicians in the treatment of airway diseases occurring at well defined locations (e.g. bronchogenic carcinomas). To demonstrate that computers can be actively integrated into medical research and practice we have addressed SPECT images of a subject. Computer templates will aid future clinical investigators in two major ways: (1) the interpretation of a planar gamma camera, SPECT and PET images; and (2) the design of drug testing protocols using inhalation exposures. Considering their usefulness for demonstration, the lung simulations have the potential of playing a substantive role in education.

摘要

了解人类肺部结构对健康影响具有显著的应用价值。临床问题包括:(1)气溶胶疗法,即通过靶向递送吸入颗粒来提高药物疗效;(2)核医学,其中平面伽马相机成像、单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET)用于评估放射性标记的诊断颗粒和气体的分布模式。如果能提高此类图像的分辨率,医疗方案将受益匪浅。因此,我们工作的重点目标是建立肺部复杂气道网络的三维数学描述。使用硅图形工作站来描绘这些复杂的结构。本文呈现的计算机生成的彩色插图旨在辅助医学研究。它们将作为肺部的模板帮助临床医生,从而为分析相对抽象的图像提供实际依据。这些插图可识别出各个气道,对于治疗特定部位(如支气管源性癌)发生的气道疾病的医生而言可能具有重要意义。为了证明计算机能够积极融入医学研究和实践,我们处理了一名受试者的SPECT图像。计算机模板将在两个主要方面帮助未来的临床研究人员:(1)解释平面伽马相机、SPECT和PET图像;(2)设计使用吸入暴露的药物测试方案。鉴于其在演示方面的实用性,肺部模拟在教育中具有发挥重要作用的潜力。

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