64排螺旋CT扫描数据的肝脏及腹腔血管三维重建的研究

Three dimensional reconstruction of the liver and the abdominal blood vessels based on the 64-slice spiral CT data

目的探讨利用64排螺旋CT扫描数据进行肝脏及其内部管道和腹腔血管的计算机辅助三维重建的准确性及临床意义。方法利用64排螺旋CT薄层扫描正常人肝脏二维图像数据集，采用自主研发的医学图像处理系统对二维图像数据进行肝脏及其肝内管道、腹腔血管系统三维可视化重建，并对重建肝脏模型的体积与肝脏实际体积以及重建门静脉与64排螺旋CT后处理工作站采用容积再现法重建的门静脉进行对比研究。结果肝动脉、门静脉和肝静脉系统三维效果逼真，立体感强，可任意角度旋转、观察；能够显示肝内各主要管道系统的空间位置关系，并准确地反映肝脏实际体积及肝内管道系统的真实情况。通过调节肝脏的透明度可同时显示肝脏和肝内动静脉、门静脉分支和腹腔动脉系统。计算机重建后的门静脉与螺旋CT后处理工作站容积再现法重建的门静脉完全一致。结论计算机辅助的三维肝脏及其管道和腹腔血管系统能准确反映人体的真实结构，为肝脏的虚拟手术设计提供了可靠和真实的虚拟器官和血管系统。

Objective To explore the accuracy and practical significance of the 3-dimensional （3D） reconstruction of the liver and the abdominal blood vessels based on the data of 64-slice spiral computerized tomography （64S-SCT）. Methods The 2D images of the liver and the abdominal blood vessels were collected after TLC-scanning with 64S-SCT. The 3D images of the liver, hepatic internal duct system and the abdominal blood vessels were reconstructed by the medical image processing system. The volume of the 3D reconstructed liver was compared with that of the actual liver measured by the 64S-SCT, and the portal vein of the reconstructed liver model was compared with that reconstructed by the Mxview workstation based on the 64S-SCT data. Results The 3D models of the liver, hepatic internal duct system and abdominal blood vessels were vivid, and could be revolved and observed at any direction. The spatial relationship among main intrahepatic ducts was clearly displayed. The actual liver volume and the condition of the intrahepatic ducts were accurately demonstrated. The reconstructed liver, the branches of the hepatic artery and portal vein, and the abdominal blood vessels were simultaneously displayed by adjusting the transparency of the liver model. The portal vein of the reconstructed liver model completely matched that reconstructed by the Mxview workstation based on the 64S-SCT data. Conclusions The 3D models of the liver, hepatic internal duct system and abdominal blood vessels reflect the human anatomy structure, and provide reliable virtual organs and vessel system for virtual liver surgery.