Three-dimensional seismic velocity tomography of the upper crust in Tengchong volcanic area, Yunnan Province

Based on data collected by deep seismic sounding carried out in 1999, a three-dimensional P wave velocity structure is determined with tomographic inversion. The tomographic result shows that there is a P wave low velocity zone (LVZ) in the upper crust beneath the Tengchong volcanic area. The LVZ is in the depth of 7~8 km and may be a smgma chamber or a partial melting body. The result also shows that the LVZ is in the northeastern side of the Rehai hydrothermal field, which is located in another LVZ near the surface. The shallow LVZ may represent a well-developed fracture zone. The strong hydrothermal activity in Rehai area can attribute to the existence of fractures between two LVZs. These fractures are the channels for going upwards of the deep hot fluid.

Computed tomography three-dimensional reconstruction in the diagnosis of bleeding small intestinal polyps:A case report

BACKGROUND Computed tomography(CT)small bowel three-dimensional(3D)reconstruction is a powerful tool for the diagnosis of small bowel disease and can clearly show the intestinal lumen and wall as well as the outside structure of the wall.The horizontal axis position can show the best adjacent intestinal tube and the lesion between the intestinal tubes,while the coronal position can show the overall view of the small bowel.The ileal end of the localization of the display of excellent,and easy to quantitative measurement of the affected intestinal segments,the sagittal position for the rectum and the pre-sacral lesions show the best,for the discovery of fistulae is also helpful.Sagittal view can show rectal and presacral lesions and is useful for fistula detection.It is suitable for the assessment of inflammatory bowel disease,such as assessment of disease severity and diagnosis and differential diagnosis of the small bowel and mesenteric space-occupying lesions as well as the judgment of small bowel obstruction points.CASE SUMMARY Bleeding caused by small intestinal polyps is often difficult to diagnose in clinical practice.This study reports a 29-year-old male patient who was admitted to the hospital with black stool and abdominal pain for 3 months.Using the combination of CT-3D reconstruction and capsule endoscopy,the condition was diagnosed correctly,and the polyps were removed using single-balloon enteroscopyendoscopic retrograde cholangiopancreatography without postoperative complications.CONCLUSION The role of CT-3D in gastrointestinal diseases was confirmed.CT-3D can assist in the diagnosis and treatment of gastrointestinal diseases in combination with capsule endoscopy and small intestinal microscopy.

Three-dimensional seismic attenuation tomography of Egypt

The main purpose of the paper is assessing the three-dimensional (3-D) seismic tomography beneath Egyptto reveal the laws of the tectonic activity, dynamic features of the crust and the upper mantle as well as the thermal structure. Thecoda wave attenuation (Q-1c ) was obtained using the single scattering theory for the central frequencies of interest laid between 1 and 24 Hz. A regionalization of the estimated Q-1c values was performed by means of a generalized inversion technique.The obtained spatial distribution of 3-D attenuation results revealshigh contrasts between East and West Egypt. A remarkable contrast in the attenuation levels was compared with the tectonic structures, geothermal gradient and heat flow features. The highest attenuations are concentrated in the east and north western offshore regionsat central frequency 1.5 Hzthat draw a good matching with the seismic andthermal features of Egypt. Smaller attenuation levels were detected with young sediments of the Nile Valley from South to the northern triangle of Nile Delta basin except seismic active areas. Low or normal attenuation was detected at western desert where there is a stable and simple shelf. We can conclude that the extended highest attenuation joins to the strong seismic sources and geothermal structures at lower frequency and the centralized high attenuation takes place at moderate seismic sources at a higher frequency. The 3D attenuation maps can draw not only tectonic and geothermal structures but also the general geologic structure map.

Three-dimensional seismic isolation bearing and its application in long span hangars

Based on the seismic response characteristics of space frame structures,a new type of seismic isolation bearing defined as a three-dimensional seismic isolation bearing（3DSIB） is developed in this paper.The bearing offers excellent properties such as multi-dimensional seismic isolation,reasonable rotation capability,good ability to resist lifting load,uncoupled stiffness in horizontal and vertical directions,etc.In the 3DSIB,the horizontal dimension is designed by combining the Teflon sliding device and helical spring,while the vertical dimension is developed by introducing disk springs or helical springs.The mathematical model of the 3DSIB was established and its performance with the critical parameters was tested on a shaking table.Furthermore,the 3DSIB was applied in a 120 m span hangar structure and simulated using SAP2000 software to evaluate its performance in practical structures.The performance of the structures with and without 3DSIB was compared.It is shown that the hangar structure with 3D bearings achieves a better performance.The axial force and acceleration response of the structures with 3DSIB are effectively reduced,while the displacement response of the bearing is within the predetermined range.

Limit analysis for the seismic stability of three-dimensional rock slopes using the generalized Hoek-Brown criterion

The parameters that influence slope stability and their criteria of failure are fairly understood but over-conservative design approaches are often preferred,which can result in excessive overburden removal that may jeopardize profitability in the context of open pit mining.Numerical methods such as finite element and discrete element modelling are instrumental to identify specific zones of stability,but they remain approximate and do not pinpoint the critical factors that influence stability without extensive parametric studies.A large number of degrees of freedom and input parameters may make the outcome of numerical modelling insufficient compared to analytical solutions.Existing analytical approaches have not tackled the stability of slopes using non-linear plasticity criteria and threedimensional failure mechanisms.This paper bridges this gap by using the yield design theory and the Hoek-Brown criterion.Moreover,the proposed model includes the effect of seismic forces,which are not always taken into account in slope stability analyses.The results are presented in the form of rigorous mathematical expressions and stability charts involving the loading conditions and the rock mass properties emanating from the plasticity criterion.

Probabilistic seismic stability of three-dimensional slopes by pseudo-dynamic approach

Probabilistic analysis is a rational approach for engineering design because it provides more insight than traditional deterministic analysis. Probabilistic evaluation on seismic stability of three dimensional (3D) slopes is studied in this paper. The slope safety factor is computed by combining the kinematic approach of limit analysis using a three-dimensional rotational failure mechanism with the pseudo-dynamic approach. The variability of input parameters, including six pseudo-dynamic parameters and two soil shear strength parameters, are taken into account by means of Monte-Carlo Simulations (MCS) method. The influences of pseudo-dynamic input variables on the computed failure probabilities are investigated and discussed. It is shown that the obtained failure probabilities increase with the pseudo-dynamic input variables and the pseudo-dynamic approach gives more conservative failure probability estimates compared with the pseudo-static approach.

Effects of dry-wet cycles on three-dimensional pore structure and permeability characteristics of granite residual soil using X-ray micro computed tomography

Due to seasonal climate alterations,the microstructure and permeability of granite residual soil are easily affected by multiple dry-wet cycles.The X-ray micro computed tomography(micro-CT)acted as a nondestructive tool for characterizing the microstructure of soil samples exposed to a range of damage levels induced by dry-wet cycles.Subsequently,the variations of pore distribution and permeability due to drywet cycling effects were revealed based on three-dimensional(3D)pore distribution analysis and seepage simulations.According to the results,granite residual soils could be separated into four different components,namely,pores,clay,quartz,and hematite,from micro-CT images.The reconstructed 3D pore models dynamically demonstrated the expanding and connecting patterns of pore structures during drywet cycles.The values of porosity and connectivity are positively correlated with the number of dry-wet cycles,which were expressed by exponential and linear functions,respectively.The pore volume probability distribution curves of granite residual soil coincide with the χ^(2)distribution curve,which verifies the effectiveness of the assumption of χ^(2)distribution probability.The pore volume distribution curves suggest that the pores in soils were divided into four types based on their volumes,i.e.micropores,mesopores,macropores,and cracks.From a quantitative and visual perspective,considerable small pores are gradually transformed into cracks with a large volume and a high connectivity.Under the action of dry-wet cycles,the number of seepage flow streamlines which contribute to water permeation in seepage simulation increases distinctly,as well as the permeability and hydraulic conductivity.The calculated hydraulic conductivity is comparable with measured ones with an acceptable error margin in general,verifying the accuracy of seepage simulations based on micro-CT results.

Research and application on three-dimensional seismic and vibration isolation for building

This paper presents the study of a three-dimensional(3D) isolation system.Firstly,the authors investigated the effects of an innovative 3D isolator,which was composed of a connecting plate,a rubber pad for vibration isolation in the vertical direction and a horizontal rubber bearing for seismic isolation in both horizontal directions.Secondly,the authors designed such a vibration isolation system and installed it underneath two specific residential buildings which were built directly over an existing subway communication hub platform in Beijing.These buildings required good performance vibration and seismic isolation system to reduce the impact from the running of nearby subway trains.Finally,in situ tests were conducted for both the isolated and the non-isolated buildings for the purpose of comparison.The test results showed that the maximum acceleration response level of the isolated superstructure is reduced by 10% as compared to that of the platform.The maximum attenuation of vibration reaches up to 25 dB.The 3D system explored in this paper is very effective in control and suppression of building vibration induced by earthquakes or running of trains.

The 2023 Turkey earthquake doublet: Earthquake relocation, seismic tomography, and stress field inversion

On February 6,2023,two earthquakes with magnitudes of M_(W) 7.8 and M_(W) 7.5 struck southeastern Turkey,causing significant casualties and economic losses.These seismic events occurred along the East Anatolian Fault Zone,a convergent boundary between the Arabian Plate and the Anatolian Subplate.In this study,we analyze the M_(W) 7.8 and M_(W) 7.5 earthquakes by comparing their aftershock relocations,tomographic images,and stress field inversions.The earthquakes were localized in the upper crust and exhibited steep dip angles.Furthermore,the aftershocks occurred either close to the boundaries of low and high P-wave velocity anomaly zones or within the low P-wave velocity anomaly zones.The East Anatolia Fault,associated with the M_(W) 7.8 earthquake,and the SürgüFault,related to the M_(W) 7.5 earthquake,predominantly experienced shear stress.However,their western sections experienced a combination of strike-slip and tensile stresses in addition to shear stress.The ruptures of the M_(W) 7.8 and M_(W) 7.5 earthquakes appear to have bridged a seismic gap that had seen sparse seismicity over the past 200 years prior to the 2023 Turkey earthquake sequence.

Preoperative diagnosis and operative effect of intracranial aneurysm with three-dimensional computed tomography angiography

BACKGROUND ： Digital subtraction angiography （DSA） is always regarded as the golden standard for diagnosis of intracranial aneurysm; however, the procedure is complex, traumatic, expensive and easy to induce vascular complication. Three-dimensional computed tomography angiography （3D-CTA） can make up deficiencies of DSA; therefore, it is used in clinical therapy wider and wider. OBJECTIVE ： To evaluate the clinical effect of 3D-CTA on disruption and hemorrhage of intracranial aneurysm pre- and post-operation and compare with the effect of DSA. DESIGN ： Auto-control contrast observation SETTING ： Department of Neurosurgery, Shengjing Hospital of China Medical University PARTICIPANTS ： A number of 106 patients with disruption and hemorrhage of intracranial aneurysm were selected from the Department of Neurosurgery, Shengjing Hospital of China Medical University from January 2003 to April 2006. All patients were diagnosed with cranial operation and consent. There were 47 males and 59 females aged from 3-76 years with the mean age of （47±13） years. Among them, 82 patients had extensive subarachnoid hemorrhage （SAH）, 7 had hemorrhage at longitudinal fissure, and 17 had hemorrhage at ambiens cistema and lateral fissure. Moreover, intraventricular hematocele was accompanied on 13 patients and hematom on 9 patients. METHODS： （1） 3D-CTA examination： Siemens SOMATOM Sensation 64 CT was used in this study. The thickness was 1 mm and interval of reconstruction was 0.8 mm. Localizing section was plainly scanned as the standard of canthus line. Scan ranged from 30 mm below sella to 50 mm above sella. Non-ion contrast medium of Omnipaque 350 （concentration of iodine was 350 g/L） was inserted into anterior vein of elbow with 18G trochar retained with high-pressured injectoc pum. The speed was 4.5 mL/s and the total volume was 80-100 mL with the means of 90 mL. Scan started at 10-20 s after injection of contrast medium. Original image was dealt with Leonardo workstation and retreated with Syngo software. Volume rendering and maximum intensity projection were used to reconstructed images, （2） All 106 patients suffered from occlusion of aneurysm clamp. Before operation, 3D-CTA was undertaken and DSA was followed. After operation, patients were rechecked with 3D-CTA. MAIN OUTCOME MEASURES： Comparisons between 3D-CTA and DSA. RESULTS ： All 106 patients were involved in the final analysis. （1） Examination of 3D-CTA and DSA： Among 118 patients with aneurysm, 110 were checked with 3D-CTA and the detected rate was 93.2% （110/118）. Among other 8 cases, 3 were negative and checked again with DSA; 1 had pericallosal aneurysm, 1 ophthalmic aneurysm, and 1 anterior choroidal artery of aneurysm. 3D-CTA results of other 5 cases were suspicious, and then, they were regarded as having aneurysm with DSA. Before operation, correlation among site, body, neck of aneurysm and peripheral anatomic structure were shown sufficiently. After operation, 82 patients were rechecked with 3D-CTA, which was complete occlusion, precise, unobvious constriction, emphraxis or remains as compared with 3D-CTA those pre-operation. （2） Characteristics of 3D-CTA： With multiple vessels and angles, 3D-CTA observed the relationship between aneurysm neck and carried artery and showed thrombosis in cavity of aneurysm, calcification of aneurysm wall and peripheral structure of vessel at the same time. However, DSA could not detect the reactions mentioned above. It could delete image of cranium, simulate image of operative route, eliminate artifact induced by metal, but not distinguish blood stream direction. Meanwhile, posterior communicating artery was always poor during circle of Willis artery showing. CONCLUSION： （1） 3D-CTA is characterized by simple operation and non-invasive showing vascular stereo structure and correlation. Therefore, it is significant for diagnosis and designing plan of operative approach and focal location pre-operation and evaluating effect post-operation. （2） 3D-CTA does not completely replace DSA on the diagnosis of intracranial aneurysm.

Three-dimensional computed tomography mapping of posterior malleolar fractures

BACKGROUND Posterior malleolar fractures have been reported to occur in<40%of ankle fractures.AIM To reveal the recurrent patterns and characteristics of posterior malleolar fractures by creating fracture maps of the posterior malleolar fractures through the use of computed tomography mapping.METHODS A consecutive series of posterior malleolar fractures was used to create threedimensional reconstruction images,which were oriented and superimposed to fit an ankle model template by both aligning specific biolandmarks and reducing reconstructed fracture fragments.Fracture lines were found and traced in order to generate an ankle fracture map.RESULTS This study involved 112 patients with a mean age of 49,comprising 32 pronationexternal rotation grade IV fractures and 80 supination-external rotation grade IV fractures according to the Lauge-Hansen classification system.Three-dimensional maps showed that the posterior ankle fracture fragments in the supinationexternal rotation grade IV group were relatively smaller than those in the pronation-external rotation grade IV group after posterior malleolus fracture.In addition,the distribution analyses on posterior malleolus fracture lines indicated that the supination-external rotation grade IV group tended to have higher linear density but more concentrated and orderly distribution fractures compared to the pronation-external rotation grade IV group.CONCLUSION Fracture maps revealed the fracture characteristics and recurrent patterns of posterior malleolar fractures,which might help to improve the understanding of ankle fracture as well as increase opportunities for follow-up research and aid clinical decision-making.

Terahertz Three-Dimensional Imaging Based on Computed Tomography with Photonics-Based Noise Source

Computed tomography has been proven to be useful for non-destructive inspection of structures and materials. We build a three-dimensional imaging system with the photonically generated incoherent noise source and the Schottky barrier diode detector in the terahertz frequency band （90–140GHz）. Based on the computed tomography technique, the three-dimensional image of a ceramic sample is reconstructed successfully by stacking the slices at different heights. The imaging results not only indicate the ability of terahertz wave in the non-invasive sensing and non-destructive inspection applications, but also prove the effectiveness and superiority of the uni-traveling-carrier photodiode as a terahertz source in the imaging applications.

Three-dimensional high-resolution velocity structure imaging and seismicity study of Yangbi Ms6.4 earthquake

In this study,based on the body wave arrival data of 5506 earthquakes recorded by 32 fi xed stations and 94 temporary stations in Yangbi and surrounding areas,the source parameters of Yangbi Ms6.4 earthquake sequence and three-dimensional(3-D)fi ne Vp,Vs,and Vp/Vs were inverted by using the consistency-constrained double-diff erence tomography method.The results showed that the focal depth after relocation was mostly in the range of 3–10 km,evidently nearly horizontally distributed,and concentrated in the weak area of the high-velocity body or at the side of the high-low-velocity body transition zone toward the high-velocity body,showing a good corresponding relationship with the velocity structure.The velocity structure in the Yangbi area has remarkably uneven characteristics.The seismic activity area is dominated by high-velocity bodies prone to brittle fracture near the surface.As the depth increases,low-velocity anomalies appear.A signifi cant diff erence was observed in the wave velocity ratio between the upper and lower sides of the seismically dense strip.Based on the focal mechanism of the Yangbi Ms6.4 earthquake and the fine 3-D velocity structure,this article concludes that the Yangbi Ms6.4 earthquake was caused by a strong regional tectonic stress concentrated in the relatively weak area by hard high-velocity bodies on the northwest sides.The Ms5.6 foreshock broke the inherent balance of regional stress and promoted the occurrence of the Yangbi Ms6.4 mainshock.Afterward,the stress was adjusted to a new equilibrium state through a large number of aftershocks,forming a foreshock–mainshock–aftershock type of seismic activity model.Based on the activity law of the Yangbi Ms6.4 earthquake sequence and characteristics of the 3D velocity structure distribution,this paper speculates that the seismogenic structure of the Yangbi earthquake was possibly a northwest strike-slip buried fault with a depth of 3–10 km on the southwest side of the Weixi–Qiaohou fault.

Three-dimensional visualization of soil pore structure using computed tomography

The geometric and spatial characteristics of pore structures determine the permeability and water retention of soils, which have important effects on soil functional diversity and ecological restoration. Until recently, there have not been tools and methods to visually and quantitatively describe the characteristics of soil pores. To solve this problem, this research reconstructs the geometry and spatial distribution of soil pores by the marching cubes method, texture mapping method and the ray casting method widely used in literature. The objectives were to explore an optimal method for three-dimensional visualization of soil pore structure by comparing the robustness of the three methods on soil CT images with single pore structure and porosity ranging from low (2–5%) to high (12–18%), and to evaluate the reconstruction performance of the three methods with different geometric features. The results demonstrate that there are aliases (jagged edges) and deficiency at the boundaries of the model reconstructed by the marching cubes method and pore volumes are smaller than the ground truth, whereas the results of the texture mapping method lack the details of pore structures. For all the soil images, the ray casting method is preferable since it better preserves the pore characteristics of the ground truth. Furthermore, the ray casting method produced the best soil pore model with higher rendering speed and lower memory consumption. Therefore, the ray casting method provides a more advanced method for visualization of pore structures and provides an optional technique for the study of the transport of moisture and the exchange of air in soil.

Evaluating the use of three-dimensional reconstruction visualization technology for precise laparoscopic resection in gastroesophageal junction cancer

BACKGROUND Laparoscopic gastrectomy for esophagogastric junction(EGJ)carcinoma enables the removal of the carcinoma at the junction between the stomach and esophagus while preserving the gastric function,thereby providing patients with better treatment outcomes and quality of life.Nonetheless,this surgical technique also presents some challenges and limitations.Therefore,three-dimensional reconstruction visualization technology(3D RVT)has been introduced into the procedure,providing doctors with more comprehensive and intuitive anatomical information that helps with surgical planning,navigation,and outcome evaluation.AIM To discuss the application and advantages of 3D RVT in precise laparoscopic resection of EGJ carcinomas.METHODS Data were obtained from the electronic or paper-based medical records at The First Affiliated Hospital of Hebei North University from January 2020 to June 2022.A total of 120 patients diagnosed with EGJ carcinoma were included in the study.Of these,68 underwent laparoscopic resection after computed tomography(CT)-enhanced scanning and were categorized into the 2D group,whereas 52 underwent laparoscopic resection after CT-enhanced scanning and 3D RVT and were categorized into the 3D group.This study had two outcome measures:the deviation between tumor-related factors(such as maximum tumor diameter and infiltration length)in 3D RVT and clinical reality,and surgical outcome indicators(such as operative time,intraoperative blood loss,number of lymph node dissections,R0 resection rate,postoperative hospital stay,postoperative gas discharge time,drainage tube removal time,and related complications)between the 2D and 3D groups.RESULTS Among patients included in the 3D group,27 had a maximum tumor diameter of less than 3 cm,whereas 25 had a diameter of 3 cm or more.In actual surgical observations,24 had a diameter of less than 3 cm,whereas 28 had a diameter of 3 cm or more.The findings were consistent between the two methods(χ^(2)=0.346,P=0.556),with a kappa consistency coefficient of 0.808.With respect to infiltration length,in the 3D group,23 patients had a length of less than 5 cm,whereas 29 had a length of 5 cm or more.In actual surgical observations,20 cases had a length of less than 5 cm,whereas 32 had a length of 5 cm or more.The findings were consistent between the two methods(χ^(2)=0.357,P=0.550),with a kappa consistency coefficient of 0.486.Pearson correlation analysis showed that the maximum tumor diameter and infiltration length measured using 3D RVT were positively correlated with clinical observations during surgery(r=0.814 and 0.490,both P<0.05).The 3D group had a shorter operative time(157.02±8.38 vs 183.16±23.87),less intraoperative blood loss(83.65±14.22 vs 110.94±22.05),and higher number of lymph node dissections(28.98±2.82 vs 23.56±2.77)and R0 resection rate(80.77%vs 61.64%)than the 2D group.Furthermore,the 3D group had shorter hospital stay[8(8,9)vs 13(14,16)],time to gas passage[3(3,4)vs 4(5,5)],and drainage tube removal time[4(4,5)vs 6(6,7)]than the 2D group.The complication rate was lower in the 3D group(11.54%)than in the 2D group(26.47%)(χ^(2)=4.106,P<0.05).CONCLUSION Using 3D RVT,doctors can gain a more comprehensive and intuitive understanding of the anatomy and related lesions of EGJ carcinomas,thus enabling more accurate surgical planning.

Three-Dimensional Computed Tomography Assessment and Planning for Severe Lower Limb Deformities: A Case Report of Bilateral Fibular Hemimelia

To correct a lower limb deformity, orthopedic surgeons must have an exact understanding of the deformity. In general, preoperative planning is carried out using anterior-posterior (AP) and lateral radiographs. However, for severe cases with a combination of angular and rotational deformities of the lower limb, obtaining true AP and lateral radiographs is difficult and accurate calculation of the rotational deformity from radiographs is impossible. In this report, we propose to focus on preoperative assessment using three-dimensional (3D) reconstruction images of computed tomography (CT) scans for severe lower limb deformity in a patient with bilateral fibular hemimelia type II according to the Achterman- Kalamchi classification. She underwent bifocal deformity corrections of the bilateral tibiae using Taylor spatial frames in combination with the Ilizarov external fixator. Complete bony union was achieved, without angular deformity or limb length discrepancy.

Three-dimensional stereotactic surface projection in the statistical analysis of single photon emission computed tomography data for distinguishing between Alzheimer's disease and depression

AIM To evaluate usefulness of single photon emission computed tomography(SPECT) with three-dimensional stereotactic surface projection(3D-SSP) in distinguishing between Alzheimer's disease(AD) and depression.METHODS We studied 43 patients who presented with both depressive symptoms and memory disturbance. Each subject was evaluated using the following:(1) the Minimal Mental State Examination;(2) the Hamilton Rating Scale for Depression;(3) Clinical Global Impression-Severity scale(CGI-S); and(4) SPECT imaging with 3D-SSP.RESULTS The MMSE scores correlated significantly with the maximum Z-scores of AD-associated regions. CGI-S scores correlated significantly with the maximum Z-scores of depression-associated regions. Factor analysis identified three significant factors. Of these, Factor 1 could be interpreted as favouring a tendency for AD, Factor 2 as favouring a tendency for pseudo-dementia, and Factor 3 as favouring a depressive tendency.CONCLUSION We investigated whether these patients could be categorized as types: Type A(true AD), Type B(pseudodementia), Type C(occult AD), and Type D(true depression). The factor scores in factor analysis supported the validity of this classification. Our results suggest that SPECT with 3D-SSP is highly useful for distinguishing between depression and depressed mood in the early stage of AD.

Phase II Clinical Study of Three-Dimensional Printed Coplanar Template Combined with CT-Guided Percutaneous Core Needle Biopsy of Pulmonary Nodules in Elderly Patients

Background: As the population age structure gradually ages, more and more elderly people were found to have pulmonary nodules during physical examinations. Most elderly people had underlying diseases such as heart, lung, brain and blood vessels and cannot tolerate surgery. Computed tomography (CT)-guided percutaneous core needle biopsy (CNB) was the first choice for pathological diagnosis and subsequent targeted drugs, immune drugs or ablation treatment. CT-guided percutaneous CNB requires clinicians with rich CNB experience to ensure high CNB accuracy, but it was easy to cause complications such as pneumothorax and hemorrhage. Three-dimensional (3D) printing coplanar template (PCT) combined with CT-guided percutaneous pulmonary CNB biopsy has been used in clinical practice, but there was no prospective, randomized controlled study. Methods: Elderly patients with lung nodules admitted to the Department of Oncology of our hospital from January 2019 to January 2023 were selected. A total of 225 elderly patients were screened, and 30 patients were included after screening. They were randomly divided into experimental group (Group A: 30 cases) and control group (Group B: 30 cases). Group A was given 3D-PCT combined with CT-guided percutaneous pulmonary CNB biopsy, Group B underwent CT-guided percutaneous pulmonary CNB. The primary outcome measure of this study was the accuracy of diagnostic CNB, and the secondary outcome measures were CNB time, number of CNB needles, number of pathological tissues and complications. Results: The diagnostic accuracy of group A and group B was 96.67% and 76.67%, respectively (P = 0.026). There were statistical differences between group A and group B in average CNB time (P = 0.001), number of CNB (1 vs more than 1, P = 0.029), and pathological tissue obtained by CNB (3 vs 1, P = 0.040). There was no statistical difference in the incidence of pneumothorax and hemorrhage between the two groups (P > 0.05). Conclusions: 3D-PCT combined with CT-guided percutaneous CNB can improve the puncture accuracy of elderly patients, shorten the puncture time, reduce the number of punctures, and increase the amount of puncture pathological tissue, without increasing pneumothorax and hemorrhage complications. We look forward to verifying this in a phase III randomized controlled clinical study. .

Three-dimensional computed tomography in laparoscopic surgery for coiorectal carcinoma

AIM： To evaluate the usefulness of three-dimensional computed tomography （3DCT） in laparoscopic surgery for colorectal carcinoma. METHODS： Seventy-two patients with colorectal cancer who underwent curative operation at our hospital were enrolled in this study. They were classified into two groups by operative procedures. Sixteen patients underwent laparoscopic surgery, laparoscopic group （LG）, while 56 patients underwent conventional open surgery, open group （OG）. At our institution, contrast-enhanced CT is routinely performed as part of intra-abdominal screening and the 3D images of the major regional vessels are described. We have previously described about the preoperative visualization of the inferior mesenteric artery （IMA） by 3DCT. This time we newly acquired 3D images of the superior mesenteric artery （SMA）/superior mesenteric vein （SMV）, ileocecal artery （ICA）, middle colic artery （MCA）, and inferior mesenteric vein （IMV）. We have compared our two study groups with regard to five items, including clinical anastomotic leakage. We have discussed here the role of 3DCT in laparoscopic surgery for colorectal carcinoma. RESULTS： The mean length of the incision in LG was 4.6254-0.89 cm, which was significantly shorter than that in OG （P〈0.001）. The association between ICA and SMV and SMA was described in the right-sided colectomy. The preoperative imaging of IMA and IMV was created in the rectosigmoidectomy. There was no significant difference in anastomotic leakage between the two groups, but no patients in LG experienced anastomotic leakage.CONCLUSION： Most of the patients are satisfied with the shorter incisional length following laparoscopic surgery. Preoperative visualization of the major regional vessels may be helpful for the secure treatment of the anastomosis in laparoscopic surgery for colorectal carcinoma.

Three-dimensional computed tomography reconstruction diagnosed digestive tract perforation and acute peritonitis caused by Monopterus albus:A case report

BACKGROUND Few reports have described living foreign bodies in the human body.The current manuscript demonstrates that computed tomography(CT)is an effective tool for accurate preoperative evaluation of living foreign bodies in clinic.The threedimensional(3D)reconstruction technology could clearly display anatomical structures,lesions and adjacent organs,improving diagnostic accuracy and guiding the surgical decision-making process.CASE SUMMARY Herein we describe a 68-year-old man diagnosed with digestive tract perforation and acute peritonitis caused by a foreign body of Monopterus albus.The patient pre-sented to the emergency department with complaints of dull abdominal pain,profuse sweating and a pale complexion during work.A Monopterus albus had entered the patient’s body through the anus two hours ago.During hospitalization,the 3D reconstruction technology revealed a perforation of the middle rectum complicated with acute peritonitis and showed a clear and complete Monopterus albus bone morphology in the abdominal and pelvic cavities,with the Monopterus albus biting the mesentery.Laparoscopic examination detected a large(diameter of about 1.5 cm)perforation in the mid-rectum.It could be seen that a Monopterus albus had completely entered the abdominal cavity and had tightly bitten the mesentery of the small intestine.During the operation,the dead Monopterus albus was taken out.CONCLUSION The current manuscript demonstrates that CT is an effective tool for accurate preoperative evaluation of living foreign bodies in clinic.