BACKGROUND: Split liver transplantation increases the number of grafts available for transplantation. Pre-recovery assessment of liver graft volume is essential for selecting suitable recipients. The purpose of this ...BACKGROUND: Split liver transplantation increases the number of grafts available for transplantation. Pre-recovery assessment of liver graft volume is essential for selecting suitable recipients. The purpose of this study was to determine the ability and feasibility of constructing a 3-D model to aid in surgical planning and to predict graft weight prior to an in situ division of the donor liver. METHODS: Over 11 months, 3-D volumetric reconstruction of 4 deceased donors was performed using Pathfinder Scout liver volumetric software. Demographic, laboratory, operative, perioperative and survival data for these patients along with donor demographic data were collected prospectively and analyzed retrospectively. RESULTS: The average predicted weight of the grafts from the adult donors obtained from an in situ split procedure were 1130 g (930-1458 g) for the extended right lobe donors and 312 g (222-396 g) for left lateral segment grafts. Actual adult graft weight was 92% of the predicted weight for both the extended right grafts and the left lateral segment grafts. The predicted and actual graft weights for the pediatric donors were 176 g and 210 g for the left lateral segment grafts and 308 g and 280 g for the extended right lobe grafts,respectively. All grafts were transplanted except for the right lobe from the pediatric donors due to the small graft weight.CONCLUSIONS: On-site volumetric assessment of donors provides useful information for the planning of an in situ split and for selection of recipients. This information may expand the donor pool to recipients previously felt to be unsuitable due to donor and/or recipient weight.展开更多
Accurate 3-dimensional(3-D)reconstruction technology for nondestructive testing based on digital radiography(DR)is of great importance for alleviating the drawbacks of the existing computed tomography(CT)-based method...Accurate 3-dimensional(3-D)reconstruction technology for nondestructive testing based on digital radiography(DR)is of great importance for alleviating the drawbacks of the existing computed tomography(CT)-based method.The commonly used Monte Carlo simulation method ensures well-performing imaging results for DR.However,for 3-D reconstruction,it is limited by its high time consumption.To solve this problem,this study proposes a parallel computing method to accelerate Monte Carlo simulation for projection images with a parallel interface and a specific DR application.The images are utilized for 3-D reconstruction of the test model.We verify the accuracy of parallel computing for DR and evaluate the performance of two parallel computing modes-multithreaded applications(G4-MT)and message-passing interfaces(G4-MPI)-by assessing parallel speedup and efficiency.This study explores the scalability of the hybrid G4-MPI and G4-MT modes.The results show that the two parallel computing modes can significantly reduce the Monte Carlo simulation time because the parallel speedup increment of Monte Carlo simulations can be considered linear growth,and the parallel efficiency is maintained at a high level.The hybrid mode has strong scalability,as the overall run time of the 180 simulations using 320 threads is 15.35 h with 10 billion particles emitted,and the parallel speedup can be up to 151.36.The 3-D reconstruction of the model is achieved based on the filtered back projection(FBP)algorithm using 180 projection images obtained with the hybrid G4-MPI and G4-MT.The quality of the reconstructed sliced images is satisfactory because the images can reflect the internal structure of the test model.This method is applied to a complex model,and the quality of the reconstructed images is evaluated.展开更多
BACKGROUND Duodenum-preserving pancreatic head resection(DPPHR)is the choice of surgery for benign or low-grade malignant tumors of the pancreatic head.Laparoscopic DPPHR(LDPPHR)procedure can be improved by preoperati...BACKGROUND Duodenum-preserving pancreatic head resection(DPPHR)is the choice of surgery for benign or low-grade malignant tumors of the pancreatic head.Laparoscopic DPPHR(LDPPHR)procedure can be improved by preoperative 3D model reconstruction and the use of intravenous indocyanine green fluorescent before surgery for real-time navigation with fluorescent display to guide the surgical dissection and prevention of from injury to vessels and biliary tract.CASE SUMMARY Here we report the successful short-and long-term outcomes after one year following LDPPHR for a 60-year lady who had an uneventful recovery and was discharged home one week after the surgery.CONCLUSION There was no bile leakage or pancreatic leakage or delayed gastric emptying.The histopathology report showed multiple cysts in the pancreatic head and localized pancreatic intraepithelial tumor lesions.The resected margin was free of tumor.展开更多
This paper combines the least-square method and iteration method to get the fundamental matrix and develops a new evaluation function based on the epipolar geometry. During the iteration, with the evaluation function ...This paper combines the least-square method and iteration method to get the fundamental matrix and develops a new evaluation function based on the epipolar geometry. During the iteration, with the evaluation function as a measurment, the points which bring larger noise are deleted, and the points with smaller noise are retained, thus the precision of our method is increased. The experiment results indicate the new method is precise in calculation, stable in performance and resistant to noise.展开更多
This paper presents a method to reconstruct 3-D models of trees from terrestrial laser scan(TLS)point clouds.This method uses the weighted locally optimal projection(WLOP)and the AdTree method to reconstruct detailed ...This paper presents a method to reconstruct 3-D models of trees from terrestrial laser scan(TLS)point clouds.This method uses the weighted locally optimal projection(WLOP)and the AdTree method to reconstruct detailed 3-D tree models.To improve its representation accuracy,the WLOP algorithm is introduced to consolidate the point cloud.Its reconstruction accuracy is tested using a dataset of ten trees,and the one-sided Hausdorff distances between the input point clouds and the resulting 3-D models are measured.The experimental results show that the optimal projection modeling method has an average one-sided Hausdorff distance(mean)lower by 30.74%and 6.43%compared with AdTree and AdQSM methods,respectively.Furthermore,it has an average one-sided Hausdorff distance(RMS)lower by 29.95%and 12.28%compared with AdTree and AdQSM methods.Results show that the 3-D model generated fits closely to the input point cloud data and ensures a high geometrical accuracy.展开更多
The soft measurement technology of flame temperature field is an efficient method to learn the combustion status in furnace. Generally, it reconstructs the temperature field in furnace through the image of flame, whic...The soft measurement technology of flame temperature field is an efficient method to learn the combustion status in furnace. Generally, it reconstructs the temperature field in furnace through the image of flame, which is a process to solve radiative inverse problem. In this paper, the flame of pulverized coal is considered as 3-D, absorbing, emitting, and anisotropically scattering non-gray medium. Through the study on inverse problem of radiative heat transfer, the temperature field in this kind of medium has been reconstructed. The mechanism of 3-D radiative heat transfer in a rectangular media, which is 2 m×3 m× 5 m and full of CO2, N2 and carbon particles, is studied with Monte Carlo method. The 3-D temperature field in this rectangular space is reconstructed and the influence of particles density profile is discussed.展开更多
Although automobile is an indispensable vehicle to modern life, it also serves as a social problem with a big traffic accident. Among the reasons of traffic accidents, careless driving accounts for the largest part. S...Although automobile is an indispensable vehicle to modern life, it also serves as a social problem with a big traffic accident. Among the reasons of traffic accidents, careless driving accounts for the largest part. So in order to avoid the careless driving, a system which can measure the posture of a driver and warns driver to drive carefully in the case of looking aside is necessary. Although the image measurement method is used broadly, there is a problem on which measurement accuracy is influenced by environment light, makeup of the driver, etc. in the general method based on the two-dimensional image. Therefore, in this study, we propose an image measurement method to obtain the head posture of driver. First we use three-dimensional measurement method which based on the infrared pattern projection to get 3-D information of head, and then we calculate the angle for faces. In this paper, we explain the composition method of an experiment system, and the results of head posture measurement experiment.展开更多
It is an active research area to reconstruct 3-D object and display its visible surfacesfrom cross-sectional images. In this paper, the methods of reconstructing 3-D object from medicalCT images and displaying the vis...It is an active research area to reconstruct 3-D object and display its visible surfacesfrom cross-sectional images. In this paper, the methods of reconstructing 3-D object from medicalCT images and displaying the visible surfaces are discussed. A polygon approximation methodthat forms polygon with the same number of segment points and a fast interpolation method forcross-sectional contours are presented at first. Then the voxel set of a human liver is reconstructed.And then the liver voxel set is displayed using depth and gradient shading methods. The softwareis written in C programming language at a microcomputer image processing system with a PC/ATcomputer as the host and a PC-VISION board as the image processing unit. The result of theprocessing is satisfying.展开更多
This article presents a passive navigation method of terrain contour matching by reconstructing the 3-D terrain from the image sequence(acquired by the onboard camera).To achieve automation and simultaneity of the ima...This article presents a passive navigation method of terrain contour matching by reconstructing the 3-D terrain from the image sequence(acquired by the onboard camera).To achieve automation and simultaneity of the image sequence processing for navigation,a correspondence registration method based on control points tracking is proposed which tracks the sparse control points through the whole image sequence and uses them as correspondence in the relation geometry solution.Besides,a key frame selection method based on the images overlapping ratio and intersecting angles is explored,thereafter the requirement for the camera system configuration is provided.The proposed method also includes an optimal local homography estimating algorithm according to the control points,which helps correctly predict points to be matched and their speed corresponding.Consequently,the real-time 3-D terrain of the trajectory thus reconstructed is matched with the referenced terrain map,and the result of which provides navigating information.The digital simulation experiment and the real image based experiment have verified the proposed method.展开更多
Non-line-of-sight(NLOS)imaging is a novel radar sensing technology that enables the reconstruction of hidden targets.However,it may suffer from synthetic aperture length reduction caused by ambient occlusion.In this s...Non-line-of-sight(NLOS)imaging is a novel radar sensing technology that enables the reconstruction of hidden targets.However,it may suffer from synthetic aperture length reduction caused by ambient occlusion.In this study,a complex total variation(CTV)regularization-based sparse reconstruction method for NLOS three-dimensional(3-D)imaging by millimeter-wave(mm W)radar,named RM-CSTV method,is proposed to improve imaging quality and speed.In this scheme,the NLOS imaging model is first introduced,and associated geometric constraints for NLOS objects are established.Second,an effective high-resolution NLOS imaging method based on the range migration(RM)kernel and complex sparse joint total variation constraint,dubbed as modified RM-CSTV,is proposed for 3-D high-resolution imaging with edge information.The experiments with multi-type NLOS targets show that the proposed RM-CSTV method can provide effective and high-resolution NLOS targets 3-D imaging.展开更多
SecA is the essential component of the signal-peptide dependent translocation pathway in Escherichia coil (E.coh). The structure and function of SecA must be known to understand the molecular mechanism of preprotein...SecA is the essential component of the signal-peptide dependent translocation pathway in Escherichia coil (E.coh). The structure and function of SecA must be known to understand the molecular mechanism of preprotein translocation. The high flexibility of SecA causes a dynamic conformational heterogeneity which presents a barrier to the growth of crystals of high diffraction quality. Electron microscopy was used to resolve the macromolecular structure of SecA in solution by negative staining and single particle analysis at a resolution of 2.9 nm. The structure of E. coil SecA is similar to the dimeric form of Bacillus subtilis SecA and is 10 nm × 10 nm × 5 nm in size.展开更多
Background The Visible Human Project(VHP) initiated by the U.S. National Library of Medicine has drawn much attention and interests from around the world. The Visible Chinese Human(VCH) project has started in China. T...Background The Visible Human Project(VHP) initiated by the U.S. National Library of Medicine has drawn much attention and interests from around the world. The Visible Chinese Human(VCH) project has started in China. The current study aims at acquiring a feasible virtual methodology for reconstructing the temporal bone of the Chinese population, which may provide an accurate 3-D model of important temporal bone structures that can be used in teaching and patient care for medical scientists and clinicians. Methods A series of sectional images of the temporal bone were generated from section slices of a female cadaver head. On each sectional image, SOIs (structures of interest) were segmented by carefully defining their contours and filling their areas with certain gray scale values. The processed volume data were then inducted into the 3D Slicer software(developed by the Surgical Planning Lab at Brigham and Women’s Hospital and the MIT AI Lab) for resegmentation and generation of a set of tagged images of the SOIs. 3D surface models of SOIs were then reconstructed from these images. Results The temporal bone and structures in the temporal bone, including the tympanic cavity, mastoid cells, sigmoid sinus and internal carotid artery, were successfully reconstructed. The orientation of and spatial relationship among these structures were easily visualized in the reconstructed surface models. Conclusion The 3D Slicer software can be used for 3- dimensional visualization of anatomic structures in the temporal bone, which will greatly facilitate the advance of knowledge and techniques critical for studying and treating disorders involving the temporal bone.展开更多
Aim:Summarize the available data on midfacial virtual patient specific planning and patient specific implants,highlighting the financial costs and savings,and additionally emphasize the potential cost implications of ...Aim:Summarize the available data on midfacial virtual patient specific planning and patient specific implants,highlighting the financial costs and savings,and additionally emphasize the potential cost implications of transitioning to“in-house”virtual 3D modeling and printing.Methods:Review of current literature.Results:Current literature suggests cost benefits of virtual patient specific planning and patient specific implants in the form of improved ischemia time,better boney apposition between flaps,and reduced patient complications.This reduction of complications includes a reduction in blood loss and time spent in the intensive care unit from flap failure.Improved boney apposition results in a higher likelihood of boney union and a further reduction in failure and complications.Subjective benefits of virtual patient specific planning and patient specific implants are shown in the form of improved reconstructive surgeon mental energy.In-house production of 3D models and presurgical planning provides additional cost benefits for providers as they can produce viable models at a fraction of the price of that which is produced by industrial companies.Providers can also construct and use models in an expedient manner compared to industrial models,allowing for the opportunity to be utilized in more acute settings.The foundation of developing an in-house workflow is adequate funding,resources,and clinical volume.Facilities also must focus on appropriate quality and safety measures,as well as appropriate workflow development for adequate production of models.Conclusion:Virtual patient specific planning and patient specific implants show benefits in midfacial reconstructive outcomes,resulting in realized financial and temporal gains for both patient and provider.These gains may be enhanced by moving to in-house planning and printing.展开更多
目前尚没有统一的确定股骨头坏死病灶的大小和部位的方法,导致对股骨头坏死的治疗方案存在争议。该文利用三维重建技术对坏死股骨头的M R I影像进行重构,获得坏死股骨头的三维几何模型,并由几何模型测量得到股骨头及坏死病灶的体积,同...目前尚没有统一的确定股骨头坏死病灶的大小和部位的方法,导致对股骨头坏死的治疗方案存在争议。该文利用三维重建技术对坏死股骨头的M R I影像进行重构,获得坏死股骨头的三维几何模型,并由几何模型测量得到股骨头及坏死病灶的体积,同时进行临床实验获得真实坏死股骨头的体积数据。通过对38髋病人股骨头的计算机几何模型数据与临床实验数据的统计分析,讨论了股骨头坏死病灶大小和部位与股骨头塌陷的关系。结果表明,该方法可用于指导选择最佳的临床治疗方案。展开更多
文摘BACKGROUND: Split liver transplantation increases the number of grafts available for transplantation. Pre-recovery assessment of liver graft volume is essential for selecting suitable recipients. The purpose of this study was to determine the ability and feasibility of constructing a 3-D model to aid in surgical planning and to predict graft weight prior to an in situ division of the donor liver. METHODS: Over 11 months, 3-D volumetric reconstruction of 4 deceased donors was performed using Pathfinder Scout liver volumetric software. Demographic, laboratory, operative, perioperative and survival data for these patients along with donor demographic data were collected prospectively and analyzed retrospectively. RESULTS: The average predicted weight of the grafts from the adult donors obtained from an in situ split procedure were 1130 g (930-1458 g) for the extended right lobe donors and 312 g (222-396 g) for left lateral segment grafts. Actual adult graft weight was 92% of the predicted weight for both the extended right grafts and the left lateral segment grafts. The predicted and actual graft weights for the pediatric donors were 176 g and 210 g for the left lateral segment grafts and 308 g and 280 g for the extended right lobe grafts,respectively. All grafts were transplanted except for the right lobe from the pediatric donors due to the small graft weight.CONCLUSIONS: On-site volumetric assessment of donors provides useful information for the planning of an in situ split and for selection of recipients. This information may expand the donor pool to recipients previously felt to be unsuitable due to donor and/or recipient weight.
基金the China Natural Science Fund(No.52171253)the Natural Science Foundation of Sichuan(No.2022NSFSCO949).
文摘Accurate 3-dimensional(3-D)reconstruction technology for nondestructive testing based on digital radiography(DR)is of great importance for alleviating the drawbacks of the existing computed tomography(CT)-based method.The commonly used Monte Carlo simulation method ensures well-performing imaging results for DR.However,for 3-D reconstruction,it is limited by its high time consumption.To solve this problem,this study proposes a parallel computing method to accelerate Monte Carlo simulation for projection images with a parallel interface and a specific DR application.The images are utilized for 3-D reconstruction of the test model.We verify the accuracy of parallel computing for DR and evaluate the performance of two parallel computing modes-multithreaded applications(G4-MT)and message-passing interfaces(G4-MPI)-by assessing parallel speedup and efficiency.This study explores the scalability of the hybrid G4-MPI and G4-MT modes.The results show that the two parallel computing modes can significantly reduce the Monte Carlo simulation time because the parallel speedup increment of Monte Carlo simulations can be considered linear growth,and the parallel efficiency is maintained at a high level.The hybrid mode has strong scalability,as the overall run time of the 180 simulations using 320 threads is 15.35 h with 10 billion particles emitted,and the parallel speedup can be up to 151.36.The 3-D reconstruction of the model is achieved based on the filtered back projection(FBP)algorithm using 180 projection images obtained with the hybrid G4-MPI and G4-MT.The quality of the reconstructed sliced images is satisfactory because the images can reflect the internal structure of the test model.This method is applied to a complex model,and the quality of the reconstructed images is evaluated.
文摘BACKGROUND Duodenum-preserving pancreatic head resection(DPPHR)is the choice of surgery for benign or low-grade malignant tumors of the pancreatic head.Laparoscopic DPPHR(LDPPHR)procedure can be improved by preoperative 3D model reconstruction and the use of intravenous indocyanine green fluorescent before surgery for real-time navigation with fluorescent display to guide the surgical dissection and prevention of from injury to vessels and biliary tract.CASE SUMMARY Here we report the successful short-and long-term outcomes after one year following LDPPHR for a 60-year lady who had an uneventful recovery and was discharged home one week after the surgery.CONCLUSION There was no bile leakage or pancreatic leakage or delayed gastric emptying.The histopathology report showed multiple cysts in the pancreatic head and localized pancreatic intraepithelial tumor lesions.The resected margin was free of tumor.
基金Supported by the National Science Foundation(69275004)the France-China Advanced Research Program
文摘This paper combines the least-square method and iteration method to get the fundamental matrix and develops a new evaluation function based on the epipolar geometry. During the iteration, with the evaluation function as a measurment, the points which bring larger noise are deleted, and the points with smaller noise are retained, thus the precision of our method is increased. The experiment results indicate the new method is precise in calculation, stable in performance and resistant to noise.
基金supported in part by the National Natural Science Foundation of China(Nos.42271343,42177387)the Fund of State Key Laboratory of Remote Sensing Information and Image Analysis Technology of Beijing Research Institute of Uranium Geology under(No.6142A010403)
文摘This paper presents a method to reconstruct 3-D models of trees from terrestrial laser scan(TLS)point clouds.This method uses the weighted locally optimal projection(WLOP)and the AdTree method to reconstruct detailed 3-D tree models.To improve its representation accuracy,the WLOP algorithm is introduced to consolidate the point cloud.Its reconstruction accuracy is tested using a dataset of ten trees,and the one-sided Hausdorff distances between the input point clouds and the resulting 3-D models are measured.The experimental results show that the optimal projection modeling method has an average one-sided Hausdorff distance(mean)lower by 30.74%and 6.43%compared with AdTree and AdQSM methods,respectively.Furthermore,it has an average one-sided Hausdorff distance(RMS)lower by 29.95%and 12.28%compared with AdTree and AdQSM methods.Results show that the 3-D model generated fits closely to the input point cloud data and ensures a high geometrical accuracy.
基金Project Supported by National Nature Science Foundation of China (50578034) Science and Technology Development Foundation ofDonghua University
文摘The soft measurement technology of flame temperature field is an efficient method to learn the combustion status in furnace. Generally, it reconstructs the temperature field in furnace through the image of flame, which is a process to solve radiative inverse problem. In this paper, the flame of pulverized coal is considered as 3-D, absorbing, emitting, and anisotropically scattering non-gray medium. Through the study on inverse problem of radiative heat transfer, the temperature field in this kind of medium has been reconstructed. The mechanism of 3-D radiative heat transfer in a rectangular media, which is 2 m×3 m× 5 m and full of CO2, N2 and carbon particles, is studied with Monte Carlo method. The 3-D temperature field in this rectangular space is reconstructed and the influence of particles density profile is discussed.
文摘Although automobile is an indispensable vehicle to modern life, it also serves as a social problem with a big traffic accident. Among the reasons of traffic accidents, careless driving accounts for the largest part. So in order to avoid the careless driving, a system which can measure the posture of a driver and warns driver to drive carefully in the case of looking aside is necessary. Although the image measurement method is used broadly, there is a problem on which measurement accuracy is influenced by environment light, makeup of the driver, etc. in the general method based on the two-dimensional image. Therefore, in this study, we propose an image measurement method to obtain the head posture of driver. First we use three-dimensional measurement method which based on the infrared pattern projection to get 3-D information of head, and then we calculate the angle for faces. In this paper, we explain the composition method of an experiment system, and the results of head posture measurement experiment.
文摘It is an active research area to reconstruct 3-D object and display its visible surfacesfrom cross-sectional images. In this paper, the methods of reconstructing 3-D object from medicalCT images and displaying the visible surfaces are discussed. A polygon approximation methodthat forms polygon with the same number of segment points and a fast interpolation method forcross-sectional contours are presented at first. Then the voxel set of a human liver is reconstructed.And then the liver voxel set is displayed using depth and gradient shading methods. The softwareis written in C programming language at a microcomputer image processing system with a PC/ATcomputer as the host and a PC-VISION board as the image processing unit. The result of theprocessing is satisfying.
基金supported by the "Eleventh Five" Obligatory Budget of PLA (Grant No.513150801)
文摘This article presents a passive navigation method of terrain contour matching by reconstructing the 3-D terrain from the image sequence(acquired by the onboard camera).To achieve automation and simultaneity of the image sequence processing for navigation,a correspondence registration method based on control points tracking is proposed which tracks the sparse control points through the whole image sequence and uses them as correspondence in the relation geometry solution.Besides,a key frame selection method based on the images overlapping ratio and intersecting angles is explored,thereafter the requirement for the camera system configuration is provided.The proposed method also includes an optimal local homography estimating algorithm according to the control points,which helps correctly predict points to be matched and their speed corresponding.Consequently,the real-time 3-D terrain of the trajectory thus reconstructed is matched with the referenced terrain map,and the result of which provides navigating information.The digital simulation experiment and the real image based experiment have verified the proposed method.
基金supported by the National Natural Science Foundation of China(62271108)
文摘Non-line-of-sight(NLOS)imaging is a novel radar sensing technology that enables the reconstruction of hidden targets.However,it may suffer from synthetic aperture length reduction caused by ambient occlusion.In this study,a complex total variation(CTV)regularization-based sparse reconstruction method for NLOS three-dimensional(3-D)imaging by millimeter-wave(mm W)radar,named RM-CSTV method,is proposed to improve imaging quality and speed.In this scheme,the NLOS imaging model is first introduced,and associated geometric constraints for NLOS objects are established.Second,an effective high-resolution NLOS imaging method based on the range migration(RM)kernel and complex sparse joint total variation constraint,dubbed as modified RM-CSTV,is proposed for 3-D high-resolution imaging with edge information.The experiments with multi-type NLOS targets show that the proposed RM-CSTV method can provide effective and high-resolution NLOS targets 3-D imaging.
基金Supported by the National Natural Science Foundation of China (Nos. 30170196 and 30330160)
文摘SecA is the essential component of the signal-peptide dependent translocation pathway in Escherichia coil (E.coh). The structure and function of SecA must be known to understand the molecular mechanism of preprotein translocation. The high flexibility of SecA causes a dynamic conformational heterogeneity which presents a barrier to the growth of crystals of high diffraction quality. Electron microscopy was used to resolve the macromolecular structure of SecA in solution by negative staining and single particle analysis at a resolution of 2.9 nm. The structure of E. coil SecA is similar to the dimeric form of Bacillus subtilis SecA and is 10 nm × 10 nm × 5 nm in size.
基金a grant from Beijing Natural Science Foundation (7212008, 7031001)
文摘Background The Visible Human Project(VHP) initiated by the U.S. National Library of Medicine has drawn much attention and interests from around the world. The Visible Chinese Human(VCH) project has started in China. The current study aims at acquiring a feasible virtual methodology for reconstructing the temporal bone of the Chinese population, which may provide an accurate 3-D model of important temporal bone structures that can be used in teaching and patient care for medical scientists and clinicians. Methods A series of sectional images of the temporal bone were generated from section slices of a female cadaver head. On each sectional image, SOIs (structures of interest) were segmented by carefully defining their contours and filling their areas with certain gray scale values. The processed volume data were then inducted into the 3D Slicer software(developed by the Surgical Planning Lab at Brigham and Women’s Hospital and the MIT AI Lab) for resegmentation and generation of a set of tagged images of the SOIs. 3D surface models of SOIs were then reconstructed from these images. Results The temporal bone and structures in the temporal bone, including the tympanic cavity, mastoid cells, sigmoid sinus and internal carotid artery, were successfully reconstructed. The orientation of and spatial relationship among these structures were easily visualized in the reconstructed surface models. Conclusion The 3D Slicer software can be used for 3- dimensional visualization of anatomic structures in the temporal bone, which will greatly facilitate the advance of knowledge and techniques critical for studying and treating disorders involving the temporal bone.
文摘Aim:Summarize the available data on midfacial virtual patient specific planning and patient specific implants,highlighting the financial costs and savings,and additionally emphasize the potential cost implications of transitioning to“in-house”virtual 3D modeling and printing.Methods:Review of current literature.Results:Current literature suggests cost benefits of virtual patient specific planning and patient specific implants in the form of improved ischemia time,better boney apposition between flaps,and reduced patient complications.This reduction of complications includes a reduction in blood loss and time spent in the intensive care unit from flap failure.Improved boney apposition results in a higher likelihood of boney union and a further reduction in failure and complications.Subjective benefits of virtual patient specific planning and patient specific implants are shown in the form of improved reconstructive surgeon mental energy.In-house production of 3D models and presurgical planning provides additional cost benefits for providers as they can produce viable models at a fraction of the price of that which is produced by industrial companies.Providers can also construct and use models in an expedient manner compared to industrial models,allowing for the opportunity to be utilized in more acute settings.The foundation of developing an in-house workflow is adequate funding,resources,and clinical volume.Facilities also must focus on appropriate quality and safety measures,as well as appropriate workflow development for adequate production of models.Conclusion:Virtual patient specific planning and patient specific implants show benefits in midfacial reconstructive outcomes,resulting in realized financial and temporal gains for both patient and provider.These gains may be enhanced by moving to in-house planning and printing.
文摘目前尚没有统一的确定股骨头坏死病灶的大小和部位的方法,导致对股骨头坏死的治疗方案存在争议。该文利用三维重建技术对坏死股骨头的M R I影像进行重构,获得坏死股骨头的三维几何模型,并由几何模型测量得到股骨头及坏死病灶的体积,同时进行临床实验获得真实坏死股骨头的体积数据。通过对38髋病人股骨头的计算机几何模型数据与临床实验数据的统计分析,讨论了股骨头坏死病灶大小和部位与股骨头塌陷的关系。结果表明,该方法可用于指导选择最佳的临床治疗方案。