目的:研究MRI 3D CUBE T_(2)序列检查在踝关节外伤患者韧带损伤诊断中的价值。方法:选择2020年4月—2023年4月于白银市第一人民医院就诊的226例踝关节外伤拟行手术术前患者作为研究对象,按照不同检查方式将患者分为观察组(n=126)与对照...目的:研究MRI 3D CUBE T_(2)序列检查在踝关节外伤患者韧带损伤诊断中的价值。方法:选择2020年4月—2023年4月于白银市第一人民医院就诊的226例踝关节外伤拟行手术术前患者作为研究对象,按照不同检查方式将患者分为观察组(n=126)与对照组(n=100)。观察组采用MRI 3D CUBE T_(2)序列检查,对照组采取常规MRI检查。比较两组患侧、健侧距腓前韧带测量结果、诊断效能。结果:两组患侧、健侧距腓前韧带宽度及厚度比较,差异无统计学意义(P>0.05)。观察组Ⅰ级踝关节外伤患者韧带损伤诊断准确度、敏感度、特异度、阳性预测值、阴性预测值高于对照组,Ⅱ级患者准确度、敏感度、阴性预测值高于对照组,Ⅲ级患者准确度、特异度、阳性预测值高于对照组,差异有统计学意义(P<0.05)。结论:MRI 3D CUBE T_(2)序列检查踝关节外伤患者韧带损伤诊断效能高于常规MRI检查,可作为治疗效果评价及康复治疗的重要依据。展开更多
目的探讨MR 3D CUBE技术对膝关节前交叉韧带损伤的诊断价值。材料与方法对膝关节损伤拟行手术病人术前行MR扫描,以关节镜所见为参考依据,对80例患者86个膝关节行常规MRI序列扫描后加扫3D CUBE T2WI序列,运用AW4.4工作站对3D图像进行后...目的探讨MR 3D CUBE技术对膝关节前交叉韧带损伤的诊断价值。材料与方法对膝关节损伤拟行手术病人术前行MR扫描,以关节镜所见为参考依据,对80例患者86个膝关节行常规MRI序列扫描后加扫3D CUBE T2WI序列,运用AW4.4工作站对3D图像进行后处理重建。分别与关节镜术后结果进行对比分析,计算常规MRI序列及3D CUBE技术在诊断前交叉韧带损伤中的特异度、灵敏度及准确度。结果 3D CUBE T2WI序列在诊断前交叉韧带损伤特异度89%、灵敏度95%、准确度84%;常规MRI序列在诊断前交叉韧带损伤的特异度68%、灵敏度83%、准确度51%。结论 3DCUBE序列扫描时间短,图像可多角度任意旋转,可显示完整前交叉韧带,对前交叉韧带损伤的特异度、灵敏度及准确度较常规MRI序列高。展开更多
目的探讨MR 3D CUBE T2对踝关节外侧韧带损伤的评估价值,并分析影响踝关节外侧韧带损伤治疗效果的危险因素。方法本研究为前瞻性研究,选取衡水市第四人民医院自2018年9月至2021年12月收治的240例踝关节外侧韧带损伤患者为研究对象。所...目的探讨MR 3D CUBE T2对踝关节外侧韧带损伤的评估价值,并分析影响踝关节外侧韧带损伤治疗效果的危险因素。方法本研究为前瞻性研究,选取衡水市第四人民医院自2018年9月至2021年12月收治的240例踝关节外侧韧带损伤患者为研究对象。所有患者均接受常规MRI和MR 3D CUBE T2,在检查过程中采用双盲手段进行分析。以关节镜检查诊断结果为“金标准”,分析常规MRI、MR 3D CUBE T2与关节镜诊断踝关节外侧韧带损伤的一致性,比较常规MRI和MR 3D CUBE T2的诊断效能。患者均接受踝关节镜微创手术,在术后4周对患者的治疗效果进行评价,将治疗效果良好者纳入良好组,其余患者纳入不良组。比较良好组和不良组患者的临床资料,分析不良治疗效果的影响因素。结果常规MRI、MR 3D CUBE T2与关节镜的诊断一致性较强(Kappa=0.699、0.771,P<0.05)。MR 3D CUBE T2诊断踝关节外侧韧带损伤的特异度高于常规MRI(P<0.05)。良好组患者202例,不良组患者38例。良好组和不良组患者的病程、损伤程度、既往损伤占比、距腓前韧带厚度比较,差异均有统计学意义(P<0.05)。病程、损伤程度、既往损伤、距腓前韧带厚度均是治疗效果不良的独立危险因素(P<0.05)。结论MR 3D CUBE T2对踝关节外侧韧带损伤的评估价值较高;病程、损伤程度、既往损伤、距腓前韧带厚度均是踝关节外侧韧带损伤治疗效果不良的独立危险因素。展开更多
Objective.This study aimed to compare the accuracy of rectal cancer restaging after neoadjuvant therapy with 3D CUBE sequence with 2D T2-weighted fast spin-echo(FSE)sequence.Methods.This retrospective study comprised ...Objective.This study aimed to compare the accuracy of rectal cancer restaging after neoadjuvant therapy with 3D CUBE sequence with 2D T2-weighted fast spin-echo(FSE)sequence.Methods.This retrospective study comprised 72 patients with rectal cancer confirmed by colonoscopy and biopsy.After neoadjuvant therapy,all patients underwent pelvic magnetic resonance imaging(MRI)examination at 1.5T MRI sequences including a single coronal 3D CUBE T2-weighted FSE sequence with 1.4mmthickness and a 2D T2-weighted FSE sequence in the sagittal,coronal and axial planes with 5mmthickness.The total acquisition time of the two sequences was recorded.Results were compared with postsurgical pathology(gold standard).The diagnostic accuracy was evaluated;and receiver operating characteristic(ROC)curves and the area under the curves(AUC)were calculated.Results.The T category staging accuracy of 3D T2WI and 2D T2WI was 81.9% and 72.2%,respectively,for reviewer 1 and 86.1% and 75.0% for reviewer 2.The AUC of 3D was higher than that of 2D(0.878 vs.0.783 for reader 1 and 0.905 vs.0.796 for reader 2;both P<0.05)when judging whether the tumor broke through themuscle layer.There was no significant difference between 3D and 2D in judging whether lymph nodes weremalignant(AUC 0.719 vs.0.698 for reader 1 and 0.740 vs.0.698 for reader 2;both P>0.05).There were no significant differences in the visibility of the rectal wall layer,tumor lesion and the overall image quality(all P>0.05).Compared with 2D sequences,the 3D sequence had shorter acquisition time and higher signal intensity ratio(both P<0.05).Conclusion.3D CUBE T2-weighted sequences offer better diagnostic accuracy in rectal cancer restaging after neoadjuvant therapy when compared with 2D T2-weighted FSE sequences;it has a shorter scanning time and more versatility of orientation reconstruction.展开更多
Medical images 3D reconstruction is an important part in medical image analysis and processing. Although lots of algorithms have been proposed continuously, speed and accuracy cannot conform to actual needs, which has...Medical images 3D reconstruction is an important part in medical image analysis and processing. Although lots of algorithms have been proposed continuously, speed and accuracy cannot conform to actual needs, which has always been the focus topic. In this paper, we propose an Improved Marching Cubes algorithm ( I-MC) based on the surface rendering theory, which implements 3D reconstruction of the vertebrae. Firstly, we preprocessed the original 2D vertebrae CT images with the bilateral-filter denoising algorithm. Secondly, on the basis of the traditional Marching Cubes algorithm, the seed voxels were extracted and the Region Growing algorithm was used to determine all voxels that contain isosurfaces. Then, the Golden Section instead of the traditional linear interpolation was used to calculate the equivalent point, and this method reduced the calculations of public edges. VTK and OpenGL implemented 3D reconstruction of the vertebrae on GPU quickly and accurately. The experimental results show that when compared with the traditional Marching Cubes algorithm and Mesh Simplification Marching Cubes algorithm, the improved algorithm achieves a significant improvement of reconstruction speed while preserving the accurate results. The efficiency of algorithm is improved dramatically. This method is real-time and achieves the goal of efficient 3D reconstruction of vertebrae CT images.展开更多
文摘目的:研究MRI 3D CUBE T_(2)序列检查在踝关节外伤患者韧带损伤诊断中的价值。方法:选择2020年4月—2023年4月于白银市第一人民医院就诊的226例踝关节外伤拟行手术术前患者作为研究对象,按照不同检查方式将患者分为观察组(n=126)与对照组(n=100)。观察组采用MRI 3D CUBE T_(2)序列检查,对照组采取常规MRI检查。比较两组患侧、健侧距腓前韧带测量结果、诊断效能。结果:两组患侧、健侧距腓前韧带宽度及厚度比较,差异无统计学意义(P>0.05)。观察组Ⅰ级踝关节外伤患者韧带损伤诊断准确度、敏感度、特异度、阳性预测值、阴性预测值高于对照组,Ⅱ级患者准确度、敏感度、阴性预测值高于对照组,Ⅲ级患者准确度、特异度、阳性预测值高于对照组,差异有统计学意义(P<0.05)。结论:MRI 3D CUBE T_(2)序列检查踝关节外伤患者韧带损伤诊断效能高于常规MRI检查,可作为治疗效果评价及康复治疗的重要依据。
文摘目的探讨MR 3D CUBE技术对膝关节前交叉韧带损伤的诊断价值。材料与方法对膝关节损伤拟行手术病人术前行MR扫描,以关节镜所见为参考依据,对80例患者86个膝关节行常规MRI序列扫描后加扫3D CUBE T2WI序列,运用AW4.4工作站对3D图像进行后处理重建。分别与关节镜术后结果进行对比分析,计算常规MRI序列及3D CUBE技术在诊断前交叉韧带损伤中的特异度、灵敏度及准确度。结果 3D CUBE T2WI序列在诊断前交叉韧带损伤特异度89%、灵敏度95%、准确度84%;常规MRI序列在诊断前交叉韧带损伤的特异度68%、灵敏度83%、准确度51%。结论 3DCUBE序列扫描时间短,图像可多角度任意旋转,可显示完整前交叉韧带,对前交叉韧带损伤的特异度、灵敏度及准确度较常规MRI序列高。
文摘目的探讨MR 3D CUBE T2对踝关节外侧韧带损伤的评估价值,并分析影响踝关节外侧韧带损伤治疗效果的危险因素。方法本研究为前瞻性研究,选取衡水市第四人民医院自2018年9月至2021年12月收治的240例踝关节外侧韧带损伤患者为研究对象。所有患者均接受常规MRI和MR 3D CUBE T2,在检查过程中采用双盲手段进行分析。以关节镜检查诊断结果为“金标准”,分析常规MRI、MR 3D CUBE T2与关节镜诊断踝关节外侧韧带损伤的一致性,比较常规MRI和MR 3D CUBE T2的诊断效能。患者均接受踝关节镜微创手术,在术后4周对患者的治疗效果进行评价,将治疗效果良好者纳入良好组,其余患者纳入不良组。比较良好组和不良组患者的临床资料,分析不良治疗效果的影响因素。结果常规MRI、MR 3D CUBE T2与关节镜的诊断一致性较强(Kappa=0.699、0.771,P<0.05)。MR 3D CUBE T2诊断踝关节外侧韧带损伤的特异度高于常规MRI(P<0.05)。良好组患者202例,不良组患者38例。良好组和不良组患者的病程、损伤程度、既往损伤占比、距腓前韧带厚度比较,差异均有统计学意义(P<0.05)。病程、损伤程度、既往损伤、距腓前韧带厚度均是治疗效果不良的独立危险因素(P<0.05)。结论MR 3D CUBE T2对踝关节外侧韧带损伤的评估价值较高;病程、损伤程度、既往损伤、距腓前韧带厚度均是踝关节外侧韧带损伤治疗效果不良的独立危险因素。
基金This study was supported by grants from the Guangdong Science and Technology Department of China(No.2015A030313109).
文摘Objective.This study aimed to compare the accuracy of rectal cancer restaging after neoadjuvant therapy with 3D CUBE sequence with 2D T2-weighted fast spin-echo(FSE)sequence.Methods.This retrospective study comprised 72 patients with rectal cancer confirmed by colonoscopy and biopsy.After neoadjuvant therapy,all patients underwent pelvic magnetic resonance imaging(MRI)examination at 1.5T MRI sequences including a single coronal 3D CUBE T2-weighted FSE sequence with 1.4mmthickness and a 2D T2-weighted FSE sequence in the sagittal,coronal and axial planes with 5mmthickness.The total acquisition time of the two sequences was recorded.Results were compared with postsurgical pathology(gold standard).The diagnostic accuracy was evaluated;and receiver operating characteristic(ROC)curves and the area under the curves(AUC)were calculated.Results.The T category staging accuracy of 3D T2WI and 2D T2WI was 81.9% and 72.2%,respectively,for reviewer 1 and 86.1% and 75.0% for reviewer 2.The AUC of 3D was higher than that of 2D(0.878 vs.0.783 for reader 1 and 0.905 vs.0.796 for reader 2;both P<0.05)when judging whether the tumor broke through themuscle layer.There was no significant difference between 3D and 2D in judging whether lymph nodes weremalignant(AUC 0.719 vs.0.698 for reader 1 and 0.740 vs.0.698 for reader 2;both P>0.05).There were no significant differences in the visibility of the rectal wall layer,tumor lesion and the overall image quality(all P>0.05).Compared with 2D sequences,the 3D sequence had shorter acquisition time and higher signal intensity ratio(both P<0.05).Conclusion.3D CUBE T2-weighted sequences offer better diagnostic accuracy in rectal cancer restaging after neoadjuvant therapy when compared with 2D T2-weighted FSE sequences;it has a shorter scanning time and more versatility of orientation reconstruction.
基金Sponsored by the Science and Technology Research Projects of Education Department of Heilongjiang Province(Grant No.12531119)
文摘Medical images 3D reconstruction is an important part in medical image analysis and processing. Although lots of algorithms have been proposed continuously, speed and accuracy cannot conform to actual needs, which has always been the focus topic. In this paper, we propose an Improved Marching Cubes algorithm ( I-MC) based on the surface rendering theory, which implements 3D reconstruction of the vertebrae. Firstly, we preprocessed the original 2D vertebrae CT images with the bilateral-filter denoising algorithm. Secondly, on the basis of the traditional Marching Cubes algorithm, the seed voxels were extracted and the Region Growing algorithm was used to determine all voxels that contain isosurfaces. Then, the Golden Section instead of the traditional linear interpolation was used to calculate the equivalent point, and this method reduced the calculations of public edges. VTK and OpenGL implemented 3D reconstruction of the vertebrae on GPU quickly and accurately. The experimental results show that when compared with the traditional Marching Cubes algorithm and Mesh Simplification Marching Cubes algorithm, the improved algorithm achieves a significant improvement of reconstruction speed while preserving the accurate results. The efficiency of algorithm is improved dramatically. This method is real-time and achieves the goal of efficient 3D reconstruction of vertebrae CT images.
