●AIM:To determine the teaching effects of a real-time three dimensional(3D)visualization system in the operating room for early-stage phacoemulsification training.●METHODS:A total of 10 ophthalmology residents of th...●AIM:To determine the teaching effects of a real-time three dimensional(3D)visualization system in the operating room for early-stage phacoemulsification training.●METHODS:A total of 10 ophthalmology residents of the first-year postgraduate were included.All the residents were novices to cataract surgery.Real-time cataract surgical observations were performed using a custom-built 3D visualization system.The training lasted 4wk(32h)in all.A modified International Council of Ophthalmology’s Ophthalmology Surgical Competency Assessment Rubric(ICO-OSCAR)containing 4 specific steps of cataract surgery was applied.The self-assessment(self)and expert-assessment(expert)were performed through the microsurgical attempts in the wet lab for each participant.●RESULTS:Compared with pre-training assessments(self 3.2±0.8,expert 2.5±0.6),the overall mean scores of posttraining(self 5.2±0.4,expert 4.7±0.6)were significantly improved after real-time observation training of 3D visualization system(P<0.05).Scores of 4 surgical items were significantly improved both self and expert assessment after training(P<0.05).●CONCLUSION:The 3D observation training provides novice ophthalmic residents with a better understanding of intraocular microsurgical techniques.It is a useful tool to improve teaching efficiency of surgical education.展开更多
Background In recent years, with the rapid development of mobile Internet and Web3D technologies, a large number of web-based online 3D visualization applications have emerged. Web3D applications, including Web3D onli...Background In recent years, with the rapid development of mobile Internet and Web3D technologies, a large number of web-based online 3D visualization applications have emerged. Web3D applications, including Web3D online tourism, Web3D online architecture, Web3D online education environment, Web3D online medical care, and Web3D online shopping are examples of these applications that leverage 3D rendering on the web. These applications have pushed the boundaries of traditional web applications that use text, sound, image, video, and 2D animation as their main communication media, and resorted to 3D virtual scenes as the main interaction object, enabling a user experience that delivers a strong sense of immersion. This paper approached the emerging Web3D applications that generate stronger impacts on people's lives through “real-time rendering technology”, which is the core technology of Web3D. This paper discusses all the major 3D graphics APIs of Web3D and the well-known Web3D engines at home and abroad and classify the real-time rendering frameworks of Web3D applications into different categories. Results Finally, this study analyzed the specific demand posed by different fields to Web3D applications by referring to the representative Web3D applications in each particular field. Conclusions Our survey results show that Web3D applications based on real-time rendering have in-depth sectors of society and even family, which is a trend that has influence on every line of industry.展开更多
Fire rescue challenges and solutions have evolved from straightfor-ward plane rescue to encompass 3D space due to the rise of high-rise city buildings.Hence,this study facilitates a system with quick and simplified on...Fire rescue challenges and solutions have evolved from straightfor-ward plane rescue to encompass 3D space due to the rise of high-rise city buildings.Hence,this study facilitates a system with quick and simplified on-site launching and generates real-time location data,enabling fire rescuers to arrive at the intended spot faster and correctly for effective and precise rescue.Auto-positioning with step-by-step instructions is proposed when launching the locating system,while no extra measuring instrument like Total Station(TS)is needed.Real-time location tracking is provided via a 3D space real-time locating system(RTLS)constructed using Ultra-wide Bandwidth technology(UWB),which requires electromagnetic waves to pass through concrete walls.A hybrid weighted least squares with a time difference of arrival(WLS/TDOA)positioning method is proposed to address real path-tracking issues in 3D space and to meet RTLS requirements for quick computing in real-world applications.The 3D WLS/TDOA algorithm is theoretically constructed with the Cramer-Rao lower bound(CRLB).The computing complexity is reduced to the lower bound for embedded hardware to directly compute the time differential of the arriving signals using the time-to-digital converter(TDC).The results of the experiments show that the errors are controlled when the positioning algorithm is applied in various complicated situations to fulfill the requirements of engineering applications.The statistical analysis of the data reveals that the proposed UWB RTLS auto-positioning system can track target tags with an accuracy of 0.20 m.展开更多
Objective To investigate the surgical technique and outcomes of replacement of chordae tendineae in mitral valve repair,and evaluate the value of real-time three-di-mensional transesophageal echocardiography in the pe...Objective To investigate the surgical technique and outcomes of replacement of chordae tendineae in mitral valve repair,and evaluate the value of real-time three-di-mensional transesophageal echocardiography in the perioperative period. Methods Thirty-one patients with mitral valve prolapse underwent mitral valve repair using chordae tendineae replacement concomitant with implantation展开更多
This paper extends the SPH method to gas simulation. The SPH (Smoothed Particles Hydrodynamics) method is the most popular method of flow simulation, which is widely used in large-scale liquid simulation. However, i...This paper extends the SPH method to gas simulation. The SPH (Smoothed Particles Hydrodynamics) method is the most popular method of flow simulation, which is widely used in large-scale liquid simulation. However, it is not found to apply to gas simulation, since those methods based on SPH can't be used in real-time simulation due to their enormous particles and huge computation. This paper proposes a method for gas simulation based on SPH with a small number of particles. Firstly, the method computes the position and density of each particle in each point-in-time, and outlines the shape of the simulated gas based on those particles. Secondly the method uses the grid technique to refine the shape with the diffusion of particle's density under the control of grid, and get more lifelike simulation result. Each grid will be assigned density according to the particles in it. The density determines the final appearance of the grid. For ensuring the natural transition of the color between adjacent grids, we give a diffuse process of density between these grids and assign appropriate values to vertexes of these grids. The experimental results show that the proposed method can give better gas simulation and meet the request of real-time.展开更多
With the appearance of RGB-D camera, the field of three-dimensional(3D) reconstruction receives more and more attention. In this paper, we present an optimization approach to produce high-quality textured 3D models ba...With the appearance of RGB-D camera, the field of three-dimensional(3D) reconstruction receives more and more attention. In this paper, we present an optimization approach to produce high-quality textured 3D models based on the real-time 3D reconstruction system.The resulting models of real-time texture reconstruction often suffer from blurring, ghosting, and other artifacts.Our approach addresses this texture quality problem using blur detection and an optimized weight function. Experimental results demonstrate that our approach can improve the quality of textured 3D models by reducing the blur and ghosts on the model surface.展开更多
Nowadays, Health Care Training-based System (HCTS) is a vital component in the education and training of health care in 3D Virtual Environment (VE). The practice of HCTS continues to grow at rapid pace throughout all ...Nowadays, Health Care Training-based System (HCTS) is a vital component in the education and training of health care in 3D Virtual Environment (VE). The practice of HCTS continues to grow at rapid pace throughout all of the healthcare disciplines, however research in this field is still in its early stage. Increasingly, decision makers and developers look forward to offer more sophisticated, much larger, and more complex HCTS to serve the desired outcome and improve the quality and safety of patient care. Due to the rapidly increasing usage of personal mobile devices and the need of executing HCTS applications in environments that have no previous network infrastructure available, Mobile Health Care Training-based System (MHCTS) is an expected future trend. In such systems, medical staff will share and collaborate in a 3D virtual environment through their mobile devices in an ad-hoc network (MANET) in order to accomplish specific missions’ typically surgical emergency room. Users are organized into various groups (Radiologists, Maternity departments, and General surgery etc...), and need to be managed by a multicast scheme to save network bandwidth and offer immersive sense. MHCTS is sensitive to networking issues, since interactive 3D graphics requires additional load due to the use of mobile devices. Therefore, we need to emphasize on the importance and the improvement of multicast techniques for the effectiveness of MHCTS and the management of collaborative group interaction. Research so far has devoted little attention to the network communication protocols design of such systems which is crucial to preserve the sense of immersion for participating users. In this paper, we investigate the effect of multicast routing protocol in advancing the field of Health care Training-based System to the benefit of patient’s safety, and health care professional. Also, we address the issue of selecting a multicast protocol to provide the best performance for a particular e-health system at any time. Previous work has demonstrated that multicast operates at least as efficiently as traditional MAODV. A comprehensive analysis about various ad-hoc multicast routing protocols is proposed. The selection key factors for the right protocol for MHCTS applications were safety and robustness. To the best of our knowledge, this work will be the first initiative involving systematic literature reviews to identify a research gate for the use of multicast protocol in health care simulation learning community.展开更多
The 3D clearance of a high-speed train(HST) is critical to ensure the safety of railway transportation. Many studies have been conducted on the inspection of the clearance profile in railway operation based on the vis...The 3D clearance of a high-speed train(HST) is critical to ensure the safety of railway transportation. Many studies have been conducted on the inspection of the clearance profile in railway operation based on the vision system, but few researchers have focused on the computation of the 3D clearance in the design phase of an HST. This paper summarizes the virtual 3D clearance computation of an HST based on model integration and the convex hull method. First, both the aerodynamic and kinetic analysis models of the HST are constructed. The two models are then integrated according to the corresponding relationship map, and an array of transformation matrixes of the HST is created to drive the designed model simulating the physical railway motion. Furthermore, the convex hull method is adopted to compute the 3D envelope of the moving train. Finally, the Hausdorff metric is involved in the measurement of the minimum clearance model and the 3D envelope model. In addition, the color map of the Hausdorff distance is established to verify that the designed shape of the HST meets the national standards. This paper provides an effective method to accurately calculate the 3D clearance for the shape design of an HST, which greatly reduces the development cost by minimizing the physical prototype that must be built.展开更多
How to solve the coupling relations in a 6 - DOF parallel robot quickly and accurately within the limits of realtime control is a critical problem. In traditional analytic method, the complicated mathemtical model mus...How to solve the coupling relations in a 6 - DOF parallel robot quickly and accurately within the limits of realtime control is a critical problem. In traditional analytic method, the complicated mathemtical model must first be constructed and then solved by programming.Obviously, this method is not very practical. This paper,therefore, proposes a new way of approach with a new method using 3- D animation for the solving of coupling relations in the 6 - DOF parallel robot. This method is much simpler and its solving accuracy approaches that of the more complicated analytic method.展开更多
In this paper, the complete process of constructing 3D digital core by fullconvolutional neural network is described carefully. A large number of sandstone computedtomography (CT) images are used as training input for...In this paper, the complete process of constructing 3D digital core by fullconvolutional neural network is described carefully. A large number of sandstone computedtomography (CT) images are used as training input for a fully convolutional neural networkmodel. This model is used to reconstruct the three-dimensional (3D) digital core of Bereasandstone based on a small number of CT images. The Hamming distance together with theMinkowski functions for porosity, average volume specifi c surface area, average curvature,and connectivity of both the real core and the digital reconstruction are used to evaluate theaccuracy of the proposed method. The results show that the reconstruction achieved relativeerrors of 6.26%, 1.40%, 6.06%, and 4.91% for the four Minkowski functions and a Hammingdistance of 0.04479. This demonstrates that the proposed method can not only reconstructthe physical properties of real sandstone but can also restore the real characteristics of poredistribution in sandstone, is the ability to which is a new way to characterize the internalmicrostructure of rocks.展开更多
Objective: It is important and helpful for surgeons to understand the correlation between spinal anatomy and screw trajectory before surgery. We aimed to assess a simple technique using 3D imaging software available o...Objective: It is important and helpful for surgeons to understand the correlation between spinal anatomy and screw trajectory before surgery. We aimed to assess a simple technique using 3D imaging software available on the hospital intranet for visual and quantitative feedback to prepare surgeons for an appropriate entry point and safe trajectory when placing cervical screws. Methods: A total of 59 cervical screws were inserted from C1 to T1 in 12 consecutive patients using this technique. First, a single CT optimal slice was selected from 3D CT images of the cervical spine to determine the intervals of bilateral entry points and lateral angle. Next, this 3D image was rotated to the lateral angle. Finally, bone was cut out on the entry point using subtractive manipulation, which removed the core of the pedicle or lateral mass. Screw trajectory was indicated, and surgeons could assess the correlation between surface landmarks, spinal anatomy, and screw trajectory. Posterior cervical fusion was performed using fluoroscopy. Postoperative outcomes and incidence of complications were retrospectively assessed. Results: One perforation (1.4%) was identified on postoperative CT images. No vascular injuries occurred. Differences in the intended entry point location and lateral angle of the screw from actual postoperative values were 1.49 ± 1.23 mm and 5.46。 ± 4.46。, respectively. Conclusions: A novel 3D CT imaging assessment underwent in cervical screw fixation. This technique is easily accessible on the hospital intranet and provides training in cervical screw placement for fellows. Surgeons can simulate screw placement and share surgical strategy.展开更多
<strong>Aim:</strong> To carry out a 3D vector reconstruction of the typical cervical vertebra from anatomical sections of the “Korean Visible Human” for educational purposes. <strong>Material and ...<strong>Aim:</strong> To carry out a 3D vector reconstruction of the typical cervical vertebra from anatomical sections of the “Korean Visible Human” for educational purposes. <strong>Material and Methods:</strong> The anatomical subject was a 33-year-old Korean man who died of leukemia. He was 164 cm tall and weighed 55 kg. This man donated his body to science. Her body was frozen and cut into several anatomical sections after an MRI and CT scan. These anatomical sections were made using a special saw called a 0.2 mm thick cryomacrotome. Thus 8100 cuts were obtained. Only the sections numbered 940 to 1200 were used for our study. A segmentation by manual contouring of the different parts of the typical cervical vertebra was made using the software Winsurf version 3.5 on a laptop PC running Windows 7 equipped with a Ram of 8 gigas. <strong>Results:</strong> Our 3D vector model of the typical cervical vertebra is easily manipulated using the Acrobat 3DPDF interface. Each part of the vertebra accessible in a menu can be displayed, hidden or made transparent, and 3D labels are available as well as educational menus for learning anatomy. <strong>Conclusion: </strong>This original work constitutes a remarkable educational tool for the anatomical study of the typical cervical vertebra and can also be used as a 3D atlas for simulation purposes for training in therapeutic gestures.展开更多
基金Supported by research grants from the National Key Research and Development Program of China(No.2020YFE0204400)the National Natural Science Foundation of China(No.82271042+1 种基金No.52203191)the Zhejiang Province Key Research and Development Program(No.2023C03090).
文摘●AIM:To determine the teaching effects of a real-time three dimensional(3D)visualization system in the operating room for early-stage phacoemulsification training.●METHODS:A total of 10 ophthalmology residents of the first-year postgraduate were included.All the residents were novices to cataract surgery.Real-time cataract surgical observations were performed using a custom-built 3D visualization system.The training lasted 4wk(32h)in all.A modified International Council of Ophthalmology’s Ophthalmology Surgical Competency Assessment Rubric(ICO-OSCAR)containing 4 specific steps of cataract surgery was applied.The self-assessment(self)and expert-assessment(expert)were performed through the microsurgical attempts in the wet lab for each participant.●RESULTS:Compared with pre-training assessments(self 3.2±0.8,expert 2.5±0.6),the overall mean scores of posttraining(self 5.2±0.4,expert 4.7±0.6)were significantly improved after real-time observation training of 3D visualization system(P<0.05).Scores of 4 surgical items were significantly improved both self and expert assessment after training(P<0.05).●CONCLUSION:The 3D observation training provides novice ophthalmic residents with a better understanding of intraocular microsurgical techniques.It is a useful tool to improve teaching efficiency of surgical education.
基金the Science and Technology Program of Educational Commission of Jiangxi Province,China(DA202104172)the Innovation and Entrepreneurship Course Program of Nanchang Hangkong University(KCPY1910)the Teaching Reform Research Program of Nanchang Hangkong University(JY21040).
文摘Background In recent years, with the rapid development of mobile Internet and Web3D technologies, a large number of web-based online 3D visualization applications have emerged. Web3D applications, including Web3D online tourism, Web3D online architecture, Web3D online education environment, Web3D online medical care, and Web3D online shopping are examples of these applications that leverage 3D rendering on the web. These applications have pushed the boundaries of traditional web applications that use text, sound, image, video, and 2D animation as their main communication media, and resorted to 3D virtual scenes as the main interaction object, enabling a user experience that delivers a strong sense of immersion. This paper approached the emerging Web3D applications that generate stronger impacts on people's lives through “real-time rendering technology”, which is the core technology of Web3D. This paper discusses all the major 3D graphics APIs of Web3D and the well-known Web3D engines at home and abroad and classify the real-time rendering frameworks of Web3D applications into different categories. Results Finally, this study analyzed the specific demand posed by different fields to Web3D applications by referring to the representative Web3D applications in each particular field. Conclusions Our survey results show that Web3D applications based on real-time rendering have in-depth sectors of society and even family, which is a trend that has influence on every line of industry.
文摘Fire rescue challenges and solutions have evolved from straightfor-ward plane rescue to encompass 3D space due to the rise of high-rise city buildings.Hence,this study facilitates a system with quick and simplified on-site launching and generates real-time location data,enabling fire rescuers to arrive at the intended spot faster and correctly for effective and precise rescue.Auto-positioning with step-by-step instructions is proposed when launching the locating system,while no extra measuring instrument like Total Station(TS)is needed.Real-time location tracking is provided via a 3D space real-time locating system(RTLS)constructed using Ultra-wide Bandwidth technology(UWB),which requires electromagnetic waves to pass through concrete walls.A hybrid weighted least squares with a time difference of arrival(WLS/TDOA)positioning method is proposed to address real path-tracking issues in 3D space and to meet RTLS requirements for quick computing in real-world applications.The 3D WLS/TDOA algorithm is theoretically constructed with the Cramer-Rao lower bound(CRLB).The computing complexity is reduced to the lower bound for embedded hardware to directly compute the time differential of the arriving signals using the time-to-digital converter(TDC).The results of the experiments show that the errors are controlled when the positioning algorithm is applied in various complicated situations to fulfill the requirements of engineering applications.The statistical analysis of the data reveals that the proposed UWB RTLS auto-positioning system can track target tags with an accuracy of 0.20 m.
文摘Objective To investigate the surgical technique and outcomes of replacement of chordae tendineae in mitral valve repair,and evaluate the value of real-time three-di-mensional transesophageal echocardiography in the perioperative period. Methods Thirty-one patients with mitral valve prolapse underwent mitral valve repair using chordae tendineae replacement concomitant with implantation
基金Supported by National Natural Science Foundation of China(No.61272024)
文摘This paper extends the SPH method to gas simulation. The SPH (Smoothed Particles Hydrodynamics) method is the most popular method of flow simulation, which is widely used in large-scale liquid simulation. However, it is not found to apply to gas simulation, since those methods based on SPH can't be used in real-time simulation due to their enormous particles and huge computation. This paper proposes a method for gas simulation based on SPH with a small number of particles. Firstly, the method computes the position and density of each particle in each point-in-time, and outlines the shape of the simulated gas based on those particles. Secondly the method uses the grid technique to refine the shape with the diffusion of particle's density under the control of grid, and get more lifelike simulation result. Each grid will be assigned density according to the particles in it. The density determines the final appearance of the grid. For ensuring the natural transition of the color between adjacent grids, we give a diffuse process of density between these grids and assign appropriate values to vertexes of these grids. The experimental results show that the proposed method can give better gas simulation and meet the request of real-time.
文摘With the appearance of RGB-D camera, the field of three-dimensional(3D) reconstruction receives more and more attention. In this paper, we present an optimization approach to produce high-quality textured 3D models based on the real-time 3D reconstruction system.The resulting models of real-time texture reconstruction often suffer from blurring, ghosting, and other artifacts.Our approach addresses this texture quality problem using blur detection and an optimized weight function. Experimental results demonstrate that our approach can improve the quality of textured 3D models by reducing the blur and ghosts on the model surface.
文摘Nowadays, Health Care Training-based System (HCTS) is a vital component in the education and training of health care in 3D Virtual Environment (VE). The practice of HCTS continues to grow at rapid pace throughout all of the healthcare disciplines, however research in this field is still in its early stage. Increasingly, decision makers and developers look forward to offer more sophisticated, much larger, and more complex HCTS to serve the desired outcome and improve the quality and safety of patient care. Due to the rapidly increasing usage of personal mobile devices and the need of executing HCTS applications in environments that have no previous network infrastructure available, Mobile Health Care Training-based System (MHCTS) is an expected future trend. In such systems, medical staff will share and collaborate in a 3D virtual environment through their mobile devices in an ad-hoc network (MANET) in order to accomplish specific missions’ typically surgical emergency room. Users are organized into various groups (Radiologists, Maternity departments, and General surgery etc...), and need to be managed by a multicast scheme to save network bandwidth and offer immersive sense. MHCTS is sensitive to networking issues, since interactive 3D graphics requires additional load due to the use of mobile devices. Therefore, we need to emphasize on the importance and the improvement of multicast techniques for the effectiveness of MHCTS and the management of collaborative group interaction. Research so far has devoted little attention to the network communication protocols design of such systems which is crucial to preserve the sense of immersion for participating users. In this paper, we investigate the effect of multicast routing protocol in advancing the field of Health care Training-based System to the benefit of patient’s safety, and health care professional. Also, we address the issue of selecting a multicast protocol to provide the best performance for a particular e-health system at any time. Previous work has demonstrated that multicast operates at least as efficiently as traditional MAODV. A comprehensive analysis about various ad-hoc multicast routing protocols is proposed. The selection key factors for the right protocol for MHCTS applications were safety and robustness. To the best of our knowledge, this work will be the first initiative involving systematic literature reviews to identify a research gate for the use of multicast protocol in health care simulation learning community.
基金Projects(51605495,51575541)supported by the National Natural Science Foundation of ChinaProject(2015JJ2168)supported by the Natural Science Foundation of Hunan Province of China
文摘The 3D clearance of a high-speed train(HST) is critical to ensure the safety of railway transportation. Many studies have been conducted on the inspection of the clearance profile in railway operation based on the vision system, but few researchers have focused on the computation of the 3D clearance in the design phase of an HST. This paper summarizes the virtual 3D clearance computation of an HST based on model integration and the convex hull method. First, both the aerodynamic and kinetic analysis models of the HST are constructed. The two models are then integrated according to the corresponding relationship map, and an array of transformation matrixes of the HST is created to drive the designed model simulating the physical railway motion. Furthermore, the convex hull method is adopted to compute the 3D envelope of the moving train. Finally, the Hausdorff metric is involved in the measurement of the minimum clearance model and the 3D envelope model. In addition, the color map of the Hausdorff distance is established to verify that the designed shape of the HST meets the national standards. This paper provides an effective method to accurately calculate the 3D clearance for the shape design of an HST, which greatly reduces the development cost by minimizing the physical prototype that must be built.
文摘How to solve the coupling relations in a 6 - DOF parallel robot quickly and accurately within the limits of realtime control is a critical problem. In traditional analytic method, the complicated mathemtical model must first be constructed and then solved by programming.Obviously, this method is not very practical. This paper,therefore, proposes a new way of approach with a new method using 3- D animation for the solving of coupling relations in the 6 - DOF parallel robot. This method is much simpler and its solving accuracy approaches that of the more complicated analytic method.
基金the National Natural Science Foundation of China(No.41274129)Chuan Qing Drilling Engineering Company's Scientific Research Project:Seismic detection technology and application of complex carbonate reservoir in Sulige Majiagou Formation and the 2018 Central Supporting Local Co-construction Fund(No.80000-18Z0140504)the Construction and Development of Universities in 2019-Joint Support for Geophysics(Double First-Class center,80000-19Z0204)。
文摘In this paper, the complete process of constructing 3D digital core by fullconvolutional neural network is described carefully. A large number of sandstone computedtomography (CT) images are used as training input for a fully convolutional neural networkmodel. This model is used to reconstruct the three-dimensional (3D) digital core of Bereasandstone based on a small number of CT images. The Hamming distance together with theMinkowski functions for porosity, average volume specifi c surface area, average curvature,and connectivity of both the real core and the digital reconstruction are used to evaluate theaccuracy of the proposed method. The results show that the reconstruction achieved relativeerrors of 6.26%, 1.40%, 6.06%, and 4.91% for the four Minkowski functions and a Hammingdistance of 0.04479. This demonstrates that the proposed method can not only reconstructthe physical properties of real sandstone but can also restore the real characteristics of poredistribution in sandstone, is the ability to which is a new way to characterize the internalmicrostructure of rocks.
文摘Objective: It is important and helpful for surgeons to understand the correlation between spinal anatomy and screw trajectory before surgery. We aimed to assess a simple technique using 3D imaging software available on the hospital intranet for visual and quantitative feedback to prepare surgeons for an appropriate entry point and safe trajectory when placing cervical screws. Methods: A total of 59 cervical screws were inserted from C1 to T1 in 12 consecutive patients using this technique. First, a single CT optimal slice was selected from 3D CT images of the cervical spine to determine the intervals of bilateral entry points and lateral angle. Next, this 3D image was rotated to the lateral angle. Finally, bone was cut out on the entry point using subtractive manipulation, which removed the core of the pedicle or lateral mass. Screw trajectory was indicated, and surgeons could assess the correlation between surface landmarks, spinal anatomy, and screw trajectory. Posterior cervical fusion was performed using fluoroscopy. Postoperative outcomes and incidence of complications were retrospectively assessed. Results: One perforation (1.4%) was identified on postoperative CT images. No vascular injuries occurred. Differences in the intended entry point location and lateral angle of the screw from actual postoperative values were 1.49 ± 1.23 mm and 5.46。 ± 4.46。, respectively. Conclusions: A novel 3D CT imaging assessment underwent in cervical screw fixation. This technique is easily accessible on the hospital intranet and provides training in cervical screw placement for fellows. Surgeons can simulate screw placement and share surgical strategy.
文摘<strong>Aim:</strong> To carry out a 3D vector reconstruction of the typical cervical vertebra from anatomical sections of the “Korean Visible Human” for educational purposes. <strong>Material and Methods:</strong> The anatomical subject was a 33-year-old Korean man who died of leukemia. He was 164 cm tall and weighed 55 kg. This man donated his body to science. Her body was frozen and cut into several anatomical sections after an MRI and CT scan. These anatomical sections were made using a special saw called a 0.2 mm thick cryomacrotome. Thus 8100 cuts were obtained. Only the sections numbered 940 to 1200 were used for our study. A segmentation by manual contouring of the different parts of the typical cervical vertebra was made using the software Winsurf version 3.5 on a laptop PC running Windows 7 equipped with a Ram of 8 gigas. <strong>Results:</strong> Our 3D vector model of the typical cervical vertebra is easily manipulated using the Acrobat 3DPDF interface. Each part of the vertebra accessible in a menu can be displayed, hidden or made transparent, and 3D labels are available as well as educational menus for learning anatomy. <strong>Conclusion: </strong>This original work constitutes a remarkable educational tool for the anatomical study of the typical cervical vertebra and can also be used as a 3D atlas for simulation purposes for training in therapeutic gestures.