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Morphological evolution and flow conduction characteristics of fracture channels in fractured sandstone under cyclic loading and unloading
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作者 Quanle Zou Zihan Chen +4 位作者 Jinfei Zhan Chunmei Chen Shikang Gao Fanjie Kong Xiaofeng Xia 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2023年第12期1527-1540,共14页
In coal mining,rock strata are fractured under cyclic loading and unloading to form fracture channels.Fracture channels are the main flow narrows for gas.Therefore,expounding the flow conductivity of fracture channels... In coal mining,rock strata are fractured under cyclic loading and unloading to form fracture channels.Fracture channels are the main flow narrows for gas.Therefore,expounding the flow conductivity of fracture channels in rocks on fluids is significant for gas flow in rock strata.In this regard,graded incremental cyclic loading and unloading experiments were conducted on sandstones with different initial stress levels.Then,the three-dimensional models for fracture channels in sandstones were established.Finally,the fracture channel percentages were used to reflect the flow conductivity of fracture channels.The study revealed how the particle size distribution of fractured sandstone affects the formation and expansion of fracture channels.It was found that a smaller proportion of large blocks and a higher proportion of small blocks after sandstone fails contribute more to the formation of fracture channels.The proportion of fracture channels in fractured rock can indicate the flow conductivity of those channels.When the proportion of fracture channels varies gently,fluids flow evenly through those channels.However,if the proportion of fracture channels varies significantly,it can greatly affect the flow rate of fluids.The research results contribute to revealing the morphological evolution and flow conductivity of fracture channels in sandstone and then provide a theoretical basis for clarifying the gas flow pattern in the rock strata of coal mines. 展开更多
关键词 ct imaging Flow conductivity Three-dimensional reconstruction Proportion of fracture channels Cyclic loading and unloading
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Intra-Articular Distal Radius Fracture with Lunate Fossa Rotated and Associated Lesions: Radiologic Analysis
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作者 Issam Ait Hadj Sliman Cesar Tommeh +1 位作者 Frederic Desmoulin André-Pierre Uzel 《Open Journal of Orthopedics》 2023年第4期123-130,共8页
Introduction: Intra-articular distal radial fractures in young patients occur in high energy trauma which can lead to a combination of bone and ligaments lesions. An articular step superior to 2 mm is pejorative, for ... Introduction: Intra-articular distal radial fractures in young patients occur in high energy trauma which can lead to a combination of bone and ligaments lesions. An articular step superior to 2 mm is pejorative, for that an adequate radiologic analysis is necessary accessing to the best surgical treatment. The purpose of our study was to investigate this type of fracture and expose radiologic analysis (radiograph and CT-scan) of bone and ligamentous associated lesions of this specific twisted lunate facet fracture for recognizing it and accessing to the best surgical treatment. Patients and Methods: Seven patients with severely displaced type 4 articular fractures of the distal radius whose wrists had been exposed to violent compression are reported in our series, they are required open treatment for the reduction and fixation of disrupted articular surfaces by using an antero-medial approach which allows direct access to the fragment of the lunate facet and easier visualization of the distal radio-ulnar joint. Results: All the patients were clinically examined with antero-posterior and lateral X ray, completed by a CT scan, all the fractures were type IV according to Melone classification. In all of our seven cases there was a lesion of the distal radioulnar joint (DRUJ) identified in the CT scan. The CT scan allowed us to individualize well the void of the lunate fossa and calculate his exact degree of rotation, which is very important for planning therapeutic management. Discussion: In all of our cases the CT scan was to expose all of the osseous and ligamentous injuries;in the sagittal reconstruction we were able to objectify and calculate the exact degree of the rotation of the lunate fossa fragment;in the frontal reconstruction the void of the lunate fossa is visible and in the axial reconstruction we can determine the incongruence of the distal radio-ulnar joint (DRUJ). Intra-articular involvement has long been recognized as a poor prognostic factor in fractures of the distal radius. However, despite early studies reporting poor results with non operative treatment for these injuries, most authors opposed operative intervention, due to lack of a good radiological analysis and the CT scan;knowledge that a number of studies have shown that inadequate reduction of intra-articular distal radius fractures leads to the development of arthritis. 展开更多
关键词 Articular fracture Lunate Facet Distal Radio-Ulnar Joint WRIST RADIOGRAPH ct-SCAN
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MSCT三维骨重建技术在髋关节骨折诊断及治疗中的应用
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作者 高岩 刘震钢 +1 位作者 李小硕 韩子旭 《中国CT和MRI杂志》 2024年第2期157-159,共3页
目的探讨多排螺旋CT(MSCT)三维骨重建技术在髋关节骨折诊断及治疗中的应用。方法选择2020年1月~2022年8月我院收治98例髋关节骨折患者,均行常规X线检查和MSCT检查,并进行MSCT三维重建,观察X线片、二维MSCT图像和MSCT骨三维重建图像。结... 目的探讨多排螺旋CT(MSCT)三维骨重建技术在髋关节骨折诊断及治疗中的应用。方法选择2020年1月~2022年8月我院收治98例髋关节骨折患者,均行常规X线检查和MSCT检查,并进行MSCT三维重建,观察X线片、二维MSCT图像和MSCT骨三维重建图像。结果手术显示,98例患者共发现101处髋中骨折,其中35处为股骨头骨折,24处为股骨颈骨折,21处为粗隆间骨折,21处为髋臼骨折。X线漏检12处骨折,二维CT漏检7处骨折,MSCT三维骨重建未见漏检,其对髋关节骨折检出率显著高于X线及二维CT(P<0.05)。MSCT三维重建对髋臼骨折分型正确检出率高于二维CT和X线,但比较差异未见统计学意义(P>0.05)。根据患者术前MSCT骨三维重建资料设计治疗方案,术中所见与资料吻合,患者手术时间(106.30±27.40)min,术中出血量(356.60±54.17)mL,术中透视时间(21.35±5.11)s,骨折愈合时间(80.46±12.29)d;术后随访显示治疗优良率为94.90%,且暂未发生并发症。结论MSCT三维骨重建可清晰显示髋关节骨折情况,有利于髋关节骨折及骨折分型诊断,对临床手术方案制定及术后关节功能恢复具有重要价值。 展开更多
关键词 多排螺旋ct 三维骨重建 髋关节骨折 诊断 治疗
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多层螺旋CT的MPR及VR重建技术对外伤性肋骨骨折的诊断价值
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作者 敖平 张玉霖 +4 位作者 朱丽 罗艺 陈聪 俞梅美 修志刚 《中国医药科学》 2024年第5期149-152,共4页
目的探讨多层螺旋CT(MSCT)多平面重建(MPR)、容积再现(VR)技术对外伤性肋骨骨折的诊断价值。方法回顾性分析2022年1—10月四川大学华西医院龙泉医院收治的90例外伤性肋骨骨折患者的MSCT图像,根据轴位薄层图像分别结合MPR、VR重建图像进... 目的探讨多层螺旋CT(MSCT)多平面重建(MPR)、容积再现(VR)技术对外伤性肋骨骨折的诊断价值。方法回顾性分析2022年1—10月四川大学华西医院龙泉医院收治的90例外伤性肋骨骨折患者的MSCT图像,根据轴位薄层图像分别结合MPR、VR重建图像进行诊断,比较两种重建技术对肋骨骨折的诊断价值。结果90例患者共371处肋骨骨折,其中错位骨折254处,MPR及VR的诊断敏感度率分别为98.03%(249/254)、96.85%(246/254),误诊率分别为0.40%(1/250)、0.40%(1/247),MPR及VR对肋骨错位骨折诊断的敏感度及误诊率比较,差异无统计学意义(P>0.05)。MPR及VR对117处无错位骨折的诊断敏感度分别为88.03%(103/117)、74.36%(87/117),误诊率分别为2.83%(3/106)、5.43%(5/92);MPR及VR对总的肋骨骨折诊断敏感度分别为94.88%(352/371)、89.76(333/371),误诊率分别为1.12%(4/356)、1.77%(6/339);MPR对无错位骨折及总的肋骨骨折诊断敏感度高于VR,差异有统计学意义(P<0.05),而误诊率差异无统计学意义(P>0.05)。VR平均诊断时间(174.59±21.64)s短于MPR平均诊断时间(211.66±27.70)s,差异具有统计学意义(P<0.05)。结论VR诊断用时短,MPR对无错位骨折敏感度更高,合理利用两种重建技术能提高肋骨骨折诊断效率和准确性。 展开更多
关键词 多层螺旋ct 后处理技术 肋骨骨折 诊断价值
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螺旋CT三维扫描重建联合3D打印用于髋臼骨折手术的价值研究
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作者 王姗姗 牛俊巧 +3 位作者 王佳 李小娟 洪悦 王利 《中国医学装备》 2024年第5期59-63,共5页
目的:探讨螺旋CT三维扫描重建联合3D打印技术在髋臼骨折外科手术中的应用价值。方法:选取2018年1月至2020年12月新疆维吾尔自治区人民医院收治的71例髋臼骨折并接受手术治疗的患者,依据治疗方式的不同将其分为观察组(38例)和对照组(33... 目的:探讨螺旋CT三维扫描重建联合3D打印技术在髋臼骨折外科手术中的应用价值。方法:选取2018年1月至2020年12月新疆维吾尔自治区人民医院收治的71例髋臼骨折并接受手术治疗的患者,依据治疗方式的不同将其分为观察组(38例)和对照组(33例),观察组采用螺旋CT三维重建,并以3D打印辅助内固定治疗,对照组采用常规手术治疗。比较两组患者手术效果及恢复情况。结果:观察组骨折复位质量评分及分项百分制髋功能评分高于对照组,术中出血量、术中透视次数、手术用时及住院时间均明显低于对照组,差异均有统计学意义(t=23.426、4.216、3.425、17.783,P<0.05);观察组和对照组骨折复位优良率分别为94.74%和78.79%,差异有统计学意义(x^(2)=4.059,P<0.05);观察组患者髋关节功能评分中疼痛、功能及关节活动均高于对照组,差异有统计学意义(t=-4.873、-5.776、-6.247,P<0.05);观察组并发症发生率明显低于对照组,差异有统计学意义(x^(2)=4.059,P<0.05)。结论:在髋臼骨折围术期应用螺旋CT三维重建结合3D打印可进一步保证手术的安全性和可行性,提高手术质量和效率,促进术后恢复。 展开更多
关键词 螺旋ct 三维重建 3D打印 髋臼骨折
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基于CT扫描的CO_(2)相变致裂煤裂隙演化特征
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作者 刘高峰 关文博 +3 位作者 张震 李宝林 刘欢 司念 《矿业科学学报》 CSCD 北大核心 2024年第3期342-350,共9页
为进一步揭示CO_(2)相变致裂煤的裂隙改造机理,开展了CO_(2)相变致裂煤体实验,基于CT扫描和三维裂隙重构,分析了CO_(2)相变致裂前后的煤样内部裂隙结构参数,查明了CO_(2)相变致裂煤的三维裂隙结构演化特征。结果表明,致裂后煤样的裂隙... 为进一步揭示CO_(2)相变致裂煤的裂隙改造机理,开展了CO_(2)相变致裂煤体实验,基于CT扫描和三维裂隙重构,分析了CO_(2)相变致裂前后的煤样内部裂隙结构参数,查明了CO_(2)相变致裂煤的三维裂隙结构演化特征。结果表明,致裂后煤样的裂隙总数量减少,裂隙总体积和裂隙总表面积增加;CO_(2)相变致裂产生了裂隙扩张转化效应,在致裂压力的扩张作用下,小尺度裂隙转化为更大尺度的裂隙;长度小于1000μm的裂隙数量减少、裂隙体积和表面积明显减小,长度大于1000μm的裂隙体积和表面积明显增大,且裂隙之间扩张贯通而引起其数量减少;CO_(2)相变致裂大幅度改善了煤体三维裂隙的连通性,有利于气体的运移和产出。此研究为CO_(2)相变致裂效果提供新的分析评价方法,也可为其他非常规天然气储层及其改造的裂隙演化特征研究提供参考和借鉴。 展开更多
关键词 CO_(2)相变致裂 ct扫描 煤储层 三维裂隙演化
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骨质疏松性椎体压缩性骨折老年患者不同PKP术后应用注射用重组特立帕肽联合康复锻炼对骨质疏松椎体T值和CT值的变化观察
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作者 陈胜敏 张小盈 +1 位作者 未会朵 唐杰 《四川医学》 CAS 2024年第7期755-759,共5页
目的探讨骨质疏松性椎体压缩性骨折(OVCFs)老年患者不同经皮椎体球囊后凸成形术(PKP)后应用注射用重组特立帕肽联合康复锻炼对骨质疏松椎体T值和CT值的变化观察。方法选取2019年7月至2022年3月我院收治的120例老年OVCFs患者作为研究对象... 目的探讨骨质疏松性椎体压缩性骨折(OVCFs)老年患者不同经皮椎体球囊后凸成形术(PKP)后应用注射用重组特立帕肽联合康复锻炼对骨质疏松椎体T值和CT值的变化观察。方法选取2019年7月至2022年3月我院收治的120例老年OVCFs患者作为研究对象,按照干预方法的不同分为单次球囊扩张PKP治疗组与多点扩张PKP治疗组,均为60例,多点扩张PKP治疗组采取多点球囊PKP术,单次球囊扩张PKP治疗组采取单点球囊PKP术,所有患者术后均接受注射用重组特立帕肽联合康复锻炼干预。观察并比较两组患者的T值、CT值、腰痛功能评定表(JOA)、Oswestry功能障碍指数问卷表(ODI)、视觉模拟评分法(VAS)及再骨折情况。结果多点扩张PKP治疗组患者的T值(t=9.130,P=0.000)、CT值(t=39.140,P=0.000)显著低于单次球囊扩张PKP治疗组。治疗后,多点扩张PKP治疗组ODI、VAS评分低于治疗前和同期单次球囊扩张PKP治疗组(P<0.05)。多点扩张PKP治疗组再骨折率低于单次球囊扩张PKP治疗组(P<0.05),两组治疗方式的骨水泥注入量和骨水泥渗漏情况差异无统计学意义(P>0.05)。结论多点扩张PKP术后应用注射用重组特立帕肽联合康复锻炼,可有效改善患者椎体T、CT值、腰椎功能和疼痛程度,降低再骨折和不良反应发生情况。 展开更多
关键词 ct 老年骨质疏松椎体压缩性骨折 骨密度
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Study of hydraulic fracture growth behavior in heterogeneous tight sandstone formations using CT scanning and acoustic emission monitoring 被引量:9
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作者 Nai-Zhen Liu Yu-Shi Zou +2 位作者 Xin-Fang Ma Ning Li Shan Wu 《Petroleum Science》 SCIE CAS CSCD 2019年第2期396-408,共13页
Tortuous hydraulic fractures(HFs) are likely to be created in heterogeneous formations such as conglomerates, which may cause sand plugging, ultimately resulting in poor stimulation efficiency. This study aims to expl... Tortuous hydraulic fractures(HFs) are likely to be created in heterogeneous formations such as conglomerates, which may cause sand plugging, ultimately resulting in poor stimulation efficiency. This study aims to explore HF growth behavior in conglomerate through laboratory fracturing experiments under true tri-axial stresses combined with computed tomography scanning and acoustic emission(AE) monitoring. The effects of gravel size, horizontal differential stress, and AE focal mechanisms were examined. Especially, the injection pressure and the AE response features during HF initiation and propagation in conglomerate were analyzed. Simple HFs with narrow microfractures are created in conglomerate when the gravels are considerably smaller than the specimen, whereas complex fractures are created when the gravels are similar in size to the specimen, even under high horizontal differential stresses. Breakdown pressure and AE rates are high when a HF is initiated from the high-strength gravel. A large pressure decline after the breakdown may indicate the creation of a planar and wide HF. Analyzing the focal mechanism indicates that the shear mechanism generally dominates with an increase in the HF complexity. Tensile events are likely to occur during HF initiation and are located around the wellbore. Shear events occur mainly around the nonplanar and complex matrix/gravel interfaces. 展开更多
关键词 CONGLOMERATE GRAVEL Hydraulic fracturING Propagation mechanism COMPUTED TOMOGRAPHY (ct) Acoustic emission (AE)
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3D reconstruction method and connectivity rules of fracture networks generated under different mining layouts 被引量:18
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作者 Zhang Ru Ai Ting +2 位作者 Li Hegui Zhang Zetian Liu Jianfeng 《International Journal of Mining Science and Technology》 SCIE EI 2013年第6期863-871,共9页
In current research,a series of triaxial tests,which were employed to simulate three typical mining layouts(i.e.,top-coal caving,non-pillar mining and protected coal seam mining),were conducted on coal by using MTS815... In current research,a series of triaxial tests,which were employed to simulate three typical mining layouts(i.e.,top-coal caving,non-pillar mining and protected coal seam mining),were conducted on coal by using MTS815 Flex Test GT rock mechanics test system,and the fracture networks in the broken coal samples were qualitatively and quantitatively investigated by employing CT scanning and 3D reconstruction techniques.This work aimed at providing a detail description on the micro-structure and fractureconnectivity characteristics of rupture coal samples under different mining layouts.The results show that:(i)for protected coal seam mining layout,the coal specimens failure is in a compression-shear manner and oppositely,(ii)the tension-shear failure phenomenon is observed for top-coal caving and non-pillar mining layouts.By investigating the connectivity features of the generated fractures in the direction ofσ_1,under different mining layouts,it is found that the connectivity level of the fractures of the samples corresponding to non-pillar mining layout was the highest. 展开更多
关键词 Mining layout 3D reconstruction of ct images fracture network Connectivity level
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Quantitative investigation of multi-fracture morphology during TPDF through true tri-axial fracturing experiments and CT scanning 被引量:5
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作者 Ming-Hui Li Fu-Jian Zhou +3 位作者 Jin-Jun Liu Li-Shan Yuan Guo-Peng Huang Bo Wang 《Petroleum Science》 SCIE CAS CSCD 2022年第4期1700-1717,共18页
Due to the reservoir heterogeneity and the stress shadow effect, multiple hydraulic fractures within one fracturing segment cannot be initiated simultaneously and propagate evenly, which will cause a low effectiveness... Due to the reservoir heterogeneity and the stress shadow effect, multiple hydraulic fractures within one fracturing segment cannot be initiated simultaneously and propagate evenly, which will cause a low effectiveness of reservoir stimulation. Temporary plugging and diverting fracturing(TPDF) is considered to be a potential uniform-stimulation method for creating multiple fractures simultaneously in the oilfield. However, the multi-fracture propagation morphology during TPDF is not clear now. The purpose of this study is to quantitatively investigate the multi-fracture propagation morphology during TPDF through true tri-axial fracturing experiments and CT scanning. Critical parameters such as fracture spacing, number of perforation clusters, the viscosity of fracturing fluid, and the in-situ stress have been investigated. The fracture geometry before and after diversion have been quantitively analyzed based on the two-dimensional CT slices and three-dimensional reconstruction method. The main conclusions are as follows:(1) When injecting the high viscosity fluid or perforating at the location with low in-situ stress, multiple hydraulic fractures would simultaneously propagate. Otherwise, only one hydraulic fracture was created during the initial fracturing stage(IFS) for most tests.(2) The perforation cluster effectiveness(PCE) has increased from 26.62% during the IFS to 88.86% after using diverters.(3) The diverted fracture volume has no apparent correlation with the pressure peak and peak frequency during the diversion fracturing stage(DFS) but is positively correlated with water-work.(4) Four types of plugging behavior in shale could be controlled by adjusting the diverter recipe and diverter injection time, and the plugging behavior includes plugging the natural fracture in the wellbore, plugging the previous hydraulic fractures, plugging the fracture tip and plugging the bedding. 展开更多
关键词 Hydraulic fracturing Temporary plugging and diverting fracturing(TPDF) Multiple fracture Tri-axial experiment ct scanning
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Insight into the structural evolution of porous and fractured media by forced aeration during heap leaching 被引量:5
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作者 Yu Shaofeng Wu Aixiang Wang Yiming 《International Journal of Mining Science and Technology》 SCIE EI CSCD 2019年第5期803-807,共5页
Despite lots of techniques in improving the heap leaching performance,many constraints on the industrial applications remain.We proposed a correspondingly effective and new idea of introducing forced aeration to impro... Despite lots of techniques in improving the heap leaching performance,many constraints on the industrial applications remain.We proposed a correspondingly effective and new idea of introducing forced aeration to improve the bad permeability and leaching effect of Yangla Copper Mine(YCM)during heap leaching.The dual-media theory was employed to study the impact mechanism of forced aeration on the variations of porous and fractured media during the column leaching experiments.An X-Ray Computed Tomography(CT)set was utilized to perform the pore imaging of the specimens and the fracture morphology of the particles within the columns was analyzed by Scanning Electron Microscope(SEM)as aeration rate(AR)changed.The results show that there exists copious fine particles within the heap of YCM,the particle size distribution of which is not reasonable.The forced aeration can not only promote the development of the porous and fractured structures but effectively break the blocked seepage paths.Then the leaching degree is improved and the seepage performance of the solute within the solution is enhanced.Therefore,the forced aeration is probable of making the leaching performance greatly improved. 展开更多
关键词 LEACHING performance FORCED AERATION POROUS and fractured MEDIA ct SEM AERATION rate
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基于临床CT数字体相关和有限元分析的股骨内部变形场研究 被引量:1
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作者 王家宁 符绩智 +2 位作者 冯文天 宋霏 杨海胜 《北京生物医学工程》 2024年第1期9-14,42,共7页
目的验证基于临床CT的数字体相关(digital volume correlation,DVC)方法在测量股骨内部变形场时的准确性,并通过DVC进一步测量股骨在跌倒情况下的内部变形,验证基于临床CT的有限元分析方法(finite element analysis,FEA)在计算股骨内部... 目的验证基于临床CT的数字体相关(digital volume correlation,DVC)方法在测量股骨内部变形场时的准确性,并通过DVC进一步测量股骨在跌倒情况下的内部变形,验证基于临床CT的有限元分析方法(finite element analysis,FEA)在计算股骨内部变形场的准确性。方法使用猪股骨,模拟侧向跌倒姿态,进行分步力学加载实验,同步进行多次CT成像。通过重复扫描和虚拟位移验证DVC方法的准确性。DVC以子体积作为配准两组图像的研究对象,分别设置8、12、16和20 mm的子体积进行测试。量化误差指标包括位移系统误差-平均值(mean)、位移随机误差-标准差(standard deviation,SD)、应变准确度-平均绝对误差(mean absolute error,MAER)和应变精确度-标准差误差(standard deviation of the error,SDER)。基于CT图像建立股骨有限元模型,模拟实验条件,计算股骨内部位移,与DVC测量的内部变形场对比验证。结果基于临床CT的DVC方法重复扫描位移偏差小于0.013 mm,MAER和SDER均小于200με;虚拟位移偏差小于0.098 mm,MAER为1093~1687με,SDER为604~1267με,远小于骨组织屈服应变。FEA计算的位移和DVC测量的位移之间具有较强的相关性(R^(2)≥0.76,P<0.05)。结论基于临床CT的DVC方法可以准确测量股骨内部变形场,并且基于临床CT的有限元模型可以准确计算股骨内部变形场。 展开更多
关键词 ct图像 有限元分析 数字体相关 骨质疏松 股骨骨折
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Micro-CT分析跟骨内骨小梁分布及结构特征
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作者 张凤珍 孙瑞芬 +4 位作者 李梓瑜 王星 李琨 李志军 张少杰 《中国组织工程研究》 CAS 北大核心 2024年第24期3885-3889,共5页
背景:跟骨位于足的后下部,受力较大。跟骨外形复杂且不规则,外周有较薄的皮质骨包绕,内部充满大量的骨小梁,探讨骨小梁的微观结构、走行及分布特征有助于提高对跟骨骨折的认识。目的:采用微计算机断层扫描仪(Micro-CT)扫描跟骨标本获得... 背景:跟骨位于足的后下部,受力较大。跟骨外形复杂且不规则,外周有较薄的皮质骨包绕,内部充满大量的骨小梁,探讨骨小梁的微观结构、走行及分布特征有助于提高对跟骨骨折的认识。目的:采用微计算机断层扫描仪(Micro-CT)扫描跟骨标本获得其影像资料,对其内部骨小梁结构进行分析,探讨跟骨内骨小梁的形态、分布及结构特征。方法:采用Micro-CT连续扫描干燥成人跟骨标本,扫描后获得影像图像,将其以DICOM格式存储。导入影像资料到Hiscan Analyzer软件,显示清晰完整的成人跟骨矢状面、冠状面、水平面的图像,逐层观察骨小梁的走行,依据骨小梁走行特点将跟骨矢状面分为6个部分,在以7 mm为标准的相同厚度下,每个部分选择1个49 mm2等面积的兴趣区,三维重建后获得跟骨及骨小梁的立体微观结构,二值化后运用软件计算感兴趣区域内骨小梁的体积分数、表面密度、骨小梁厚度、骨小梁间隙和骨小梁数量参数。结果与结论:①跟骨表面皮质层很薄,内部充满大量骨松质,在Gissane角的骨皮质明显增厚;②跟骨上部的骨小梁体积分数大于跟骨下部前端、中和三角区、跟骨下后部、跟骨结节部、跟骨底部,跟骨结节部的骨小梁体积分数大于跟骨下部前端、中和三角区、跟骨下后部、跟骨底部;跟骨结节部的骨小梁表面密度大于跟骨下部前端、中和三角区、跟骨底部,跟骨上部、跟骨下后部的骨小梁表面密度大于中和三角区;跟骨上部的骨小梁厚度大于跟骨结节部;中和三角区的骨小梁间隙大于跟骨上部、跟骨结节部;跟骨结节部的骨小梁数量大于中和三角区;③中和三角区主要分布杆状骨小梁,骨小梁表面密度最小、体积分数较小、骨小梁间隙最大;该部位骨质较疏松,受到高冲击力时抗压缩能力差,骨小梁最先发生断裂,是易发生骨折的部位。 展开更多
关键词 MICROct 跟骨 骨小梁 形态特征 骨折
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Efficacy of high resolution computed tomography for detection of early healing in scaphoid fractures 被引量:1
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作者 Michael Di Ianni Jatin Kaicker +1 位作者 Ke Wu Hema Choudur 《Open Journal of Clinical Diagnostics》 2012年第3期51-55,共5页
Background: While plain radiography is commonly used to assess scaphoid fracture, this imaging modality may not accurately demonstrate early bone healing. This investigation evaluates the utility of 64-slice CT in the... Background: While plain radiography is commonly used to assess scaphoid fracture, this imaging modality may not accurately demonstrate early bone healing. This investigation evaluates the utility of 64-slice CT in the detection of early fracture healing compared to plain radiographs and magnetic resonance imaging (MRI). Methods: Outpatients attending follow-up visits for scaphoid fractures at Hamilton General Hospital were included in this investigation. Inclusion criteria included outpatients over age of 18 who consented to attend a follow-up visit for the scaphoid fracture at 6 weeks for X-Ray, 64-slice CT and MRI scan to monitor fracture healing. Assessment of healing was independently interpreted by two radiologists specialized in musculoskeletal imaging. A total of 7 adult outpatients were accrued, with each case classified as healing, not healing, or equivocal for plain radiography and 64-slice CT scan. Results: For plain radiographs, the level of interrater agreement for evidence of healing was 57% (4/7) cases. When comparing this to CT scans, there was no discrepancy between radiologists as 100% (7/7) were found to have evidence of healing. The 64-slice CT scan demonstrated evidence of early trabecular continuity in all cases, including radiographs that were interpreted as equivocal. Conclusion: This study can be considered a pilot project for the efficacy of 64-slice CT in the assessment of early healing of scaphoid fractures. For clinicians, the multiplanar reconstruction images allows for more accurate assessment of fractures than plain radiography. CT scans are able to penetrate through bony callus that may obscure visualization of healing in plain radiography, demonstrate trabecular continuity better than plain radiographs, are readily accessible and provide faster imaging acquisition. The observations from this study may have implications in terms of duration and type of casting applied, timing of strengthening exercises, and avoiding unnecessary surgery which affect patient morbidity and cost of care. 展开更多
关键词 WRIST fracture SCAPHOID BONE fracture SCAPHOID BONE fracture HEALING 64-Slice ct Scans TRABECULAR Continuity
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小尺寸CT试样断裂行为的GTN细观损伤模型研究
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作者 杨越 李逸涵 +4 位作者 杨万欢 黎军顽 钟巍华 宁广胜 杨文 《原子能科学技术》 EI CAS CSCD 北大核心 2024年第2期411-420,共10页
基于国产A508-Ⅲ钢的单轴拉伸测试,构建了Ramberg-Osgood力学本构模型和GTN(Gurson-Tvergaard-Needleman)细观损伤模型,并对模型参数进行了标定,开展了不同温度下小尺寸CT(1/6CT)试样的断裂韧性测试,采用规则化方法计算得到裂纹扩展阻... 基于国产A508-Ⅲ钢的单轴拉伸测试,构建了Ramberg-Osgood力学本构模型和GTN(Gurson-Tvergaard-Needleman)细观损伤模型,并对模型参数进行了标定,开展了不同温度下小尺寸CT(1/6CT)试样的断裂韧性测试,采用规则化方法计算得到裂纹扩展阻力曲线(J-R曲线),分析了测试温度对材料断裂性能的影响。结果表明,随着温度从-100℃度降低至-130℃,断口韧窝区的宽度由43μm缩减至10μm,平均韧窝尺寸从0.3μm缩小至0.05μm,材料的塑性变形能力随着温度的降低而脆化。基于构建的力学本构模型和GTN细观损伤模型,采用有限元法分析了1/6CT试样从裂纹萌生、扩展至失效断裂的过程。结果表明,J-R曲线随着温度的下降而降低,断裂韧性(J_(IC)值)和裂纹扩展量(Δa)的降幅分别为43%和3%,相对误差不超过5%。这表明,基于GTN细观损伤模型的数值方法是研究小尺寸CT试样断裂行为的一种简便、有效的方法。 展开更多
关键词 国产A508-Ⅲ钢 GTN细观损伤模型 小尺寸ct试样 断裂韧性 J-R曲线
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Investigating microscopic seepage characteristics and fracture effectiveness of tight sandstones:a digital core approach 被引量:1
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作者 Jing Li Xiao-Rong Li +3 位作者 Ming-Shui Song Hui-Min Liu Yong-Cun Feng Chen Liu 《Petroleum Science》 SCIE CAS CSCD 2021年第1期173-182,共10页
Microscopic seepage characteristics are critical for the evaluation of tight sandstone reservoirs.In this study,a digital core approach integrating microscopic seepage simulation and CT scanning was developed to chara... Microscopic seepage characteristics are critical for the evaluation of tight sandstone reservoirs.In this study,a digital core approach integrating microscopic seepage simulation and CT scanning was developed to characterize microscopic seepage and fracture effectiveness(the ratio of micro-fractures that contributes to fluid flow)of tight sandstones.Numerical simulations were carried out for characterizations of tight sandstones.The results show that the axial permeability of the investigated cylindrical tight sandstone from Junggar Basin in China is 0.460μm~2,while the radial permeability is 0.3723μm~2,and the axial and radial effective fracture ratios are 0.4387 and 0.4806,respectively,indicating that cracks are not fully developed and the connectivity between micro-cracks is poor.Directional permeability that is difficult to measure by laboratory experiments can be obtained readily using the proposed method in this paper.The results provide important information for improving the exploration and development of tight sandstone reservoirs. 展开更多
关键词 Tight sandstone Digital core approach ct scanning Microscopic seepage characteristics fracture effectiveness
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CT扫描成像对后踝关节内嵌入骨块形态学分析的价值
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作者 林伟文 刘刚 +1 位作者 刘凌杰 陈水斌 《中国CT和MRI杂志》 2024年第4期160-162,共3页
目的分析CT扫描成像对后踝关节内嵌入骨块形态学分析的价值。方法回顾性分析2018年1月-2022年12月我院诊断的129例累及后踝的踝关节骨折患者临床资料。根据CT检查中后踝骨折块是否存后踝关节内嵌入骨块(intraarticular impacted fragmen... 目的分析CT扫描成像对后踝关节内嵌入骨块形态学分析的价值。方法回顾性分析2018年1月-2022年12月我院诊断的129例累及后踝的踝关节骨折患者临床资料。根据CT检查中后踝骨折块是否存后踝关节内嵌入骨块(intraarticular impacted fragment,IAIF),分为IAIF组和非IAIF组。使用CT扫描测量后踝骨折块面积、受累胫骨腓切迹长度、IAIF长度、面积和稳定胫骨骨块面积、稳定胫骨长度、IAIF距关节移动距离。使用Spearman相关分析,分析IAIF面积与其他临床参数的相关性。结果在129例后踝骨折中,IAIF患者有90例(69.76%)。IAIF组与非IAIF组患者的Haraguchi分型和Mason分型分布存在差异(P均<0.05),IAIF患者内踝受累比例更高(P=0.008),胫骨腓切迹受累比例更高(P=0.011),后踝骨折块长度更长(P=0.004),后踝骨折块面积更大(P=0.010)。59例(65.56%)患者IAIF分布于胫骨外侧区。使用Spearman相关性分析可见,AIF面积与后踝骨折块面积存在一定相关性(rs=-0.408,P=0.037)。结论IAIF最常见的位置在胫骨外侧区。后踝骨折线延伸至内踝或胫骨腓切迹时,提示IAIF发生风险较高。 展开更多
关键词 ct 骨折 踝关节
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^(99m)Tc-MDP SPECT/CT和1.5T MRI诊断骨质疏松椎体新鲜骨折的比较研究
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作者 刘艳 秦伟 +4 位作者 张铃 谢志豪 钟双双 杨光强 杨师 《介入放射学杂志》 CSCD 北大核心 2024年第4期404-408,共5页
目的探讨^(99m)Tc-MDP SPECT/CT融合显像对骨质疏松性椎体压缩骨折(OVCFs)患者经皮椎体成形术(PVP)术前新鲜骨折椎体的检出情况,从而指导PVP的治疗。方法回顾性收集2020年7月至2023年2月在遂宁市中心医院临床诊断为老年性OVCFs的患者,... 目的探讨^(99m)Tc-MDP SPECT/CT融合显像对骨质疏松性椎体压缩骨折(OVCFs)患者经皮椎体成形术(PVP)术前新鲜骨折椎体的检出情况,从而指导PVP的治疗。方法回顾性收集2020年7月至2023年2月在遂宁市中心医院临床诊断为老年性OVCFs的患者,根据纳入、排除标准,最终纳入43例研究对象,共涉及95节椎体(新鲜性OVCFs 61节,陈旧性VCFs 34节)。所有研究对象均做了^(99m)Tc-MDP SPECT/CT融合显像和MRI两种影像检查,结合患者临床表现、病史、体征、实验室检查、影像学诊断以及PVP术后VAS和ODI评分是否减轻,综合判断两种影像检查对新鲜性OVCFs定位的准确性。结果43例患者术前VAS和ODI评分分别为(8.02±1.10)和(69.92±7.95),术后1、3 dVAS评分分别为(4.00±1.09)、(1.86±1.08),术后1个月ODI评分为(35.30±7.10),术后VAS和ODI评分较术前显著降低,且术后VAS评分逐步递减(P<0.05)。^(99m)Tc-MDP SPECT/CT融合显像最终诊断新鲜性OVCFs 58节,陈旧性VCFs 37节,检出新鲜性OVCFs情况与最终行PVP手术椎体符合57节;MRI检查最终诊断新鲜性OVCFs 60节,陈旧性VCFs 35节,检出新鲜性OVCFs情况与最终行PVP手术椎体符合60节,两种影像检查对新鲜性OVCFs检出的敏感度、特异度及准确度差异无统计学意义(P>0.05),^(99m)Tc-MDP SPECT/CT和MRI诊断新鲜性OVCFs的ROC曲线下面积分别为0.953和0.992。结论对于OVCFs,^(99m)Tc-MDP SPECT-CT融合显像能够准确诊断新鲜椎体骨折,在MRI检查不适用时可作为替代检查方法。 展开更多
关键词 骨质疏松性椎体压缩骨折 经皮椎体成形术 ^(99m)Tc-MDP SPEct/ct融合显像 磁共振
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老年足踝部隐匿性骨折MSCT三维重建、磁共振成像特点及联合诊断价值
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作者 朱江 辛宇强 +2 位作者 刘英杰 石运力 李硕 《临床误诊误治》 CAS 2024年第8期69-75,共7页
目的研究老年足踝部隐匿性骨折多层螺旋CT(MSCT)三维重建、磁共振成像特点及联合检查的诊断价值,以期为临床早期诊断提供参考依据。方法选取2021年3月—2024年1月收治的120例疑似老年足踝部隐匿性骨折为研究对象,入院后均行MSCT、磁共... 目的研究老年足踝部隐匿性骨折多层螺旋CT(MSCT)三维重建、磁共振成像特点及联合检查的诊断价值,以期为临床早期诊断提供参考依据。方法选取2021年3月—2024年1月收治的120例疑似老年足踝部隐匿性骨折为研究对象,入院后均行MSCT、磁共振成像检查。分析老年足踝部隐匿性骨折的MSCT三维重建、磁共振成像特点。比较MSCT三维重建与磁共振成像检查对老年足踝部隐匿性骨折显示率。比较MSCT三维重建、磁共振成像及联合检查诊断老年足踝部隐匿性骨折的应用价值。结果120例疑似老年足踝部隐匿性骨折中,最终确诊101例,常规X线检查均为阴性,其中外踝撕脱性骨折33例(32.67%)、跟骨前外侧缘骨折26例(25.74%)、距骨骨折19例(18.81%)、内踝骨折8(7.92%)、后踝骨折6例(5.94%)、胫腓骨远端骨折5例(4.95%)、骰骨骨折2例(1.98%)、跖骨近端骨折1例(0.99%)、跟骨体骨折1例(0.99%)。MSCT三维重建影像特点表现为骨折处骨小梁断裂,骨皮质连续性消失,合并有一定程度的骨片撕裂脱落。磁共振成像显示骨髓不规则片状信号,T1WI不规则细线状、条索状低信号,T2WI略高或低信号,脂肪抑制序列高信号或混杂高信号。磁共振成像对骨挫伤/骨髓水肿显示率高于MSCT三维重建(P<0.05)。MSCT三维重建、磁共振成像及联合检查分别检出老年足踝部隐匿性骨折97、95、101例;联合检查的敏感度100.00%(101/101)、准确度100.00%(120/120)高于MSCT三维重建[94.06%(95/101)、93.33%(112/120)]、磁共振成像检查[93.07%(94/101)、93.33%(112/120)],漏诊率为0低于MSCT三维重建5.94%(6/101)、磁共振成像检查6.93%(7/101)(P<0.05)。结论磁共振成像、MSCT三维重建联合检查可有效提高老年足踝部隐匿性骨折诊断准确率,临床可通过该方法进行早期诊断,以制订后续治疗方案。 展开更多
关键词 隐匿性骨折 足踝部 老年人 多层螺旋ct 磁共振成像 诊断 三维重建 准确率
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复杂部位骨折诊断中128排螺旋CT图像后处理技术的应用价值
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作者 周国东 魏强 《智慧健康》 2024年第1期53-56,共4页
目的评估复杂部位骨折患者实施128排螺旋CT图像后处理技术检查的准确率。方法选取2021年1月—2023年7月本院收治的疑似复杂部位骨折患者57例,全部患者均予以常规X线检查、128排螺旋CT图像后处理技术检查,总结两种检查结果,针对其准确性... 目的评估复杂部位骨折患者实施128排螺旋CT图像后处理技术检查的准确率。方法选取2021年1月—2023年7月本院收治的疑似复杂部位骨折患者57例,全部患者均予以常规X线检查、128排螺旋CT图像后处理技术检查,总结两种检查结果,针对其准确性实施组间对照。结果①疑似复杂部位骨折患者确诊结果阳性39例,占比68.42%;阴性18例,占比31.58%。常规X线检查结果阳性36例,占比63.16%;阴性21例,占比36.84%。128排螺旋CT图像后处理技术检查结果阳性38例,占比66.67%;阴性19例,占比33.33%。②疑似复杂部位骨折患者128排螺旋CT图像后处理技术检查结果灵敏度、特异度、准确性、阳性预测值、阴性预测值(97.44%、100.00%、98.25%、100.00%、94.74%)高于常规X线检查(79.49%、72.22%、77.19%、86.11%、61.90%),期间校验值显示为P<0.05,结果充分证实组间差异存在。结论复杂部位骨折患者采用128排螺旋CT图像后处理技术检查准确性较高。 展开更多
关键词 复杂部位骨折 128排螺旋ct 图像后处理技术 准确性
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