Estimation-free spatial-domain image reconstruction of structured illumination microscopy

Structured illumination microscopy(SIM)achieves super-resolution(SR)by modulating the high-frequency information of the sample into the passband of the optical system and subsequent image reconstruction.The traditional Wiener-filtering-based reconstruction algorithm operates in the Fourier domain,it requires prior knowledge of the sinusoidal illumination patterns which makes the time-consuming procedure of parameter estimation to raw datasets necessary,besides,the parameter estimation is sensitive to noise or aberration-induced pattern distortion which leads to reconstruction artifacts.Here,we propose a spatial-domain image reconstruction method that does not require parameter estimation but calculates patterns from raw datasets,and a reconstructed image can be obtained just by calculating the spatial covariance of differential calculated patterns and differential filtered datasets(the notch filtering operation is performed to the raw datasets for attenuating and compensating the optical transfer function(OTF)).Experiments on reconstructing raw datasets including nonbiological,biological,and simulated samples demonstrate that our method has SR capability,high reconstruction speed,and high robustness to aberration and noise.

Triple-path feature transform network for ring-array photoacoustic tomography image reconstruction

Photoacoustic imaging(PAI)is a noninvasive emerging imaging method based on the photoacoustic effect,which provides necessary assistance for medical diagnosis.It has the characteristics of large imaging depth and high contrast.However,limited by the equipment cost and reconstruction time requirements,the existing PAI systems distributed with annular array transducers are difficult to take into account both the image quality and the imaging speed.In this paper,a triple-path feature transform network(TFT-Net)for ring-array photoacoustic tomography is proposed to enhance the imaging quality from limited-view and sparse measurement data.Specifically,the network combines the raw photoacoustic pressure signals and conventional linear reconstruction images as input data,and takes the photoacoustic physical model as a prior information to guide the reconstruction process.In addition,to enhance the ability of extracting signal features,the residual block and squeeze and excitation block are introduced into the TFT-Net.For further efficient reconstruction,the final output of photoacoustic signals uses‘filter-then-upsample’operation with a pixel-shuffle multiplexer and a max out module.Experiment results on simulated and in-vivo data demonstrate that the constructed TFT-Net can restore the target boundary clearly,reduce background noise,and realize fast and high-quality photoacoustic image reconstruction of limited view with sparse sampling.

Model-driven CT reconstruction algorithm for nano-resolution x-ray phase contrast imaging

The low-density imaging performance of a zone plate-based nano-resolution hard x-ray computed tomography(CT)system can be significantly improved by incorporating a grating-based Lau interferometer. Due to the diffraction, however,the acquired nano-resolution phase signal may suffer splitting problem, which impedes the direct reconstruction of phase contrast CT(nPCT) images. To overcome, a new model-driven nPCT image reconstruction algorithm is developed in this study. In it, the diffraction procedure is mathematically modeled into a matrix B, from which the projections without signal splitting can be generated invertedly. Furthermore, a penalized weighted least-square model with total variation(PWLSTV) is employed to denoise these projections, from which nPCT images with high accuracy are directly reconstructed.Numerical experiments demonstrate that this new algorithm is able to work with phase projections having any splitting distances. Moreover, results also reveal that nPCT images of higher signal-to-noise-ratio(SNR) could be reconstructed from projections having larger splitting distances. In summary, a novel model-driven nPCT image reconstruction algorithm with high accuracy and robustness is verified for the Lau interferometer-based hard x-ray nano-resolution phase contrast imaging.

Investigating the relationship between intracranial atherosclerotic plaque remodelling and diabetes using high-resolution vessel wall imaging

BACKGROUND Intracranial atherosclerosis,a leading cause of stroke,involves arterial plaque formation.This study explores the link between plaque remodelling patterns and diabetes using high-resolution vessel wall imaging(HR-VWI).AIM To investigate the factors of intracranial atherosclerotic remodelling patterns and the relationship between intracranial atherosclerotic remodelling and diabetes mellitus using HR-VWI.METHODS Ninety-four patients diagnosed with middle cerebral artery or basilar artery INTRODUCTION Intracranial atherosclerotic disease is one of the main causes of ischaemic stroke in the world,accounting for approx-imately 10%of transient ischaemic attacks and 30%-50%of ischaemic strokes[1].It is the most common factor among Asian people[2].The adaptive changes in the structure and function of blood vessels that can adapt to changes in the internal and external environment are called vascular remodelling,which is a common and important pathological mechanism in atherosclerotic diseases,and the remodelling mode of atherosclerotic plaques is closely related to the occurrence of stroke.Positive remodelling(PR)is an outwards compensatory remodelling where the arterial wall grows outwards in an attempt to maintain a constant lumen diameter.For a long time,it was believed that the degree of stenosis can accurately reflect the risk of ischaemic stroke[3-5].Previous studies have revealed that lesions without significant luminal stenosis can also lead to acute events[6,7],as summarized in a recent meta-analysis study in which approximately 50%of acute/subacute ischaemic events were due to this type of lesion[6].Research[8,9]has pointed out that the PR of plaques is more dangerous and more likely to cause acute ischaemic stroke.Previous studies[10-13]have found that there are specific vascular remodelling phenomena in the coronary and carotid arteries of diabetic patients.However,due to the deep location and small lumen of intracranial arteries and limitations of imaging techniques,the relationship between intracranial arterial remodelling and diabetes is still unclear.In recent years,with the development of magnetic resonance technology and the emergence of high-resolution(HR)vascular wall imaging,a clear and multidimensional display of the intracranial vascular wall has been achieved.Therefore,in this study,HR wall imaging(HR-VWI)was used to display the remodelling characteristics of bilateral middle cerebral arteries and basilar arteries and to explore the factors of intracranial vascular remodelling and its relationship with diabetes.

In vivo pilot study into superficial microcirculatory characteristics of colorectal adenomas using novel high-resolution magnifying endoscopy with blue laser imaging

BACKGROUND No studies have yet been conducted on changes in microcirculatory hemody-namics of colorectal adenomas in vivo under endoscopy.The microcirculation of the colorectal adenoma could be observed in vivo by a novel high-resolution magnification endoscopy with blue laser imaging(BLI),thus providing a new insight into the microcirculation of early colon tumors.AIM To observe the superficial microcirculation of colorectal adenomas using the novel magnifying colonoscope with BLI and quantitatively analyzed the changes in hemodynamic parameters.METHODS From October 2019 to January 2020,11 patients were screened for colon adenomas with the novel high-resolution magnification endoscope with BLI.Video images were recorded and processed with Adobe Premiere,Adobe Photoshop and Image-pro Plus software.Four microcirculation parameters:Microcirculation vessel density(MVD),mean vessel width(MVW)with width standard deviation(WSD),and blood flow velocity(BFV),were calculated for adenomas and the surrounding normal mucosa.RESULTS A total of 16 adenomas were identified.Compared with the normal surrounding mucosa,the superficial vessel density in the adenomas was decreased(MVD:0.95±0.18 vs 1.17±0.28μm/μm2,P<0.05).MVW(5.11±1.19 vs 4.16±0.76μm,P<0.05)and WSD(11.94±3.44 vs 9.04±3.74,P<0.05)were both increased.BFV slowed in the adenomas(709.74±213.28 vs 1256.51±383.31μm/s,P<0.05).CONCLUSION The novel high-resolution magnification endoscope with BLI can be used for in vivo study of adenoma superficial microcirculation.Superficial vessel density was decreased,more irregular,with slower blood flow.

High-resolution magnetic resonance imaging in the diagnosis and management of vertebral artery dissection:A case report

BACKGROUND Vertebral artery dissection(VAD)is a rare but life-threatening condition characterized by tearing of the intimal layer of the vertebral artery,leading to stenosis,occlusion or rupture.The clinical presentation of VAD can be heterogeneous,with common symptoms including headache,dizziness and balance problems.Timely diagnosis and treatment are crucial for favorable outcomes;however,VAD is often missed due to its variable clinical presentation and lack of robust diagnostic guidelines.High-resolution magnetic resonance imaging(HRMRI)has emerged as a reliable diagnostic tool for VAD,providing detailed visualization of vessel wall abnormalities.CASE SUMMARY A young male patient presented with an acute onset of severe headache,vomiting,and seizures,followed by altered consciousness.Imaging studies revealed bilateral VAD,basilar artery thrombosis,multiple brainstem and cerebellar infarcts,and subarachnoid hemorrhage.Digital subtraction angiography(DSA)revealed vertebral artery stenosis but failed to detect the dissection,potentially because intramural thrombosis obscured the VAD.In contrast,HRMRI confirmed the diagnosis by revealing specific signs of dissection.The patient was managed conservatively with antiplatelet therapy and other supportive measures,such as blood pressure control and pain management.After 5 mo of rehabilitation,the patient showed significant improvement in swallowing and limb strength.CONCLUSION HR-MRI can provide precise evidence for the identification of VAD.

Using MCycleGAN to Realize High-Resolution Reconstruction of Solar Speckle Image

High-resolution reconstruction of solar speckle image is one of the important research contents in astronomical image processing. High-resolution image reconstruction based on deep learning can obtain the end-to-end mapping function from low-resolution image to high-resolution image through neural network model learning, which can recover the high-frequency information of the image. However, when used to reconstruct the sun speckle image with single feature, more noise and fuzzy local details, there are some shortcomings such as too smooth edge and easy loss of high-frequency information. In this paper, the structure features of input image and reconstructed image are added to CycleGAN network to get MCycleGAN. High frequency information is obtained from structural features by generator network, and the feature difference is calculated to enhance the ability of network to reconstruct high-frequency information. The edge of the reconstructed image is clearer. Compared with the speckle mask method level 1+ used by Yunnan Observatory, the results show that the proposed algorithm has the advantages of small error, fast reconstruction speed and high image clarity.

Deep learning-based magnetic resonance imaging reconstruction for improving the image quality of reduced-field-of-view diffusionweighted imaging of the pancreas

BACKGROUND It has been reported that deep learning-based reconstruction(DLR)can reduce image noise and artifacts,thereby improving the signal-to-noise ratio and image sharpness.However,no previous studies have evaluated the efficacy of DLR in improving image quality in reduced-field-of-view(reduced-FOV)diffusionweighted imaging(DWI)[field-of-view optimized and constrained undistorted single-shot(FOCUS)]of the pancreas.We hypothesized that a combination of these techniques would improve DWI image quality without prolonging the scan time but would influence the apparent diffusion coefficient calculation.AIM To evaluate the efficacy of DLR for image quality improvement of FOCUS of the pancreas.METHODS This was a retrospective study evaluated 37 patients with pancreatic cystic lesions who underwent magnetic resonance imaging between August 2021 and October 2021.We evaluated three types of FOCUS examinations:FOCUS with DLR(FOCUS-DLR+),FOCUS without DLR(FOCUS-DLR−),and conventional FOCUS(FOCUS-conv).The three types of FOCUS and their apparent diffusion coefficient(ADC)maps were compared qualitatively and quantitatively.RESULTS FOCUS-DLR+(3.62,average score of two radiologists)showed significantly better qualitative scores for image noise than FOCUS-DLR−(2.62)and FOCUS-conv(2.88)(P<0.05).Furthermore,FOCUS-DLR+showed the highest contrast ratio and 600 s/mm^(2)(0.72±0.08 and 0.68±0.08)and FOCUS-DLR−showed the highest CR between cystic lesions and the pancreatic parenchyma for the b-values of 0 and 600 s/mm2(0.62±0.21 and 0.62±0.21)(P<0.05),respectively.FOCUS-DLR+provided significantly higher ADCs of the pancreas and lesion(1.44±0.24 and 3.00±0.66)compared to FOCUS-DLR−(1.39±0.22 and 2.86±0.61)and significantly lower ADCs compared to FOCUS-conv(1.84±0.45 and 3.32±0.70)(P<0.05),respectively.CONCLUSION This study evaluated the efficacy of DLR for image quality improvement in reduced-FOV DWI of the pancreas.DLR can significantly denoise images without prolonging the scan time or decreasing the spatial resolution.The denoising level of DWI can be controlled to make the images appear more natural to the human eye.However,this study revealed that DLR did not ameliorate pancreatic distortion.Additionally,physicians should pay attention to the interpretation of ADCs after DLR application because ADCs are significantly changed by DLR.

Survey of methods and principles in three-dimensional reconstruction from two-dimensional medical images

Three-dimensional(3D)reconstruction of human organs has gained attention in recent years due to advances in the Internet and graphics processing units.In the coming years,most patient care will shift toward this new paradigm.However,development of fast and accurate 3D models from medical images or a set of medical scans remains a daunting task due to the number of pre-processing steps involved,most of which are dependent on human expertise.In this review,a survey of pre-processing steps was conducted,and reconstruction techniques for several organs in medical diagnosis were studied.Various methods and principles related to 3D reconstruction were highlighted.The usefulness of 3D reconstruction of organs in medical diagnosis was also highlighted.

Image processing based three-dimensional model reconstruction for cross-platform numerical simulation

Numerical simulation is the most powerful computational and analysis tool for a large variety of engineering and physical problems.For a complex problem relating to multi-field,multi-process and multi-scale,different computing tools have to be developed so as to solve particular fields at different scales and for different processes.Therefore,the integration of different types of software is inevitable.However,it is difficult to perform the transfer of the meshes and simulated results among software packages because of the lack of shared data formats or encrypted data formats.An image processing based method for three-dimensional model reconstruction for numerical simulation was proposed,which presents a solution to the integration problem by a series of slice or projection images obtained by the post-processing modules of the numerical simulation software.By means of mapping image pixels to meshes of either finite difference or finite element models,the geometry contour can be extracted to export the stereolithography model.The values of results,represented by color,can be deduced and assigned to the meshes.All the models with data can be directly or indirectly integrated into other software as a continued or new numerical simulation.The three-dimensional reconstruction method has been validated in numerical simulation of castings and case studies were provided in this study.

Artificial Intelligence-Based Image Reconstruction for Computed Tomography: A Survey

Computed tomography has made significant advances since its intro-duction in the early 1970s,where researchers have mainly focused on the quality of image reconstruction in the early stage.However,radiation exposure poses a health risk,prompting the demand of the lowest possible dose when carrying out CT examinations.To acquire high-quality reconstruction images with low dose radiation,CT reconstruction techniques have evolved from conventional reconstruction such as analytical and iterative reconstruction,to reconstruction methods based on artificial intelligence(AI).All these efforts are devoted to con-structing high-quality images using only low doses with fast reconstruction speed.In particular,conventional reconstruction methods usually optimize one aspect,while AI-based reconstruction has finally managed to attain all goals in one shot.However,there are limitations such as the requirements on large datasets,unstable performance,and weak generalizability in AI-based reconstruction methods.This work presents the review and discussion on the classification,the commercial use,the advantages,and the limitations of AI-based image reconstruction methods in CT.

Accelerating SAGE algorithm in PET image reconstruction by rescaled block-iterative method

A new method to accelerate the convergent rate of the space-alternatinggeneralized expectation-maximization (SAGE) algorithm is proposed. The new rescaled block-iterativeSAGE (RBI-SAGE) algorithm combines the RBI algorithm with the SAGE algorithm for PET imagereconstruction. In the new approach, the projection data is partitioned into disjoint blocks; eachiteration step involves only one of these blocks. SAGE updates the parameters sequentially in eachblock. In experiments, the RBI-SAGE algorithm and classical SAGE algorithm are compared in theapplication on positron emission tomography (PET) image reconstruction. Simulation results show thatRBI-SAGE has better performance than SAGE in both convergence and image quality.

A rened analytical model for reconstruction problems in diuse reectance spectroscopy

A rened analytical model of spatially resolved diffuse reectance with small source-detector separations(SDSs)for the in vivo skin studies is proposed.Compared to the conventional model developed by Farrell et al.,it accounts for the limited acceptance angle of the detectorber.The rened model is validated in the wide range of optical parameters by Monte Carlo simulations of skin diffuse reectance at SDSs of units of mm.Cases of uniform dermis and two-layered epidermis-dermis structures are studied.Higher accuracy of the rened model compared to the conventional one is demonstrated in the separate,constraint-free reconstruction of absorption and reduced scattering spectra of uniform dermis from the Monte Carlo simulated data.In the case of epidermis-dermis geometry,the recovered values of reduced scattering in dermis are overestimated and the recovered values of absorption are underestimated for both analytical models.Presumably,in the presence of a thin mismatched topical layer,only the effective attenuation coe±cient of the bottom layer can be accurately recovered using a diffusion theorybased analytical model while separate reconstruction of absorption and reduced scattering fails due to the inapplicability of the method of images.These-ndings require implementation of more sophisticated models of light transfer in inhomogeneous media in the recovery algorithms.

Underwater image clarifying based on human visual colour constancy using double-opponency

Underwater images are often with biased colours and reduced contrast because of the absorption and scattering effects when light propagates in water.Such images with degradation cannot meet the needs of underwater operations.The main problem in classic underwater image restoration or enhancement methods is that they consume long calcu-lation time,and often,the colour or contrast of the result images is still unsatisfied.Instead of using the complicated physical model of underwater imaging degradation,we propose a new method to deal with underwater images by imitating the colour constancy mechanism of human vision using double-opponency.Firstly,the original image is converted to the LMS space.Then the signals are linearly combined,and Gaussian convolutions are per-formed to imitate the function of receptive fields(RFs).Next,two RFs with different sizes work together to constitute the double-opponency response.Finally,the underwater light is estimated to correct the colours in the image.Further contrast stretching on the luminance is optional.Experiments show that the proposed method can obtain clarified underwater images with higher quality than before,and it spends significantly less time cost compared to other previously published typical methods.

Training image analysis for three-dimensional reconstruction of porous media

In order to obtain a better sandstone three-dimensional （3D） reconstruction result which is more similar to the original sample, an algorithm based on stationarity for a two-dimensional （2D） training image is proposed. The second-order statistics based on texture features are analyzed to evaluate the scale stationarity of the training image. The multiple-point statistics of the training image are applied to obtain the multiple-point statistics stationarity estimation by the multi-point density function. The results show that the reconstructed 3D structures are closer to reality when the training image has better scale stationarity and multiple-point statistics stationarity by the indications of local percolation probability and two-point probability. Moreover, training images with higher multiple-point statistics stationarity and lower scale stationarity are likely to obtain closer results to the real 3D structure, and vice versa. Thus, stationarity analysis of the training image has far-reaching significance in choosing a better 2D thin section image for the 3D reconstruction of porous media. Especially, high-order statistics perform better than low-order statistics.

A generalized deep neural network approach for improving resolution of fluorescence microscopy images

Deep learning is capable of greatly promoting the progress of super-resolution imaging technology in terms of imaging and reconstruction speed,imaging resolution,and imagingflux.This paper proposes a deep neural network based on a generative adversarial network(GAN).The generator employs a U-Net-based network,which integrates Dense Net for the downsampling component.The proposed method has excellent properties,for example,the network model is trained with several different datasets of biological structures;the trained model can improve the imaging resolution of different microscopy imaging modalities such as confocal imaging and wide-field imaging;and the model demonstrates a generalized ability to improve the resolution of different biological structures even out of the datasets.In addition,experimental results showed that the method improved the resolution of caveolin-coated pits(CCPs)structures from 264 nm to 138 nm,a 1.91-fold increase,and nearly doubled the resolution of DNA molecules imaged while being transported through microfluidic channels.

Multi-scale cross-domain alignment for person image generation

Person image generation aims to generate images that maintain the original human appearance in different target poses.Recent works have revealed that the critical element in achieving this task is the alignment of appearance domain and pose domain.Previous alignment methods,such as appearance flow warping,correspondence learning and cross attention,often encounter challenges when it comes to producing fine texture details.These approaches suffer from limitations in accurately estimating appearance flows due to the lack of global receptive field.Alternatively,they can only perform cross-domain alignment on high-level feature maps with small spatial dimensions since the computational complexity increases quadratically with larger feature sizes.In this article,the significance of multi-scale alignment,in both low-level and high-level domains,for ensuring reliable cross-domain alignment of appearance and pose is demonstrated.To this end,a novel and effective method,named Multi-scale Crossdomain Alignment(MCA)is proposed.Firstly,MCA adopts global context aggregation transformer to model multi-scale interaction between pose and appearance inputs,which employs pair-wise window-based cross attention.Furthermore,leveraging the integrated global source information for each target position,MCA applies flexible flow prediction head and point correlation to effectively conduct warping and fusing for final transformed person image generation.Our proposed MCA achieves superior performance on two popular datasets than other methods,which verifies the effectiveness of our approach.

Scene 3-D Reconstruction System in Scattering Medium

Research on neural radiance fields for novel view synthesis has experienced explosive growth with the development of new models and extensions.The NeRF(Neural Radiance Fields)algorithm,suitable for underwater scenes or scattering media,is also evolving.Existing underwater 3D reconstruction systems still face challenges such as long training times and low rendering efficiency.This paper proposes an improved underwater 3D reconstruction system to achieve rapid and high-quality 3D reconstruction.First,we enhance underwater videos captured by a monocular camera to correct the image quality degradation caused by the physical properties of the water medium and ensure consistency in enhancement across frames.Then,we perform keyframe selection to optimize resource usage and reduce the impact of dynamic objects on the reconstruction results.After pose estimation using COLMAP,the selected keyframes undergo 3D reconstruction using neural radiance fields(NeRF)based on multi-resolution hash encoding for model construction and rendering.In terms of image enhancement,our method has been optimized in certain scenarios,demonstrating effectiveness in image enhancement and better continuity between consecutive frames of the same data.In terms of 3D reconstruction,our method achieved a peak signal-to-noise ratio(PSNR)of 18.40 dB and a structural similarity(SSIM)of 0.6677,indicating a good balance between operational efficiency and reconstruction quality.

Investigation of prior image constrained compressed sensing-based spectral X-ray CT image reconstruction

To improve spectral X-ray CT reconstructed image quality, the energy-weighted reconstructed image xbins^W and the separable paraboloidal surrogates（SPS） algorithm are proposed for the prior image constrained compressed sensing（PICCS）-based spectral X-ray CT image reconstruction. The PICCS-based image reconstruction takes advantage of the compressed sensing theory, a prior image and an optimization algorithm to improve the image quality of CT reconstructions.To evaluate the performance of the proposed method, three optimization algorithms and three prior images are employed and compared in terms of reconstruction accuracy and noise characteristics of the reconstructed images in each energy bin.The experimental simulation results show that the image xbins^W is the best as the prior image in general with respect to the three optimization algorithms; and the SPS algorithm offers the best performance for the simulated phantom with respect to the three prior images. Compared with filtered back-projection（FBP）, the PICCS via the SPS algorithm and xbins^W as the prior image can offer the noise reduction in the reconstructed images up to 80. 46%, 82. 51%, 88. 08% in each energy bin,respectively. M eanwhile, the root-mean-squared error in each energy bin is decreased by 15. 02%, 18. 15%, 34. 11% and the correlation coefficient is increased by 9. 98%, 11. 38%,15. 94%, respectively.

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

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