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X线、CT和3D-CT对外伤性髋关节脱位的诊断价值 被引量:4
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作者 赵益峰 王仁成 +6 位作者 朱凤华 赵平厚 李恒艳 张迪 朱宝林 郭其勇 于连祥 《骨与关节损伤杂志》 2004年第11期745-748,共4页
目的 分析外伤性髋关节脱位诊治中存在的问题并提出相应的对策。方法 回顾性分析 37例外伤性髋关节脱位的临床资料 ,并予以统计学处理。结果  10例合并的髋部骨折、13例关节内碎骨片被X线片漏诊 ;中心型髋关节脱位及水平位髋臼骨折... 目的 分析外伤性髋关节脱位诊治中存在的问题并提出相应的对策。方法 回顾性分析 37例外伤性髋关节脱位的临床资料 ,并予以统计学处理。结果  10例合并的髋部骨折、13例关节内碎骨片被X线片漏诊 ;中心型髋关节脱位及水平位髋臼骨折各 1例被常规CT遗漏 ;髋臼裂缝骨折及髋关节内碎骨片各 2例被三维CT漏诊 ;三维CT误诊关节内碎骨片 2例 ;且采用不同的影像学诊断方法 ,治疗效果明显不同。结论 不管任何类型的外伤性髋关节脱位在行X线片检查得到初步诊断后均应即刻手法复位 ,之后在行X线片复查的基础上 ,必须进行二维CT(有条件者包括三维CT)检查 ,以确定髋关节脱位、髋部骨折复位程度或确定是否并发骨折及分型 。 展开更多
关键词 X线 ct 3d-ct 外伤性髋关节脱位 诊断
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Permeability differences based on three-dimensional geometrical information of void spaces
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作者 Dae-Sung Cheon Manabu Takahashi Taehyun Kim 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2021年第2期368-376,共9页
In this study,the permeabilities of Berea and Otway sandstones were measured under different confining pressures,and porosity was investigated through mercury intrusion porosimetry(MIP).The total porosities of the Ber... In this study,the permeabilities of Berea and Otway sandstones were measured under different confining pressures,and porosity was investigated through mercury intrusion porosimetry(MIP).The total porosities of the Berea and Otway sandstones were approximately 17.4%and 25%,respectively.Pore size distributions of each sandstone were almost the same,but the pores in the Otway sandstone were slightly narrower.However,the permeability of the Otway sandstone was smaller than that of the Berea sandstone by one order of magnitude.Three-dimensional(3D)void geometry and geometrical properties of the void spaces relevant to flow were compared to obtain the relation between the permeability differences and porosities of the two sandstones.The 3D geometrical analysis using microfocus X-ray computed tomography(CT)was performed,and the pore geometries of both sandstones were compared using the 3D medial axis(3DMA)method.Pore and throat radii,pore coordination number,tortuosity,number of connecting paths,connecting path volume,and other factors were determined using 3DMA.The Otway sandstone was characterized by a small effective throat/pore radius ratio.Based on the fluid flow mechanism,the lower effective throat/pore radius ratio results in a lower permeability induced by the fluid energy loss,which means that the 3D geometrical shape of void spaces affects the permeability value. 展开更多
关键词 X-ray computed tomography(ct) POROSITY PERMEABILITY Geometrical information three-dimensional medial axis(3DMA)
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骨关节外伤X线平片、CT及三维CT对比研究 被引量:1
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作者 黄德洲 《放射学实践》 1998年第3期126-129,共4页
目的本文对49例骨关节外伤患者的 X 线平片、CT 及三维 CT 三种检查进行对比研究,评估在临床诊断中的价值。材料与方法 49例中男28例,女21例。年龄9~87岁,平均42岁。全部病例均经 X 线平片、常规 CT 及三维 CT 成像。X 线平片包括常规... 目的本文对49例骨关节外伤患者的 X 线平片、CT 及三维 CT 三种检查进行对比研究,评估在临床诊断中的价值。材料与方法 49例中男28例,女21例。年龄9~87岁,平均42岁。全部病例均经 X 线平片、常规 CT 及三维 CT 成像。X 线平片包括常规位置和特殊位置。CT 为 SO-MATOM CRF。结果 49例骨关节外伤中平片阳性35例,CT 阳性47例,三维 CT 阳性48例,阳性率比较有显著差异(P<0.01)。49例65处骨折或脱位中平片显示40处,CT61处,三维 CT63处,阳性率比较也有显著差异性。结论①骨关节外伤首选检查应为平片。②CT 优于平片,特别是解剖结构复杂的部位,如腕、髋、颅面及椎体。③三维 CT 是 CT 必要的补充。三种检查具有互补性。 展开更多
关键词 骨关节损伤 X线平片 ct 3d-ct 对比研究
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Multi-Schlieren CT Measurements of Supersonic Microjets from Circular and Square Micro Nozzles
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作者 Ahmad Zaid Nazari Yojiro Ishino +6 位作者 Yuta Ishiko Fumiya Ito Harumi Kondo Ryoya Yamada Takanori Motohiro Yoshiaki Miyazato Shinichiro Nakao 《Journal of Flow Control, Measurement & Visualization》 2020年第3期77-101,共25页
Instantaneous three-dimensional (3D) density distributions of a shock-cell structure of perfectly and imperfectly expanded supersonic microjets escaping into an ambient space are measured. For the 3D observation of su... Instantaneous three-dimensional (3D) density distributions of a shock-cell structure of perfectly and imperfectly expanded supersonic microjets escaping into an ambient space are measured. For the 3D observation of supersonic microjets, non-scanning 3D computerized tomography (CT) technique using a 20-directional quantitative schlieren optical system with flashlight source is employed for simultaneous schlieren photography. The 3D density distributions data of the microjets are obtained by 3D-CT reconstruction of the projection’s images using maximum likelihood-expectation maximization. Axisymmetric convergent-divergent (Laval) circular and square micro nozzles with operating nozzle pressure ratio 5.0, 4.5, 4.0, 3.67, and 3.5 have been studied. This study examines perfectly expanded, overexpanded, and underexpanded supersonic microjets issued from micro nozzles with fully expanded jet Mach numbers <em>M</em><em><sub>j</sub></em> ranging from 1.47 - 1.71, where the design Mach number is <em>M<sub>d</sub></em> = 1.5. A complex phenomenon for free square microjets called axis switching is clearly observed with two types “upright” and “diagonal” of “cross-shaped”. The initial axis-switching is 45<span style="white-space:nowrap;">°</span> within the first shock-cell range. In addition, from the symmetry and diagonal views of square microjets for the first shock-cells, two different patterns of shock waves are viewed. The shock-cell spacing and supersonic core length for all nozzle pressure ratios are investigated and reported. 展开更多
关键词 Supersonic Microjet Multi-Directional Quantitative Schlieren Optical System three-dimensional (3D) Measurement Computerized Tomography (ct) Circular and Square Micro Laval Nozzles
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Theranostics with radiation-induced ultrasound emission(TRUE)
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作者 Elijah Robertson Liangzhong Xiang 《Journal of Innovative Optical Health Sciences》 SCIE EI CAS 2018年第3期1-7,共7页
Two novel ultrasound imaging techniques with imaging contrast mechanisms are in the works:X-ray-induced acoustic computed tomography(XACT),and nanoscale photoacoustic tomogra-phy(nPAT).XACT has incredible potential in... Two novel ultrasound imaging techniques with imaging contrast mechanisms are in the works:X-ray-induced acoustic computed tomography(XACT),and nanoscale photoacoustic tomogra-phy(nPAT).XACT has incredible potential in:(1)biomedical imaging,through which a 3D image can be generated using only a single X-ray projection,and(2)radiation dosimetry.nPATas a new alternative of super-resolution microscopy can break through the optical difraction limitand is capable of exploring sub-celular structures without reliance on fuorescence labeling.We expect these new imaging techniques to find widespread applications in both pre-clinical andclinical biomedical research. 展开更多
关键词 X-ray-induced_acoustic computed tomography(XAct) low-dose ct three-dimensional(3D)volumetric imaging nanoscale photoacoustic tomography label-fre super-resolution
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经皮颈椎后路内镜开窗对关节突关节完整性影响 被引量:3
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作者 刘鑫 孙宁 +3 位作者 孙兆忠 黄镇 任佳彬 李瑞 《中国矫形外科杂志》 CAS CSCD 北大核心 2019年第4期352-356,共5页
[目的]通过断层解剖学与3D-CT方法探讨经皮颈椎后路内镜(PPECD)开窗对关节突关节完整性影响。[方法] 3具成人颈部标本,行矢状面、冠状面及横断面断层解剖,肉眼及显微镜观察C_3~T_1神经走形、关节突关节形态及其毗邻结构。此外,15例颈... [目的]通过断层解剖学与3D-CT方法探讨经皮颈椎后路内镜(PPECD)开窗对关节突关节完整性影响。[方法] 3具成人颈部标本,行矢状面、冠状面及横断面断层解剖,肉眼及显微镜观察C_3~T_1神经走形、关节突关节形态及其毗邻结构。此外,15例颈椎病患者行头颈行CTM和3D-CT检查。确定关节突关节间隙最内侧端垂线与下关节突内下端交点(O点)、下位椎弓根峡部内侧缘M_((内))及外侧缘M_((外)),横突孔外缘。横断面测量距离:侧块横径(a),O点与M_((内))(b),O点与M_((外))(c),M_((内))与M_((外))(d),O点与横突孔外缘(e)。计算d/a、e/a。数据行统计学分析。[结果]颈神经按压迫部位分:椎管内段、椎间孔段、椎动脉段。:bC_3/C_4~C_7/T_1 [(1.55±1.53) mm~(2.52±1.15) mm]差异无统计学意义(P>0.05)。而a C_6/C_7 (11.55±1.19) mm与C3/C4~C5/C6 [(10.54±1.06) mm~(10.85±1.20) mm](P<0.05);c C_3/C_4 (-0.42±1.16) mm与C_4/C_5 (0.38±1.48) mm (P<0.05)、C_5/C_6~C_7/T_1 [(0.89±1.32) mm~(3.15±1.55) mm](P<0.001); d C_3/C_4~C_5/C_6 [(2.11±0.80) mm~(2.65±0.86) mm]与C_6/C_7~C_7/T_1[(3.95±1.03) mm~(5.05±1.67) mm](P<0.001);e C_6/C_7 (7.76±2.02) mm与C_3/C_4~C_5/C_6 [(5.31±1.19) mm~(5.92±1.72) mm](P<0.001)差异有统计学意义。d/a C_3/C_4~C_7/T_1 [(20.43±8.35)%~(46.75±16.81)%];e/a C_3/C_4(50.40±10.55)%,C_4/C_5 (46.39±12.27)%,C_5/C_6 (54.83±15.71)%,C_6/C_7 (66.96±15.17)%。[结论] PPECD开窗减压致关节突关节缺损有一定规律性:椎管内段C_3/C_4~C_7/T_1无缺损;椎间孔段C_3/C_4~C_7/T_1缺损<50%;椎动脉段,除C_(4/5)缺损<50%,其余节段均>50%。 展开更多
关键词 颈椎病 内窥镜 断层解剖学 关节突关节 三维ct(3d-ct)
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发育性髋关节脱位的三维骨骼畸形病理及其手术治疗 被引量:11
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作者 赵黎 张劲松 +5 位作者 颉强 宦怡 孟杰 李明全 栗向东 黄耀添 《中华小儿外科杂志》 CSCD 北大核心 2005年第4期195-199,共5页
目的 1.通过采用螺旋CT三维重建(3D-CT)技术研究发育性髋关节脱位(DDH)的骨性病理改变,将术中发现与3D-CT研究发现进行对比,建立3D-CT影像表现与DDH骨骼畸形病理的对应关系;2.根据3D-CT影像和数据测量,指导设计个体化的、有针对性的手... 目的 1.通过采用螺旋CT三维重建(3D-CT)技术研究发育性髋关节脱位(DDH)的骨性病理改变,将术中发现与3D-CT研究发现进行对比,建立3D-CT影像表现与DDH骨骼畸形病理的对应关系;2.根据3D-CT影像和数据测量,指导设计个体化的、有针对性的手术治疗方案.方法 52例DDH手术治疗病例术前采用螺旋3D-CT研究其髋关节的骨骼病理改变;手术年龄13个月~13岁;共58个髋行手术治疗,按照Tnnis分类方法评价脱位程度,I°6髋,II°10髋,III°37髋,IV°5髋;采用 Picker公司PQ6000螺旋机,扫描双侧髋关节和双侧股骨髁部,扫描后的图像重建在独立工作站进行,分别对髋臼和股骨头颈部的形态做前方、后方、侧方和仰视位观察,分别测量髋臼指数(AI)和股骨头颈的前倾角(FNA)等指标.结果 1.DDH骨性病理包括髋臼、股骨头颈和两者的对应关系的变化,其中髋臼的病理可以表现为髋臼方向的变化或者是髋臼的骨性缺损(主要表现在外上缘部位),股骨头颈的前倾角变化是DDH的病理因素之一.测量患侧AI数值平均为32.5°,FNA数值平均为50.2°,明显大于对照侧.2.根据3D-CT影像表现和数据测量,针对不同DDH病例的病理特点不同,实施相应的手术治疗方案,行开放复位52髋,Pemberton或Salter术式32髋, San Diego或Staheli术式26髋,股骨粗隆下旋转截骨术50侧,股骨粗隆下短缩截骨术21侧,术后早期均获得满意头臼对位.结论 3D-CT重建影像所显示的骨骼病理改变与手术中所发现的骨骼病理改变是相互对应的,立体而直观,可以指导制定治疗方案用于骨性结构畸形的矫治,但3D-CT扫描图像仅能反映骨骼形态的改变,尚不能很好地获得软骨和软组织的病理改变的信息. 展开更多
关键词 发育性髋关节脱位 骨骼畸形 股骨粗隆下旋转截骨术 螺旋ct三维重建 Picker公司 ct影像表现 手术治疗方案 病理改变 3d-ct 股骨头颈 SALTER ct扫描图像 对应关系 数据测量 双侧髋关节 DDH 研究发现 术中发现 ct研究 治疗病例
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Management of bronchial rupture after blunt chest trauma in children 被引量:1
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作者 Yu-Hao Wu Shou-Liang Jiang +3 位作者 Yue-Hang Zhou Xin Ji Yong-Gang Li Chun Wu 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第8期987-989,共3页
To the Editor:Bronchial rupture due to blunt chest injury in children is very rare and can go undiagnosed for over 48 h.Despite surgical repair following definitive diagnosis by three-dimensional computed tomography(3... To the Editor:Bronchial rupture due to blunt chest injury in children is very rare and can go undiagnosed for over 48 h.Despite surgical repair following definitive diagnosis by three-dimensional computed tomography(3D-CT)and bronchoscopy,complications from anastomotic stricture can arise,particularly in very young patients.This study aimed to present an algorithm for improved early diagnosis and report learnings from treatment of bronchial rupture after blunt chest trauma in nine children. 展开更多
关键词 BRONCHIAL rupture AFTER BLUNT CHEST trauma CHILDREN three-dimensional computed tomography(3d-ct)
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