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1. 肇庆医学高等专科学校2017级临床医学专业,广东,肇庆,526020
2. 肇庆医学高等专科学校人体形态学研究室,广东,肇庆,526020
纸质出版日期:2019,
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郑宇娜, 黄海龙. 胎儿肺支气管铸型及三维可视化结构的研究[J]. 局解手术学杂志, 2019,(6):429.
ZHENG Yuna, HUANG Hailong. Study on casting of fetal lung and bronchus and its three-dimensional visual structure[J]. null, 2019,(6):429.
目的 制作胎儿肺支气管的铸型标本
运用三维重建技术探究胎儿肺支气管的解剖结构
为临床提供形态学资料。 方法 对1例34周胎儿肺支气管进行插管铸型
通过128层螺旋CT扫描铸型标本
得到Dicom数据并导入Syngo.via Client工作站,以最大密度投影(MIP)的方式重建和导入Mimics 19.0软件进行三维重建。 结果 制作好的支气管树铸型管道充盈饱满,粗细分明
能够清晰显示出胎儿肺支气管的分支形态、管径粗细以及走行分布。MIP重建的图像能够清晰地显示3~5级分支
伪影较少。在Mimics上进行三维重建的胎儿肺支气管形态逼真
可通过其阈值大小来调节各分支末端的疏密情况
并可从多层面、多方面、多角度进行观察
空间立体感较强。 结论 通过运用血管铸型技术、MIP重建技术和Mimic重建技术
可以清晰地了解胎儿肺支气管走行及分布情况
为临床医学教学和虚拟手术及宫内介入手术提供胎儿肺支气管形态学资料。
Objective The cast specimens of fetal lung and bronchus are made to explore the anatomical structure by using threedimensional reconstruction technology and provide morphological data for clinical practice. Methods One case of 34 weeks fetal lung and bronchus was cast by intubation.The cast specimens were scanned by 128slice spiral CT.Dicom data were obtained and imported into Syngo.via Client workstation to reconstruct the lung and bronchus by maximum density projection (MIP) and to import Mimics 19.0 software for threedimensional reconstruction. Results The cast tube of the bronchial tree is full
thick and detailed
which can clearly show the shape
diameter and distribution of the branches of the fetal lung and bronchus;the MIP reconstructed image can clearly show the branches of grade 3 to 5 with fewer artifacts;the shape of the fetal lung and bronchus reconstructed on mimics is realistic
and the sparsity of the ends of each branch can be adjusted by its threshold size
which can be observed from multiple multilevel
multifaceted
multiangle
with stong sense of threedimensional space. Conclusion The fetal lung and bronchus distribution can be understand by vascular casting technology
MIP reconstruction technology and mimic reconstruction technology
which provide the morphological data of fetal lung and bronchus for clinical medicine teaching
virtual surgery and intrauterine interventional surgery.
胎儿肺支气管血管铸型最大密度投影三维重建Mimics软件
fetal lung and bronchusvascular castmaximum intensity projectionthreedimensional reconstructionMimics
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