中国实用外科杂志2018，Vol.38Issue(2)：137-141,5.DOI:10.19538/j.cjps.issn1005-2208.2018.02.04
三维可视化技术在肝胆外科临床应用的争议与共识
Controversy and consensus on the clinical application of three-dimensional visualization technology in hepatobiliary surgery
摘要
Abstract
Three dimensional visualization technology has become an important technology for preoperative diagnosis and assessment,operative planning,intraoperative guidance and postoperative evaluation,which has greatly promoted the precise diagnosis and treatment level of hepatobiliary surgery diseases.There are differences between three dimensional visualization technology and post-processing technology of CT and MRI in both image reconstruction and image display.Using the three dimensional reformation technology,the post-processing software of CT and MRI recombines the original two dimensional images into three dimensional images without the preprocessing of the original data.These reformation technologies including multiplanar reformation (MPR),curved planar reformation (CPR),vloume rendering technique (VRT) or volume reformation (VR),multiplanar volume reconstruction(MPVR),surface shade display(SSD),and virtual endoscopy(VE).On the other hand,using the technologies including image pre processing,image segmentation,surface rendering or volume rendering,three dimensional visualization technology reconstructs the original two dimensional images (CT or MRI) into three dimensional images and displays these images by visualization technology.Due to the image distortion generated from the further dealing of original two-dimensional image both in three dimensional visualization technology and in post-processing software of CT or MRI,three dimensional visualization technology has no advantages in qualitative diagnosis,however,it is better than post-processing software of CT and MRI in terms of location diagnosis,preoperative planning,improving the the success rate and prognosis of surgery.Surgeons should choose the appropriate three dimensional visualization software on the basis of clinical needs.Three dimensional visualization technology is a new model for the diagnosis and treatment of dieases,which will become an indispensable part of precision surgery in the future.关键词
三维重建/可视化/肝胆外科Key words
three dimensional reconstruction/visualization/hepatobiliary surgery分类
医药卫生引用本文复制引用
范应方,方驰华..三维可视化技术在肝胆外科临床应用的争议与共识[J].中国实用外科杂志,2018,38(2):137-141,5.基金项目
“十三五”国家重点研发计划数字诊疗装备研发重点专项(No.2016YFC0106500) （No.2016YFC0106500）
国家自然科学基金重大科研仪器研制项目(No.81627805) （No.81627805）
广东省科技计划项目(No.2015B020214005,No.2015A020214012) （No.2015B020214005,No.2015A020214012）
