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胸部增强CT与3D导航软件DeepInsight运行分析及临床应用

严澄澄 周学军 吴晓颖 曹亮 葛敏 王晓谭 覃文军 严煜

中国医学工程2025,Vol.33Issue(5):14-18,5.
中国医学工程2025,Vol.33Issue(5):14-18,5.DOI:10.19338/j.issn.1672-2019.2025.05.003

胸部增强CT与3D导航软件DeepInsight运行分析及临床应用

Operation analysis and clinical application of chest enhanced CT and 3D navigation software DeepInsight

严澄澄 1周学军 2吴晓颖 2曹亮 2葛敏 2王晓谭 3覃文军 4严煜3

作者信息

  • 1. 南通大学附属医院 医学装备处,江苏 南通 226001
  • 2. 南通大学附属医院 医学影像科,江苏 南通 226001
  • 3. 南通大学附属医院 医学胸外科,江苏 南通 226001
  • 4. 东北大学医学影像智能计算教育部重点实验室,辽宁 沈阳 110000
  • 折叠

摘要

Abstract

[Objective]To explore the relationship between chest enhanced CT scan and 3D navigation software DeepInsight operation.[Methods]From October 2018 to January 2023,a total of 108 of pulmonary nodule surgery cases treated in Affiliated Hospital of Nantong University were involved in this study.The DICOM 0.625 mm thin-layer reconstruction image data from enhanced chest CT scan were collected and the CT values of aorta,pulmonary artery and the difference values between aorta and pulmonary artery were measured and recorded by the medical picture archiving and communication system(PACS).According to the results of DeepInsight software operation,the aorta CT values,pulmonary artery CT values and the difference in CT values between aorta and pulmonary artery recorded were divided into two groups:satisfied and dissatisfied,and statistical analysis was carried out.The satisfactory DeepInsight 3D images were applied in thoracic surgery and compared with surgical anatomical consistency.[Results]There were 87 cases in satisfied group(80.6%),and 21 cases in dissatisfied group(19.4%).Comparison between these two groups,the aorta CT values were 442.11±74.05 HU and 357.48±58.29 HU(P=0.09),the pulmonary artery CT values were 163.48±36.86 HU and 226.71±125.02 HU(P<0.01),and the difference in CT values between aorta and pulmonary artery were 278.59±85.62 HU and 130.76±149.12 HU(P=0.03)respectively.Statistical analysis showed that high pulmonary artery CT value and low difference in CT values between aorta and pulmonary artery were related to the unsatisfactory operation of DeepInsight software.The 3D navigation images of the satisfied group were clear and consistent with the actual anatomical controls of the surgery.[Conclusion]The key to successfully running 3D navigation software DeepInsight is to correctly grasp the aorta CT value,pulmonary artery CT value and the difference in CT values between aorta and pulmonary artery,and reduce the operation errors of enhanced CT scan.

关键词

增强CT扫描/DeepInsight 3D导航/3D血管支气管显影检查/肺段切除术

Key words

enhanced CT scan/DeepInsight 3D navigation/3D-computed tomography bronchography and angiography(3D-CTBA)/segmentectomy

分类

临床医学

引用本文复制引用

严澄澄,周学军,吴晓颖,曹亮,葛敏,王晓谭,覃文军,严煜..胸部增强CT与3D导航软件DeepInsight运行分析及临床应用[J].中国医学工程,2025,33(5):14-18,5.

中国医学工程

1672-2019

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