CAJ | 학술논문

背景：近年来国内外学者对个人 PC 机上重建颌面部骨组织、皮肤、肌肉三维可视化模型进行了大量研究，但对于建立颌面部骨骼、皮肤、肌肉、血管的整体三维可视化模型尚无报道。目的：利用螺旋 CT、MRI 数据及三维重建软件，在普通 PC 机建立颌面部整体的三维可视化模型。方法：选择1名健康成年男性作为建模对象，分别通过螺旋CT、核磁共振扫描，得到样本的DICOM标准图像。将所有CT、MRI图像导入Mimics，建立颌面部骨骼、部分咀嚼肌、三叉神经池、颈内动脉、颈内静脉的三维可视化模型。选择颌面部骨骼三维模型为基准，将由MRI图像建立的肌肉、血管、三叉神经池模型导入，进行三维模型空间配准。最终得到颌面部整体的三维可视化模型。结果与结论：成功建立了颌面部骨骼、肌肉、皮肤、三叉神经池、血管的整体三维模型，准确反映了颌面部复杂的解剖结构，可为临床诊断提供可靠的解剖资料，并为今后的模拟手术打下良好的基础。
배경：근년래국내외학자대개인 PC 궤상중건합면부골조직、피부、기육삼유가시화모형진행료대량연구，단대우건립합면부골격、피부、기육、혈관적정체삼유가시화모형상무보도。목적：이용라선 CT、MRI 수거급삼유중건연건，재보통 PC 궤건립합면부정체적삼유가시화모형。방법：선택1명건강성년남성작위건모대상，분별통과라선CT、핵자공진소묘，득도양본적DICOM표준도상。장소유CT、MRI도상도입Mimics，건립합면부골격、부분저작기、삼차신경지、경내동맥、경내정맥적삼유가시화모형。선택합면부골격삼유모형위기준，장유MRI도상건립적기육、혈관、삼차신경지모형도입，진행삼유모형공간배준。최종득도합면부정체적삼유가시화모형。결과여결론：성공건립료합면부골격、기육、피부、삼차신경지、혈관적정체삼유모형，준학반영료합면부복잡적해부결구，가위림상진단제공가고적해부자료，병위금후적모의수술타하량호적기출。
BACKGROUND:Recently, scholars al over the world have made numerous studies on three-dimensional visualization model of reconstructing maxil ofacial bone tissue, skin, and muscle in the ordinary PC. However, few studies concerned the three-dimensional visualization model of constructing maxil ofacial bone tissue, skin, muscle and blood vessels. OBJECTIVE:To establish a three-dimensional visualization model of the complete maxil ofacial region using an ordinary PC based on spiral CT, MRI data, and three-dimensional reconstruction software. METHODS:One healthy male adult was chosen as the object in this study. CT and MRI were performed respectively to acquire the DICOM standardized image of the sample. Al CT and MRI images were imported to Mimics to construct three-dimensional visualization models of the bones in the maxil ofacial region, some masseter muscles, trigeminal cistern, internal carotid artery and internal jugular vein. Three-dimensional model of the bones in the maxil ofacial region was chosen as the reference. Models of muscles, blood vessels and trigeminal cistern established by MRI images were imported, and registration in space of three-dimensional model was performed. At last, three-dimensional visualization model of the complete maxil ofacial region was acquired. RESULTS AND CONCLUSION:The integrated three-dimensional models of the bones, muscles, skin, trigeminal cistern and blood vessels in the maxil ofacial region established accurately reflected the complex anatomic structure of maxil ofacial region, provided reliable anatomic data for clinical diagnosis and laid a good foundation for sham operations in the future.