中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2014年
1期
42-45
,共4页
陈素华%杨军%马顺昌%寸恩浩%石祥恩
陳素華%楊軍%馬順昌%吋恩浩%石祥恩
진소화%양군%마순창%촌은호%석상은
虚拟现实%个体化%颈内-后交通动脉动脉瘤
虛擬現實%箇體化%頸內-後交通動脈動脈瘤
허의현실%개체화%경내-후교통동맥동맥류
Virtual reality%Individualized%Internal carotid-posterior communicating artery aneurysm
目的 探讨Destroscope虚拟现实系统在颈内～后交通动脉动脉瘤个体化治疗中的应用价值.方法 回顾性分析首都医科大学附属复兴医院2011年5月至2013年5月应用Destroscope 虚拟现实系统做术前计划治疗的颈内～后交通动脉动脉瘤病例18例,术前均将其CTA原始数据等以DICOM格式输入Destroscope虚拟现实系统中进行三维重建、分割,观察并模拟操作设计个体化方案,指导治疗.结果 18例颈内～后交通动脉动脉瘤病例均成功地实现了颅骨及颅内血管的三维立体虚拟现实影像的重建.其中16例与CTA报告结果一致,2例CTA报告可疑,在虚拟现实影像上清晰显示动脉瘤.18例患者均成功进行虚拟现实的手术模拟与手术设计,所得3D影像与手术所见几乎一致.结论 Destroscope虚拟现实系统能够清楚地显露动脉瘤大小、位置,并可量化与周围结构的关系,有助于动脉瘤的诊断及最佳治疗方案的选择,提高治疗效果.
目的 探討Destroscope虛擬現實繫統在頸內～後交通動脈動脈瘤箇體化治療中的應用價值.方法 迴顧性分析首都醫科大學附屬複興醫院2011年5月至2013年5月應用Destroscope 虛擬現實繫統做術前計劃治療的頸內～後交通動脈動脈瘤病例18例,術前均將其CTA原始數據等以DICOM格式輸入Destroscope虛擬現實繫統中進行三維重建、分割,觀察併模擬操作設計箇體化方案,指導治療.結果 18例頸內～後交通動脈動脈瘤病例均成功地實現瞭顱骨及顱內血管的三維立體虛擬現實影像的重建.其中16例與CTA報告結果一緻,2例CTA報告可疑,在虛擬現實影像上清晰顯示動脈瘤.18例患者均成功進行虛擬現實的手術模擬與手術設計,所得3D影像與手術所見幾乎一緻.結論 Destroscope虛擬現實繫統能夠清楚地顯露動脈瘤大小、位置,併可量化與週圍結構的關繫,有助于動脈瘤的診斷及最佳治療方案的選擇,提高治療效果.
목적 탐토Destroscope허의현실계통재경내～후교통동맥동맥류개체화치료중적응용개치.방법 회고성분석수도의과대학부속복흥의원2011년5월지2013년5월응용Destroscope 허의현실계통주술전계화치료적경내～후교통동맥동맥류병례18례,술전균장기CTA원시수거등이DICOM격식수입Destroscope허의현실계통중진행삼유중건、분할,관찰병모의조작설계개체화방안,지도치료.결과 18례경내～후교통동맥동맥류병례균성공지실현료로골급로내혈관적삼유입체허의현실영상적중건.기중16례여CTA보고결과일치,2례CTA보고가의,재허의현실영상상청석현시동맥류.18례환자균성공진행허의현실적수술모의여수술설계,소득3D영상여수술소견궤호일치.결론 Destroscope허의현실계통능구청초지현로동맥류대소、위치,병가양화여주위결구적관계,유조우동맥류적진단급최가치료방안적선택,제고치료효과.
Objective To evaluate the application of virtual reality technique in diagnoseand individualized therapeutic planning of internal carotid-posterior communicating artery aneurysm.Methods Retrospective analysis 18 cases of internal carotid-posterior communicating artery aneurysm from May 2011 to May 2013,whose surgery programs were performed by Destroscope virtual reality system.The preoperative primal CTA data was saved in DICOM format and transferred into the VR computer for restitution,dissection,and surgery simulation to direct therapy.Results Virtual reality three-dimensional images of the 18 internal carotid-posterior communicating artery aneurysm cases were successfully achieved,among the results,16 cases supported the CTA results,2 cases who were suspicious in CTA results,were finally diagnosed aneurysms on the virtual reality images.Surgical simulation and surgery program of virtual reality of the 18 patients were successfully performed.The 3D images obtained from virtual reality near to the real surgery.Conclusion Destroscope virtual reality system can clearly reveal the size,location of aneurysm,and quantify the relationships between aneurysm and surrounding structures,which is helpful to diagnose and select the best individualized therapeutic planning to improve outcome.
