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Preoperative planning for jugular-foramen tumors: Preparation of a three-dimensional surgical drawing
International Journal of Imaging Systems and Technology ( IF 3.0 ) Pub Date : 2021-07-19 , DOI: 10.1002/ima.22630
Zhirong Yang 1 , Wenchuan Zhang 1
Affiliation  

The goal of the article shows a new technique to provide three-dimensional (3D) atlas to be used for a preoperative planning for safe resection of jugular-foramen tumor. A surgical-planning drawing was created based on the test results to provide precise guidance to neurosurgeons. Using magnetic resonance imaging and computed tomography scans of the head as guide images, we generated a 3D surgical atlas. We first read the MRI and CT data into Mimics 10.0 (Materialize, Leuven, Belgium) and matched the orientation of the imaging with the actual head position. Anatomical structures captured on the scans were segmented into target areas, and then reconstructed using segmentation and model-building tools. All 3D models were imported into 3ds Max11.0 (Autodesk, Inc., The United States) to generate a surgical atlas. We used the 3D atlas for surgical simulation to identify the optimal surgical approach, and then prepared a surgical drawing for surgery. The atlas was created using scans of one patient. We generated a 3D digital atlas of anatomical structures of the jugular-foramen region for visualization, manipulation, and interaction in a virtual 3D environment and prepared a surgical drawing for jugular-foramen tumors. The 3D atlas contained MRI information. In 3D atlas, a mouse can be used to actively interact with the model by manipulating viewer orientation, changing model transparency, matching 2D image with 3D reconstructions, removing or adding structures sequentially to show complex anatomical pathways or relationships. The atlas could be subjected to surgical simulation. We create a 3D atlas and surgical planning drawing of a jugular foramen tumor. The 3D surgical-planning atlas may provide precise guidance for surgical operations.

中文翻译:

颈静脉孔肿瘤的术前规划:三维手术图的准备

这篇文章的目的是展示一种提供三维 (3D) 图集的新技术,用于安全切除颈静脉孔肿瘤的术前规划。根据测试结果创建了手术计划图,为神经外科医生提供精确的指导。我们使用头部的磁共振成像和计算机断层扫描作为引导图像,生成了一个 3D 手术图谱。我们首先将 MRI 和 CT 数据读入 Mimics 10.0(Materialize,Leuven,Belgium),并将成像方向与实际头部位置相匹配。在扫描中捕获的解剖结构被分割成目标区域,然后使用分割和模型构建工具进行重建。将所有 3D 模型导入 3ds Max11.0(Autodesk,Inc.,美国)以生成手术图集。我们使用 3D 图集进行手术模拟,以确定最佳手术方法,然后为手术准备手术图纸。该地图集是使用对一名患者的扫描创建的。我们生成了颈静脉孔区域解剖结构的 3D 数字图谱,用于在虚拟 3D 环境中进行可视化、操作和交互,并准备了颈静脉孔肿瘤的手术图。3D 地图集包含 MRI 信息。在 3D 地图集中,鼠标可用于通过操纵查看器方向、更改模型透明度、将 2D 图像与 3D 重建匹配、依次删除或添加结构以显示复杂的解剖路径或关系来主动与模型交互。地图集可以进行手术模拟。我们创建了颈静脉孔肿瘤的 3D 地图集和手术计划图。
更新日期:2021-07-19
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