利用2D/3D配准技术开展直立位颈椎椎间孔形态学测量的可行性研究
叶强,李鉴轶,李鹏,孔祥雪,李绍林
中国临床解剖学杂志 ›› 2015, Vol. 33 ›› Issue (3) : 288-290.
利用2D/3D配准技术开展直立位颈椎椎间孔形态学测量的可行性研究
The feasibility research of orthostaticcervicaltransforaminal morphologic measurements using 2D/3D registration techniques
目的 探讨利用2D/3D配准技术开展直立位颈椎椎间孔形态学测量的可行性研究。 方法 采集7位健康成年志愿者颈椎的CT影像,对其进行三维重建获得颈椎三维模型,并采集同一志愿者保持同一姿势时的颈椎直立正侧位X线平片,在图像处理软件Mimics中建立虚拟X线场景,采用2D/3D图像配准还原摄平片时颈椎的位置,并利用Rapidform XOR3软件测量两种位置的椎间孔面积。 结果 利用2D/3D图像配准方法,可获得颈椎直立位的三维位置数据,共测得56个椎间孔卧位及直立位两位置椎间孔面积,卧位椎间孔面积为(50.9±14.2) mm2,直立位椎间孔面积为(83.6±23.5) mm2,差异具有统计学意义(t=-8.107,P<0.05)。 结论 利用2D/3D配准技术可获得颈椎直立位椎间孔的形态学参数,直立位与卧位椎间孔有显著差异,但其准确性需要进一步的研究验证。
Objective To investigate the feasibility of orthostatic cervical transforaminal morphologic measurements using 2D/3D registration techniques. Method Seven healthy adult volunteer's cervical spines were CT scanned and then 3D reconstructed; And two orthogonal X-ray images of cervical vertebrae in the same orthostatic posture were also harvested. A virtual fluoroscopic scene was then created in software Mimics and wasused to reproduce the relative positions of the orthogonal images using 2D/3D image registration technology. Transforaminal morphologic measurements were performed in Software Rapidform. Result The cervical orthostatic posture could be reproduced and the morphologic data, such as inter foraminal area, could be calculated. A total of 56 intervertebral foramen were measured in supine and upright positions: supine foramen area was ??(50.9±14.2) mm2 and orthostatic foramen area was ??(83.6± 23.5) mm2, showing significant difference(t= -8.107, P<0.05 ). Conclusion Orthostatic cervical transforaminal morphological parameters could be calculated using2D/3D registration techniques. However, it’s efficiency and accuracy need further investigation.
Cervical vertebra / Intervertebral foramen / 2D/3D registration
[1] 罗久伟,苏衍峰. 颈椎椎间孔大小与脊神经根型颈椎病的关系研究[J]. 中国医学影像技术, 2009, 25(S1):204-205.
[2] 李曙明,尹战海,王莹. 神经根型颈椎病的影像学特点和分型[J]. 中国矫形外科杂志, 2013 21(1):7-11.
[3] 尚如国. 颈椎间孔的应用解剖学研究[D]. 南方医科大学, 2012.
[4] Lubelski D, Derakhshan A, Nowacki AS, et al. Predicting C5 palsy via the use of preoperative anatomic measurements[J]. Spine J, 2014, 14(9):1895-1901.
[5] 余情,李泽兵. 颈椎侧弯对颈椎间孔形态的影响[J]. 中国康复医学杂志, 2004, 9(4):44-47.
[6] 栾桂珍,侯云义. 正常成人颈椎间孔的X线测量—附57例测量分析[J]. 哈尔滨医药,1981,1(1):16-17.
[7] 喻忠,龚建平,沈均康,等. 正常成年人颈椎椎间孔的三维CT测量[J]. 实用骨科杂志, 2002, 8(6):468-471.
[8] 张晓林,王淑丽,马信龙,等. 早期神经根型颈椎病定位诊断的斜矢状MR检查应用[J]. 中国矫形外科杂志, 2012, 20(9):806-809.
[9] 杜万萍,谭利华,马聪,等. 神经根型颈椎病MRI检查方法探讨[J]. 医学临床研究, 2009, 26(4):585-587.
[10] 董峰. 神经根型颈椎病MR诊断[J]. 中国中西医结合影像学杂志, 2009, 7(4):267-269.
[11] 冯文丰. 动态MRI对颈椎椎间隙、椎管及脊髓的临床应用研究[D]. 河北医科大学, 2013.
[12] 杨睿,黄霖,李卫平,等. 激光扫描多平面动态测量下颈椎椎间高度退变后椎间孔的变化[J]. 中国临床解剖学杂志, 2011, 29(5):527~531.
[13] Miao J, Wang S, Park W M, et al. Segmental spinal canal volume in patients with degenerative spondylolisthesis[J]. Spine J, 2013, 13(6):706-712.
[14] Bullitt E, Liu A, Aylward S R, et al. Registration of 3D cerebral vessels with 2D digital angiograms: clinical evaluation[J]. Acad Radiol,1999, 6(9):539-546.
[15] Yamazaki T, Watanabe T, Nakajima Y, et al. Improvement of depth position in 2-D/3-D registration of knee implants using single-plane fluoroscopy[J]. IEEE Trans Med Imaging, 2004, 23(5):602-612.
[16] Tomazevic D, Likar B, Slivnik T, et al. 3-D/2-D registration of CT and MR to X-ray images[J]. IEEE Trans Med Imaging, 2003, 22(11):1407-1416.
广东省省级科技计划项目(2013B021800179));广州市科研条件建设项目(穗科信字[2011]233-39号); 广东省教育部产学研结合项目(2012B091100314)
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