颈椎后路手术相关结构三维可视化研究
Three-dimensional visualization of the structures correlating with the posterior cervical approach
目的 寻求建立颈椎后路手术相关结构数字模型及三维可视化方法。 方法 取健康志愿者头顶至第3胸椎下缘连续CT/MRI断面图像,Mimics软件对骨骼,肌肉,神经等组织用半自动方法进行分割和重建,MedCAD(医学计算机辅助设计)模块对细小解剖结构重建,三维化显示颈椎后路手术相关解剖结构。 结果 建立颈椎后路手术相关结构的三维可视化模型,显示骨性结构、颈背部由浅入深4层17组肌肉、4组韧带、C1~T2脊神经后支和颈部浅层肌等解剖结构的位置关系。 结论 在颈背部三维可视化模型基础上,参照解剖学层次逐层显示该手术相关重要结构,为该手术解剖教学、手术培训提供医疗教学平台。
Objective To explore the method for establishing digital model and three-dimensional visualization of the correlated structures of posterior cervical approach. Methods Basing on CT and MRI continuous 2-Dimensional pictures from the vertex to the inferior border of the T3 of one healthy volunteer,half-auto cut and reconstruction was taken on skeleton,muscles and nerves with the Mimics software. The tiny anatomic structures were reconstructed with the MedCAD module. Three-dimensional model of posterior cervical approach and its surrounding structures was successfully displayed. Results A three-dimensional digital model of the correlated structures of posterior cervical approach was established. The position relation of different structures was successfully presented, such as the skeleton; 17 groups of muscles covering the nape, formed 4 layers from the superficial to the deep; 4 kinds of ligaments; ramus posterior nervorum spinalium of C1-T2; and the superficial cervical muscles. Conclusions On the basis of three-dimensional visualization model of the nape,the correlated important structures of posterior cervical approach can be displayed step by step, which is a favorable tool for anatomic teaching and operation training.
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