CT图像三维重建在骨肿瘤诊治中的应用探讨.pdfVIP

. . 中国骨肿瘤骨病2009年6月第8卷第3期 Chin J Bone Tumor Bone Disease, June 2009, Vol 8, No.3 163 . . 论著 CT图像三维重建在骨肿瘤诊治中的应用探讨 叶哲伟　杨述华　吴强　熊晓芊　唐欣　胡家朗　邵佳　张施展　谢卯　张其川 基金项目：华中科技大学医理交叉课题(NO.6－103) 作者单位：430022 武汉市，华中科技大学同济医学院附属协和医院骨科 【摘要】　目的　探讨螺旋CT医学图像三维重建在骨肿瘤诊断中的价值及其对手术的指导意义。方法　对 128例骨肿瘤患者采用螺旋CT进行薄层扫描和三维重建进行诊断。CT扫描全部采用Siemens SOMATOM Sensation 16型多排高速螺旋CT机，1.0mm层厚。扫描所得断层资料通过网络传送至计算机工作站进行处理。采用Window. NT3.51平合上 Insight三维重建软件进行三维重建。结果　三维CT图像能够围绕X轴和Z轴任意旋转、切割以从不 同角度观察，能够清晰显示骨肿瘤与周围组织结构的解剖形态特点。结论　三维CT重建在骨肿瘤的诊断及手术 方案的制订方面具有很大的临床应用价值，有助于骨肿瘤的立体定位和肿瘤破坏范围的正确评估，并为手术入 路的设计、重建和内固定选择提供客观依据。 【关键词】　三维CT重建；骨肿瘤 doi:10.3969/j.issn.1671-1971.2009.06.009 The application of three-dimensional computed tomography reconstruction in the treatment for bone tumor YE Zhewei, YANG Shuhua, WU Qiang, et al. Department of Orthopedics, the Union Hospital of Tongji Medical College , Huazhong University of Science and Technology, Wuhan, Hubei 430022,China Abstract Objective To present the bone tumor spatially, and evaluate the significance of three-dimensional 【 】 computed tomography in diagnosis and operation planning. Methods hree-dimensional(3D) CT imaging reconstruction was performed with Helical CT on 128 patients who sustained bone tumor. The procedure was performed with EBISC150XP fast CT. The thickness of scan layer was 1.0mm.The data obtained by the scan was transferred to the computer workstation, and used to reconstruct images with the “Insight” software on the Windows NT 3.51. Results The 3D CT images could rotate around X