经鼻入路处理斜坡病变的虚拟影像解剖的研究.pdfVIP

201251 375 [](VR) 2011925 70(43.0 0.3)16CT MRI Dextroscope 20VR VR [] []R651.11 []A []0577-7402(2012)05-0472-05 * LI Jun-feng, WANG Shou-sen , JING Jun-jie, WANG Ru-mi Department of Neurosurgery, Fuzhou General Hospital of Nanjing Command, Fuzhou 350025, China * Corresponding author, E-mail: wshsen@126.com This work was supported by the Key “Eleventh Five-Year Plan” Medical Science and Technology Research Project of Nanjing Command (06Z50) [Abstract]ObjectiveTo observe the virtual anatomy via transnasal approach in a virtual-reality (VR) environment, and to establish a virtual anatomical model of clival region and explore the application value of the virtual-reality technology. MethodsTwenty patients (males 11, females 9, aged from 25 to 70 years old with a mean of 43 0.3 years ) with no pathological changes in the sellar area and clivus underwent CT angiography with Discovery Ultra 16 and 3.0T MRI thin-slice scan. The data were collected and inputted into the Dextroscope in the DICOM format. Virtual observation of anatomy via transnasal approach and three-dimensional reconstruction of clivus were carried out in the VR environment. ResultsVirtual reconstruction and measurements of clivus were successfully performed in the 20 patients. The simulation of transnasal approach was also carried out in the VR environment. The lateral side of clival bone removal through transnasal approach was limited by internal carotid artery, the superior limit was sellar floor and the lower clivus could not be revealed completely because of the restriction of the maxilla and hard palate. ConclusionsVi rtual reconstruction of the clivus and simulation of