前列腺及其毗邻结构的三维可视化 周义军1,吴龙1,胡婉明1,张珂1 .doc

前列腺及其毗邻结构的三维可视化 周义军1,吴龙1,胡婉明1,张珂1,王丽华1,刘利1,吴毅2,李七渝2,谭立文2 （1湖南长沙医学院 410219 ;2第三军医大学基础医学部解剖学教研室，重庆市数字医学研究所 400038） 摘要 目的：建立正常人前列腺及其毗邻组织结构的三维可视化数字模型。为解剖教学，临床诊断和男性盆腔手术提供动态三维形态学资料。 方法：采用第三军医大学解剖学教研室的第一例中国数字化可视人体数据集1号（Chinese visible human CVH1）盆腔连续断面图像分割出前列腺及其毗邻结构的轮廓数据，运用AMIRA商业软件进行计算机三维重建和可视化显示。结果：重建出了前列腺及其毗邻结构的三维可视化模型，该模型可从任意角度进行观察，清晰地显示前列腺与毗邻结构的空间位置关系。结论：前列腺及其毗邻结构的可视化模型为人体解剖教学和临床泌尿外科讨论提供三维数字化工具，为CT、MRICVH Visualization study of prostate and the adjacent structure based on the Chinese Visible Human Zhou Yi-jun1,WU long1,Hu Wan-ming1,Zhang Ke1,Wang Li-hua1,Liu Li1,Wu Yi2,Li Qi-yu2,Tan Li-wen2. 1 Changsha Medical College Changsha 410219 China. 2 Department of Anatomy, The Third Military Medical University, Chongqing 400038 China. Abstract Objective:To set up the three-dimensional digitized visible model of normal prostate and its adjacent structures, and to provide dynamic 3D morphological data for anatomy teaching ,clinical diagnosis and male pelvic surgery. Methods Adopt the first digitized visible human data set (Chinese visible human CVH1) on pelvic consecutive cross-section image to segment the contour data of prostate and its adjacent structures. Use AMIRA commercial software to reconstruct the three-dimensional visualization model. Results:The 3D visualization model of prostate and its adjacent structures were reconstructed. It can show clearly about the spatial relationship of prostate and its adjacent structures at any angle and in any direction .Conclusions:This 3D reconstruction visualization model can provide the digital resources for teaching and clinical research, and lays the morphological foundation for the study on CT/MRI of male pelvic cross-section image. Key words: Prostate ; Visible human ; Three-dimensional reconstruction;CVH. 目前，前列腺疾病，特别是前列腺增生和前列腺癌。前列腺正在引起越来越多的关注。位置深在，周围毗邻结构较多，三维解剖结构复杂，手术尚有一定难度，如果年轻医生或低年制医生在手术中对前列腺的解剖结构不熟悉，可能会损伤到前列腺周围血管、精囊腺和膀胱等毗邻结构[1]。过去对于成人前列腺的研究报道，大多采用大体解剖学、超声、MRI等影像学技术，其最大缺陷在于缺乏空间中的三维准确定位和立体形态显示[7]。本研究课题拟