数字化肾脏及其应用-中国数字医学.PDFVIP

数字医学研究与应用 Research and Application of Digital Medicine 数 字 化 肾 脏 及 其 应 用 孙圣坤① 徐阿祥① 张旭① 摘 要 数字化是现代医学的重要发展方向，但在肾脏外科领域研究较少。保留肾脏的手术技术复杂，并发症多，迫切需要 术前进行手术训练、预演手术以优化手术方案。以计算机辅助手术为代表的数字化技术为这一目标的实现提供了可能。数字 化肾脏根据病人的临床CT图像序列，综合运用三维设计软件及三维可视化工具，分割肾脏实质图像信息，构建具有病人个体 特性的数字化肾脏模型，可同时得到肾脏病变的体积、面积等重要参数值，优化手术预案并进行仿真手术，将促进肾脏外科 向数字化、个体化和精确化方向快速发展。 关键词 数字化肾脏 肾肿瘤 肾结石 虚拟现实 Doi:10.3969/j.issn.1673-7571.2013.09.025 Digital Kidney and its Application / SUN Sheng-kun, XU A-xiang, ZHANG Xu//China Digital Medicine.-2013 8(9): 76 to 79 Abstract The digital technology is an important development direction of modern medicine, but few studies were reported in the field of renal surgery. Minimally invasive surgery of the kidney are so complicated that preoperative surgical training and rehearsal surgery are urgently needed to optimize the surgical program. As a representative of digital technology, computer-assisted surgery provide a possible method to achieve this goal. The patients clinical CT image sequence will be used to build a digital kidney model by integrating use of three-dimensional design software and 3D visualization tools after segmentation of the renal images. Important parameters such as the volume and area of the renal nidus can also be obtained in digital kedney. Preoperative plan can be optimized and a virtual surgery of the patient can be performed on his digital kidney which bears the patient-specific anatomical data. Digital kidney will bring with a rapid development of the renal surgery toward a digital, individualized and accurate direction. Keywords digital kidney, renal tumor, renal stone, virtual reality Corresponding author Department of Urology, Chinese PLA General Hospital, Beijing 100853, P.R.C. 1 引言