借助三维重建建立特发性脊柱侧凸新分型-骨外科学专业论文.docxVIP

广州医学院硕士学位论文报借助三维重建建立特发性脊柱侧凸新分型 广州医学院硕士学位论文报 借助三维重建建立特发性脊柱侧凸新分型 PAGE PAGE 5 A New Idiopathic Scoliosis Classification with the Help of Three-Dimensional Reconstruction Abstract ⅠA three-dimensional model construction of IS with Mimics :a reverse engineering software Objective To construct a three-Dimensional model of idiopathic scoliosis (IS) based on the CT data with Mimics (a reverse engineering software). Methods The CT digital data of an IS patient was obtained,and imported into the computer,using the software Mimics10.01 to rebuild a 3-D model by the following steps: orientation,thresholding,division,region growing,calculation 3D image, emeshing. Results A 3-D simulation model was established with the CT data. Some relevant 2-D and 3-D informations of IS were measured with Mimics10.01. Conclusions The 3-D simulation model rebuilt according to the CT data is pricise and vivid with the help of the reverse engineering software Mimics. Keywords Idiopathic scoliosis Reverse engineering Mimics Three- dimensional Reconstruction Ⅱ Establishment of a new classification for idiopathic scoliosis Objective To establish a new idiopathic scoliosis classification superior to King and Lenke classification. Methods Eighty cases of idiopathic scoliosis with comprehensive data were reviewed.The images of standing A-P, lateral and supine side-bending radiograph and clinical data were analyzed by the SRS (Scoliosis Research Society) definition of scoliosis and its apex, in order to establish a new classification for idiopathic scoliosis. All the 3-D simulation models were rebuilt with the CT data of the IS patients. The new classification was compared with King and Lenke classification for the following aspects: comprehensiveness, simplicity, vividness, 3-D evaluation, clinical guidance, reliability and reproducibility. 4. Results The new classification for idiopathic scoliosis is composed of two major types and fourteen subtypes.Of the eighty cases ,Type I accounted for 71.5%, T