Current status and future perspectives of the application of medical 3D visualization technology in accurate surgery of liver tumors
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摘要: 目前,三维可视化(3DV)技术在医学领域的飞速发展。通过患者原始CT和(或) MRI扫描影像学数据构建出肝脏3DV模型,能够以多种显示方式提供更多肝脏复杂结构的相关信息,帮助术者更好地完成术前评估和术前个体化规划,指导肝肿瘤精准手术,实现最佳的保护性肝切除,最终使患者最好获益。综述了近年来3DV技术与肝肿瘤精准手术相关的研究进展。Abstract: There is a rapid development of 3D visualization ( 3DV) technology in the medical field nowadays. The 3 DV model of the liver established by original CT and/or MRI imaging data can provide information on the complex structure of the liver in a variety of modes and help surgeons to perform better preoperative evaluation and individualized planning, so as to realize optimal protective liver resection and finally help patients get the best benefits. This article reviews the research advances in 3DV technology and precision surgery for liver tumors.
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Key words:
- imaging, three-dimensional /
- liver neoplasms /
- models, anatomic /
- hepatectomy /
- review
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[1] KEATING GM. Sorafenib:A review in hepatocellular carcinoma[J]. Target Oncol, 2017, 12 (2) :243-253. [2] GHOURI YA, MIAN I, ROWE JH. Review of hepatocellular carcinoma:Epidemiology, etiology, and carcinogenesis[J].J Carcinog, 2017, 16:1. [3] YAMAMOTO T, YAGI S, URYUHARA K, et al. Clinical factors that affect the outcomes after anatomical versus non-anatomical resection for hepatocellular carcinoma[J]. Surg Today, 2017, 47 (2) :193-201. [4] ALI MA, CHUANG JF, YONG CC, et al. Extended central hepatectomy with preservation of segment 6 for patients with centrally located hepatocellular carcinoma[J]. Hepatobiliary Pancreat Dis Int, 2015, 14 (1) :63-68. [5] Chinese Research Hospital Association, Society for Hepatopancreatobiliary Surgery. Expert consensus on presicion liver resection[J]. Chin J Dig Surg, 2017, 16 (9) :883-893. (in Chinese) 中国研究型医院学会肝胆胰外科专业委员会.精准肝切除术专家共识[J].中华消化外科杂志, 2017, 16 (9) :883-893. [6] DONG JH, YE S. To start a new era of precision hepatobiliary surgery[J/CD]. Chin J Oper Proc Gen Surg:Electronic Version, 2016, 10 (3) :181-184. (in Chinese) 董家鸿, 叶晟.开启精准肝胆外科的新时代[J/CD].中华普外科手术学杂志:电子版, 2016, 10 (3) :181-184. [7] SASAKI R, KONDO T, ODA T, et al. Impact of three-dimensional analysis of multidetector row computed tomography cholangioportography in operative planning for hilar cholangiocarcinoma[J]. Am J Surg, 2011, 202 (4) :441-448. [8] JIANG C, WANG HJ, REN L, et al. Application status of three-dimensional CT reconstruction in hepatobiliary surgery[J].J Clin Hepatol, 2017, 33 (2) :389-393. (in Chinese) 姜超, 王海久, 任利, 等. CT三维重建在肝胆外科的应用现状[J].临床肝胆病杂志, 2017, 33 (2) :389-393. [9] HU ZG, HUANG PB, ZHOU ZY, et al. Application status and development trend of medical 3d visualization technology in hepatectomy[J]. Chin J Pract Surg, 2016, 36 (6) :699-701. (in Chinese) 胡志刚, 黄拼搏, 周振宇, 等.医学三维可视化技术在肝癌切除术中的应用现状及发展趋势[J].中国实用外科杂志, 2016, 36 (6) :699-701. [10] YANG SZ, FENG XL, DONG JH. Surgical treatment of liver cancer guided by the concept of precision surgery[J]. J Pre Med, 2018, 33 (3) :189-192, 196. (in Chinese) 杨世忠, 冯晓彬, 董家鸿.精准外科理念指导下的肝癌外科治疗[J].精准医学杂志, 2018, 33 (3) :189-192, 196. [11] CAI W, XIANG F, HUANG YH, et al. Application value of threedimensional visualization technology in the resectability assessment and surgical planning for huge hepatic carcinoma[J]. Chin J Dig Surg, 2017, 16 (1) :53-58. (in Chinese) 蔡伟, 向飞, 黄耀欢, 等.三维可视化技术在巨块型肝癌可切除性评估及手术规划中的应用价值[J].中华消化外科杂志, 2017, 16 (1) :53-58. [12] PANG XZ. 3D level set segmentation of medical sequence images and application in volume rendering[D]. China Three Gorges University, 2017:1-61.潘幸子.医学图像序列三维水平集分割及在体绘制中的应用[D].三峡大学, 2017:1-61. [13] LI LH, WANG JW, LIU B, et al. Clinical application of threedimensional reconstruction in preoperative evaluation of hepatectomy[J]. J Clin Hepatol, 2016, 32 (5) :938-941. (in Chinese) 李连海, 王建伟, 刘斌, 等.三维重建在肝切除术前评估中的临床应用效果[J].临床肝胆病杂志, 2016, 32 (5) :938-941. [14] LI PP, WANG ZH, HUANG G, et al. Application of liver three-dimensional visualization technologies in the treatment planning of hepatic malignant tumor[J]. Chin J Surg, 2017, 55 (12) :916-922. (in Chinese) 李鹏鹏, 王志恒, 黄罡, 等.肝脏三维可视化技术在肝脏恶性肿瘤治疗规划中的应用研究[J].中华外科杂志, 2017, 55 (12) :916-922. [15] ZHAO D, LAU WY, ZHOU W, et al. Impact of three-dimensional visualization technology on surgical strategies in complex hepatic cancer[J]. Biosci Trends, 2018, 12 (5) :476-483. [16] FANG YF, FANG CH. Controversy and consensus on the clinical application of three-dimensional visualization technology in hepatobiliary surgery[J]. Chin J Pract Surg, 2018, 38 (2) :137-141. (in Chinese) 范应方, 方驰华.三维可视化技术在肝胆外科临床应用的争议与共识[J].中国实用外科杂志, 2018, 38 (2) :137-141. [17] YAMAZAKI S, TAKAYAMA T, WATANABE Y, et al. Imaging modality of three-dimensional CT in caudate cholangioma:Assessment for resectability[J]. Hepatogastroenterology, 2007, 54:397-399. [18] LIN KC, ZENG YY, LI YT, et al. Application value of 3D reconstruction virtual surgery planning in the surgical treatment of hilar cholangiocarcinoma[J]. Chin J Dig Surg, 2018, 17 (4) :383-388. (in Chinese) 林科灿, 曾永毅, 黎蕴通, 等.三维重建虚拟手术规划在肝门部胆管癌手术中的应用价值[J].中华消化外科杂志, 2018, 17 (4) :383-388. [19] FANG YF, XIANG N, CAI W, et al. Three-dimensional visualization technology in preoperative planning of precise hepatectomy[J/CD]. Chin J Hepat Surg:Electronic Edition, 2014, 3 (5) :271-275.范应方, 项楠, 蔡伟, 等.三维可视化技术在精准肝切除术前规划中的应用[J/CD].中华肝脏外科手术学电子杂志, 2014, 3 (5) :271-275. [20] JIA WD. Multidisciplinary treatments for patients with hepatocellular carcinoma in the era of precise liver surgery[J]. J Prac Hepatol, 2015, 18 (2) :120-123. (in Chinese) 荚卫东.精准肝脏外科时代肝癌多学科治疗[J].实用肝脏病杂志, 2015, 18 (2) :120-123. [21] HU M, HU H, CAI W, et al. The safety and feasibility of three-dimensional visualization technology assisted right posterior lobe allied with part of V and VIII sectionectomy for right hepatic malignancy therapy[J]. J Laparoendosc Adv Surg Tech A, 2018, 28 (5) :586-594. [22] ZHOU XJ, DONG Q, ZHU CZ, et al. The role and significance of digital reconstruction technique in liver segments based on portal vein structure[J]. Chin J Surg, 2018, 56 (1) :61-67. (in Chinese) 周显军, 董蒨, 朱呈瞻, 等.数字化重建技术在基于肝脏门静脉结构的肝段划分中的作用及意义[J].中华外科杂志, 2018, 56 (1) :61-67. [23] LAMATA P, LAMATA F, SOJAR V, et al. Use of the resection map system as guidance during hepatectomy[J]. Surg Endosc, 2010, 24 (9) :2327-2337. [24] PETERHANS M, VOM BA, DAGON B, et al. A navigation system for open liver surgery:Design, workflow and first clinical applications[J]. Int J Med Robot, 2011, 7 (1) :7-16. [25] CAI K, YANG R, CHEN H, et al. Simulation and visualization of liver cancer ablation focus in optical surgical navigation[J].J Med Syst, 2016, 40 (1) :19. [26] WU W, XUE Y, WANG D, et al. A simulator for percutaneous hepatic microwave thermal ablation under ultrasound guidance[J]. Int J Hyperthermia, 2014, 30 (7) :429-437. [27] PHUTANE P, BUC E, POIROT K, et al. Preliminary trial of augmented reality performed on a laparoscopic left hepatectomy[J]. Surg Endosc, 2018, 32 (1) :514-515.
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