南方医科大学学报 ›› 2014, Vol. 34 ›› Issue (07): 945-.

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基于亚毫米CT扫描数据的肝外胆管供血动脉三维可视化模型构建

杨剑,方驰华,范应方,彭戈,项楠,祝文,刘军,鲍苏苏   

  • 出版日期:2014-07-20 发布日期:2014-07-20

Construction of a three-dimensional visualization model of arteries supplying the
extrahepatic bile duct based on submillimeter CT data

  • Online:2014-07-20 Published:2014-07-20

摘要: 目的构建肝外胆管供血动脉三维可视化模型,研究基于亚毫米CT数据精细管道分割新方法。方法把基于体绘制交互
的图像分割新算法作为一个分割插件整合到医学图像三维可视化系统(MI-3DVS)中,再将10 名受检者的腹部64 层亚毫米
CTA数据导入MI-3DVS,程序化构建肝外胆管及供血动脉的3D模型。然后对3D模型进行缩放、旋转、融合拆分以及透明化显
示等操作,观察、分析3D模型中的肝外胆管供血动脉来源、走行、分布特点。结果10例肝外胆管血供3D模型立体感强,可精确
显示肝动脉的4到5级分支、胆囊动脉的2级分支、胰十二指肠动脉弓及门静脉后动脉;胆道3D模型可清晰显示肝内胆管、左右
肝管、胆囊、肝总管、胆总管等胆道各部分。结论基于体绘制交互的分割方法能够对肝外胆管供血小动脉进行分割、提取;使用
MI-3DVS重建的3D模型能够真实反映个体化的肝外胆管及供血动脉立体解剖结构。

Abstract: Objective To construct a three-dimensional (3D) model of arteries supplying the extrahepatic bile duct with a new
segmentation algorithm based on submillimeter CT data. Methods The new image segmentation algorithm based on
interactive volume rendering was integrated into Medical Image Three-Dimensional Visualization System (MI-3DVS) as an
intersected plug-in. The abdominal submillimeter CTA data of 10 patients were imported into MI-3DVS and the 3D model of
the extrahepatic bile duct and its supplying arteries were constructed. The 3D model was zoomed in, zoomed out and spinned
for observation and analysis of the arteries supplying the extrahepatic bile duct. Results The 3D models of the blood supply to
extrahepatic bile duct allowed stereoscopic, and accurate display of the fourth- and fifth-level branches of the hepatic artery,
the second-level branches of the cystic artery, the pancreatic duodenal artery arch and the retroportal artery. The 3D models
also provided a clear vision of the biliary structures including the hepatobiliary tract, the left and right hepatic ducts,
gallbladder, the liver duct, and the common bile duct. Conclusions Based on the segmentation method of interactive volume
rendering, the CT data of the arterioles supplying the extrahepatic bile duct can be extracted and segmented for 3D
reconstruction to display the three-dimensional anatomical structures of the extrahepatic bile duct and its supplying arteries.