医学图像三维可视化系统在胰腺及壶腹周围肿瘤可切除性评估中的应用  

Application of medical image three dimensional visualization system in the evaluation of resectability of pancreatic and periampullary cancer

作　　者：方驰华[1] 祝文[1] 范应方[1] 项楠[1] 杨剑[1] 曾宁[1] 孔德帅[1] 王槐志[2] 

机构地区：[1]南方医科大学珠江医院肝胆一科,广州510282 [2]第三军医大学西南医院全军肝胆外科研究所、中国人民解放军西南肝胆外科医院,重庆400038

出　　处：《中华消化外科杂志》2012年第4期366-370,共5页Chinese Journal of Digestive Surgery

基　　金：国家高技术研究发展计划（863计划）项目（2006AA022346）;广东省自然科学基金团队项目（6200171）;广东省教育部产学研结合项目（20098080701077）;广东省中国科学院全面战略合作项目（2010A090100032）;广东省科技计划项目（20118031800088、20118031800091）

摘　　要：胰腺癌是预后较差的恶性肿瘤之一，发病率在全球范围内呈上升趋势。目前，多排螺旋CT及CT血管造影是胰腺及壶腹周围肿瘤检查的首选方法，尤其是近年来三维重建技术的广泛应用，为胰腺癌的诊断、分期以及可切除性评估提供了技术支持。但在临床应用中，仍有部分胰腺癌患者被错误地诊断和评估。Pancreatic cancer is malignant with a poor prognosis, and its incidence is rising worldwide in recent years. Multiple slices spiral computed tomography and computed angiography are the first choice for the diagnosis of pancreatic cancer, while misdiagnosis of pancreatic cancer still exists. From August 2009 to October 2011, 80 patients with pancreatic or periampullary cancer were diagnosed using the medical image three dimensional visualization system （MI-3DVS）. The three- dimensional models of the liver, pancreas, vascular system and tumors were reconstructed successfully based on the 64-slice spiral computed tomography data. According to the analysis of the three dimensional models, 4 patients underwent standard pancreaticoduodenectomy, 1 received palliative surgery. MI-3DVS plays an important role in the diagnosis and assessement of resectability of pancreatic and periampullary cancer.

关 键 词：胰腺及壶腹周围肿瘤 可切除性评估 临床应用 三维可视化 医学图像 胰腺癌患者 系统 CT血管造影 

分 类 号：R735.9[医药卫生—肿瘤]