三维数字儿童蒙医针刺穴位可视化系统的研发  

Development of a three-dimensional digital children’s acupuncture point visualization system of Mongolian medicine

作　　者：刘宇航 孙瑞芬[2] 木日根吉雅 王星 李志军[4] 刘亚楠 郝韵腾 蔡永强 张少杰[4,5] 李琨 Liu Yuhang;Sun Ruifen;Mu Rigen Jiya;Wang Xing;Li Zhijun;Liu Yanan;Hao Yunteng;Cai Yongqiang;Zhang Shaojie;Li Kun(Graduate School of Inner Mongolia Medical University,Hohhot 010000,Inner Mongolia Autonomous Region,China;Imaging Center,Second Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010000,Inner Mongolia Autonomous Region,China;School of Mongolian Medicine,Inner Mongolia Medical University,Hohhot 010020,Inner Mongolia Autonomous Region,China;Department of Anatomy,School of Basic Medicine,Inner Mongolia Medical University,Hohhot 010110,Inner Mongolia Autonomous Region,China;Digital Medical Center of Inner Mongolia Medical University,Hohhot 010059,Inner Mongolia Autonomous Region,China)

机构地区：[1]内蒙古医科大学研究生院,内蒙古自治区呼和浩特市010000 [2]内蒙古医科大学第二附属医院影像中心,内蒙古自治区呼和浩特市010000 [3]内蒙古医科大学蒙医药学院,内蒙古自治区呼和浩特市010020 [4]内蒙古医科大学基础医学院解剖学教研室,内蒙古自治区呼和浩特市010110 [5]内蒙古医科大学数字医学中心,内蒙古自治区呼和浩特市010059

出　　处：《中国组织工程研究》2024年第20期3223-3228,共6页Chinese Journal of Tissue Engineering Research

基　　金：教育厅科技领军人才和创新团队建设项目(NMGIRT2307)、儿童脊柱脊髓发育解剖及临床应用研究创新团队、内蒙古医科大学校级重点项目(YKD2022ZD007)、内蒙古自治区卫生健康科技计划项目(202201219)、内蒙古自治区蒙医药协同创新中心科学研究项目(MYYXTYB202101),项目负责人:张少杰;国家自然科学基金(81860383)、内蒙古自然科学基金(2020LH08021),项目负责人:李志军;国家自然科学基金(81860382)、内蒙古自然科学基金(2020 mS03061),项目负责人:王星;内蒙古自然科学基金(2022QN03002)、内蒙古医科大学青年基金(YKD2020QNCX055),项目负责人:李琨;内蒙古自然科学基金(2022MS08020),项目负责人:蔡永强。

摘　　要：背景:目前中医成人针刺穴位数字化、可视化系统相关报道日益增多,且中医儿童针刺穴位数字化、可视化系统及蒙医训练针刺手法仿真系统已有报道,但蒙医面向儿童群体此类系统尚未见报道。目的:研发蒙医儿童针刺穴位仿真系统,希望供临床教学、施术手法练习及针刺安全性研究使用。方法:在学龄前男童断层解剖数据集基础上运用PhotoShop 2021与Digihuman Reconstruction System软件完成儿童三维数字化虚拟解剖模型及内部多器官组织的构建;通过Unity数据库语言编制蒙医顶会穴等27个穴位的相关注释信息库;在儿童3D打印头颈部树脂模型上选用蒙医金针、银针录制针刺穴位教学视频;在Unity3D软件中整合儿童解剖模型、穴位注释信息库及针刺操作视频并编写代码,成功创建集仿真针刺训练、临床教学及针刺安全性研究等多功能于一体的三维数字儿童蒙医针刺穴位可视化系统。结果与结论:①该研究基于真实儿童标本,为减少二维分割错误,采用手动逐层分割断面图像法,最大程度确保3D模型精度的前提下,使用3D软件Digihuman Reconstruction System提取和保存独立分割数据,与PhotoShop.2021软件共同完成儿童头颈部外层皮肤与其内部骨性结构、颈脊髓、血管和神经、肌肉及韧带等数十个解剖结构的三维重建后,于MeshLab软件中完成各独立结构基本形态和整体轮廓完整性核验工作,并利用3-matic research 13.0软件进行最终精细化调校及解剖位置确认,成功模拟还原学龄前儿童头颈部真实解剖形态。②该研究运用Unity3D软件将儿童三维模型、针刺操作视频和穴位注释库三者整合,成功构建三维数字儿童蒙医针刺穴位可视化系统。③该研究以中国学龄前男童真实连续断层超薄数据集为基础,实现了中国首个蒙医儿童头颈部针刺穴位三维数字化、可视化系统的研发,较既往针刺软著更贴合亚BACKGROUND:Nowadays,there are increasing reports on the digitization and visualization system of acupuncture points for adults in traditional Chinese medicine,and the digitization and visualization system of acupuncture points for children in traditional Chinese medicine and the simulation system of acupuncture manipulation for Mongolian medicine training have been reported.However,there are no reports on relevant systems for children in Mongolian medicine.OBJECTIVE:To develop a simulation system of acupuncture points for children in Mongolian medicine,in the hope that it can be used for clinical teaching,manipulation practice and research on acupuncture safety.METHODS:Based on the tomographic anatomical dataset of preschool boys,a three-dimensional(3D)digital virtual anatomical model of children with multiple internal organs and tissues was constructed by using PhotoShop.2021 and Digihuman Reconstruction System software.The relevant annotation information database of 27 acupoints such as Dinghui acupoint of Mongolian medicine was compiled by the Unity database language.The Mongolian gold needle and silver needle were selected to record the acupuncture point teaching video on the 3D printed head and neck resin model of children.In Unity3D software,children’s anatomical model,acupoint annotation information database and acupuncture operation video were integrated and coded,and a 3D digital children’s Mongolian acupuncture acupoint visualization system integrating simulation acupuncture training,clinical teaching and acupuncture safety research was successfully created.RESULTS AND CONCLUSION:This study was based on real children’s specimens.In order to reduce the error of two-dimensional segmentation,the manual layer-by-layer segmentation section image method was used to ensure the accuracy of the 3D model to the greatest extent.The Digihuman Reconstruction System was used to extract and save the individual segmentation data while maximizing the accuracy of the 3D model.PhotoShop.2021 software was used to com

关 键 词：儿童 蒙医 针刺 穴位 可视化 断层解剖 安全性 穴位毗邻 3D打印 仿真系统 

分 类 号：R453[医药卫生—治疗学] R318[医药卫生—临床医学] R29