儿童颈项部腧穴三维数字可视化系统研发与应用  

Development and application of a three-dimensional digital visualization system for children’s neck acupoints

作　　者：奥晓静 李琨 刘宇航 杨潇暄 王星[5] 李志军 任小燕[6] 张少杰 Ao Xiaojing;Li Kun;Liu Yuhang;Yang Xiaoxuan;Wang Xing;Li Zhijun;Ren Xiaoyan;Zhang Shaojie(College of Traditional Chinese Medicine,Inner Mongolia Medical University,Hohhot 010110,Inner Mongolia Autonomous Region,China;Department of Anatomy,School of Basic Medicine,Inner Mongolia Medical University,Hohhot 010110,Inner Mongolia Autonomous Region,China;Graduate School of Inner Mongolia Medical University,Hohhot 010000,Inner Mongolia Autonomous Region,China;Inner Mongolia Chudian Digital Technology Co.,Ltd.,Hohhot 010020,Inner Mongolia Autonomous Region,China;Digital Medicine Center of Inner Mongolia Medical University,Hohhot 010059,Inner Mongolia Autonomous Region,China;Department of Endocrinology,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010059,Inner Mongolia Autonomous Region,China)

机构地区：[1]内蒙古医科大学中医学院,内蒙古自治区呼和浩特市010110 [2]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 [3]内蒙古医科大学研究生院,内蒙古自治区呼和浩特市010000 [4]内蒙古触点数字科技有限公司,内蒙古自治区呼和浩特市010020 [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 [6]内蒙古医科大学附属医院内分泌科,内蒙古自治区呼和浩特市010059

出　　处：《中国组织工程研究》2025年第9期1834-1840,共7页Chinese Journal of Tissue Engineering Research

基　　金：国家自然科学基金(82360892),项目负责人:张少杰;内蒙古教育厅科技领军人才和创新团队建设项目(NMGIRT2307),项目负责人:张少杰;内蒙古医科大学校级重点项目(YKD2022ZD007),项目负责人:张少杰;内蒙古自治区卫生健康科技计划项目(202201219),项目负责人:张少杰;内蒙古自治区卫生健康科技计划项目(202202138),项目负责人:奥晓静;内蒙古医科大学校级面上项目(YKD2023MS088),项目负责人:奥晓静;国家自然科学基金(81860383),项目负责人:李志军;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),项目负责人:王星;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),项目负责人:李琨。

摘　　要：背景:目前已有成人腧穴三维数字化、可视化系统的相关研究,但基于真实儿童数字化断层解剖数据集对儿童腧穴可视化相关的研究报道并不多见。目的:设计研发儿童颈项部腧穴数字三维可视化系统,为针灸学、经络腧穴学教学、针灸临床、针刺施术手法练习及针刺安全性研究提供依据,并为研发儿童腧穴仿真系统提供基础。方法:基于真实学龄前男童断层解剖数据集,运用PhotoShop 2021与Digihuman Reconstruction System软件完成儿童颈项部三维数字化虚拟解剖模型及内部多器官三维重建;通过Unity数据库语言编制风府、风池等11个腧穴的数据库;在Unity3D软件中整合儿童颈项部解剖立体模型、腧穴数据库及编写针刺操作代码,成功创建集仿真腧穴定位、三维腧穴解剖、针刺训练、临床教学及针刺安全性研究等多功能于一体的儿童颈项部腧穴三维数字可视化系统。结果与结论:①该研究基于真实儿童标本,采用手动逐层分割断面图像法以最大程度确保3D模型精度。使用3D软件Digihuman Reconstruction System提取和保存独立分割数据,与PhotoShop 2021软件共同完成儿童颈项部外层皮肤与其内部骨性结构、颈部脊髓、血管和神经、肌肉及韧带等数十个三维重建解剖结构模型。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-maticresearch13.0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颈项部真实解剖形态。②依据并参考中华人民共和国国家标准收集整理儿童颈项部常用腧穴的名称、所属经脉、定位、局部解剖、进针层次、针刺方法、针刺意外与预防、腧穴主治、二维解剖断层图像等8个方面内容形成腧穴数据库。③运用Unity3D软件将儿童颈项部三维模型、针刺模拟操作和腧穴数据库三者整合,成功构建三维数字儿童颈项部腧穴可视化BACKGROUND:Currently,there have been studies on three-dimensional digitalization and visualization systems for adult acupoints,but there are not many reports on the visualization of pediatric acupoints based on real pediatric digital sectional anatomical datasets.OBJECTIVE:To design and develop a digital three-dimensional visualization system for children’s neck acupoints,to provide a basis for acupuncture and moxibustion,meridian and acupoint science teaching,clinical practice,acupuncture manipulation practice,and acupuncture safety research,and to provide a basis for the development of children’s acupoint simulation system.METHODS:Based on a real cross-sectional anatomical dataset of pre-school boys,a three-dimensional digital virtual anatomical model of the neck region of children and internal multi-organ three-dimensional reconstruction were completed using PhotoShop 2021 and Digihuman Reconstruction System software.A database of 11 acupoints was compiled,including Fengfu and Fengchi,using the Unity database language.A three-dimensional model of children’s neck anatomy,acupoint database,and writing acupuncture operation codes were integrated in Unity3D software.A three-dimensional digital visualization system for children’s neck acupoints was successfully created,which integrated simulation acupoint positioning,three-dimensional acupoint anatomy,acupuncture training,clinical teaching,and acupuncture safety research.RESULTS AND CONCLUSION:(1)This study was based on real child specimens.Manual layer by layer segmentation of cross-sectional images was used to ensure the accuracy of the three-dimensional model to the greatest extent possible.The 3D software Digihuman Reconstruction System was utilized to extract and save independent segmentation data.PhotoShop 2021 software was collaborated with to complete dozens of three-dimensional reconstruction anatomical models of the outer skin of the neck and its internal bone structure,cervical spinal cord,blood vessels and nerves,muscles,and ligaments in childre

关 键 词：腧穴 三维可视化 断层解剖 仿真系统 儿童 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学] R224.2