人工智能联合三维重建在胸腔镜肺结节切除术中的应用进展  

Advances in the application of AI-assisted 3D reconstruction in thoracoscopic pulmonary nodule resection surgery

作　　者：王蕾[1,2] 向之明[2] WANG Lei;XIANG Zhiming(Postgraduate Cultivation Base of Guangzhou University of Chinese Medicine,Panyu Central Hospital,Guangzhou,510006,P.R.China;Department of Radiology,The Affiliated Panyu Central Hospital of Guangzhou Medical University,Guangzhou,511400,P.R.China)

机构地区：[1]广州中医药大学、广州市番禺区中心医院研究生培养基地,广州510006 [2]广州医科大学附属番禺中心医院放射科,广州511400

出　　处：《中国胸心血管外科临床杂志》2025年第2期252-257,共6页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金(82171931)。

摘　　要：在胸腔镜肺结节切除术中,精确的术前规划至关重要,而人工智能(artificial intelligence,AI)结合三维重建技术在此方面显示出巨大潜力。AI三维重建技术能够提供精确的个性化肺部血管、支气管解剖结构模型,帮助医生进行细致的手术规划,从而提高手术精确性和安全性。本文综述了AI三维重建技术在肺结节手术中的应用进展,包括其在术前诊断、手术规划和术中导航等方面的应用,以及AI三维重建技术的进展。分析了包括全自动和半自动三维重建软件的技术特点、临床应用及面临的挑战。In thoracoscopic pulmonary nodule resection surgery,precise preoperative planning is crucial.Artificial intelligence(AI)-assisted three-dimensional(3D)reconstruction technologies have shown great potential in this area.AI-assisted 3D reconstruction technologies can provide accurate,personalized models of the pulmonary vasculature and bronchial anatomy,assisting surgeons in detailed surgical planning and thus enhancing the precision and safety of surgeries.This article reviews the application progress of AI-assisted 3D reconstruction technologies in pulmonary nodule surgery,including their applications in preoperative diagnosis,surgical planning,and intraoperative navigation,as well as the advancements in AI-assisted 3D reconstruction technologies.It analyzes the technical features of all kinds of 3D reconstruction methods,their clinical applications,and the challenges they face.

关 键 词：人工智能 三维重建 胸腔镜手术 肺结节 手术规划 综述 

分 类 号：TP391.41[自动化与计算机技术—计算机应用技术] TP18[自动化与计算机技术—计算机科学与技术] R734.2[医药卫生—肿瘤]