[1]姚小芬,潘慧红,钟玉敏,等. 3D打印技术在先天性心脏病伴气管软化诊断与治疗中的应用[J].中国医学物理学杂志,2018,35(5):580-584.[doi:DOI:10.3969/j.issn.1005-202X.2018.05.015]
　Application of three-dimensional printing technique in diagnosis and treatment of congenital heart disease with tracheomalacia in pediatric patients. Application of three-dimensional printing technique in diagnosis and treatment of congenital heart disease with tracheomalacia in pediatric patients[J].Chinese Journal of Medical Physics,2018,35(5):580-584.[doi:DOI:10.3969/j.issn.1005-202X.2018.05.015]
点击复制

 3D打印技术在先天性心脏病伴气管软化诊断与治疗中的应用()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
35卷
期数:
2018年第5期
页码:
580-584
栏目:
医学影像物理
出版日期:
2018-05-22

文章信息/Info

Title:
 Application of three-dimensional printing technique in diagnosis and treatment of congenital heart disease with tracheomalacia in pediatric patients
文章编号:
1005-202X（2018）05-0580-05
作者:
 姚小芬; 潘慧红; 钟玉敏; 邱海嵊
 上海交通大学医学院附属上海儿童医学中心影像诊断中心， 上海 200127
Author(s):
 Application of three-dimensional printing technique in diagnosis and treatment of congenital heart disease with tracheomalacia in pediatric patients
 Diagnostic Imaging Center, Shanghai Children’s Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
关键词:
3D打印技术; 先天性心脏病; 气管软化; 图像后处理
Keywords:
 ; : three-dimensional printing technique;  congenital heart disease;  tracheomalacia;  image postprocessing
分类号:
R816.92；Q819
DOI:
DOI:10.3969/j.issn.1005-202X.2018.05.015
文献标志码:
A
摘要:
 目的：运用3D打印技术建立儿童先天性心脏病伴气管软化模型，探讨3D打印建模对于临床诊断和治疗方案制定的意义。 方法：1例先天性心脏病伴气管软化的患儿，行容积螺旋穿梭技术（VHS）CT扫描后获得影像资料；将CT图像导入Mimics 17.0软件并对气管区域进行图像重建后处理，得到气管三维重建模型；再运用3-Matic10.0软件对三维模型进行网格优化操作并保存成STL格式；最后将数据导入Objet 260 3D打印机打印出三维模型。 结果：利用3D打印构建了患儿吸气相和呼气相气管模型，与气管镜检查的结果一致。 结论：通过3D打印技术打印了患儿的全尺寸气管模型，给先天性心脏病伴气管软化的临床诊断和治疗予以有效的协助和指导。
Abstract:
 Objective To establish a three-dimensional (3D) airway model for pediatric patients congenital heart disease (CHD) accompanied by tracheomalacia through 3D printing technique and explore the significance of the 3D airway model for clinical diagnosis and the development of therapeutic schedule. Methods One pediatric patient was diagnosed with CHD accompanied by tracheomalacia, and the image data were obtained with dynamic multi-detector computer tomography (MDCT) with volume helical shuttle (VHS) technique. The DICOM data of CT image were imported into Mimics 17.0 software, and the image post-processing was conducted in the region of interest, finally obtaining the 3D reconstruction models of these airways. Subsequently, 3-Matic 10.0 software was used to do the mesh optimization of the 3D models and generate stereolithography (STL) files. After these files were imported into Objet 260 3D printer, the 3D airway models were finally printed with 3D printer. Results The 3D printed trachea models of inspiratory phase and expiratory phase were in accord with the results of bronchoscopy examination. Conclusion Pediatric full-sized trachea model is successfully established with the use of 3D printing technique, which provides an effective assistance and guidance to diagnose and provide treatment for pediatric patients who were suffered with CHD accompanied by tracheomalacia.

相似文献/References:

[1]张立敏,王艳秋,王文瑶,等.二维纵向应变及应变率技术评价室间隔缺损修补术后室间隔功能变化[J].中国医学物理学杂志,2016,33(8):805.[doi:10.3969/j.issn.1005-202X.2016.08.010]
　[J].Chinese Journal of Medical Physics,2016,33(5):805.[doi:10.3969/j.issn.1005-202X.2016.08.010]
[2]郑丽梅,欧阳汉斌,黄文华.3D打印在围产期医学的应用[J].中国医学物理学杂志,2016,33(10):1077.[doi:10.3969/j.issn.1005-202X.2016.10.020]
　[J].Chinese Journal of Medical Physics,2016,33(5):1077.[doi:10.3969/j.issn.1005-202X.2016.10.020]
[3]姚小芬,钟玉敏,胡立伟,等. 三维打印技术在狭颅症矫治手术中的应用[J].中国医学物理学杂志,2017,34(4):423.[doi:DOI:10.3969/j.issn.1005-202X.2017.04.020]
[4]苏炜炜,谢普生,谭晋川,等. 3D打印技术在骨科的应用研究[J].中国医学物理学杂志,2019,36(2):245.[doi:DOI:10.3969/j.issn.1005-202X.2019.02.023]
　SU Weiwei,XIE Pusheng,TAN Jinchuan,et al.Application of 3D printing technology in orthopaedics[J].Chinese Journal of Medical Physics,2019,36(5):245.[doi:DOI:10.3969/j.issn.1005-202X.2019.02.023]
[5]欧阳荣珍,孙爱敏,王谦,等. 基于3D打印技术构建仿真儿童CT增强腹部体模的测试研究[J].中国医学物理学杂志,2019,36(3):307.[doi:DOI:10.3969/j.issn.1005-202X.2019.03.012]
　OUYANG Rongzhen,SUN Aimin,WANG Qian,et al. Testing research on a realistic pediatric abdominal phantom with CT enhancement constructed with 3D printing technology[J].Chinese Journal of Medical Physics,2019,36(5):307.[doi:DOI:10.3969/j.issn.1005-202X.2019.03.012]
[6]樊敏,邹萌,陈庭宇,等.双低扫描方案结合迭代重建CT血管成像在婴幼儿先天性心脏病诊断的应用[J].中国医学物理学杂志,2020,37(2):185.[doi:DOI:10.3969/j.issn.1005-202X.2020.02.010]
　FAN Min,ZOU Meng,CHEN Tingyu,et al.Application of low radiation dose and low contrast agent scanning protocol combined with iterative reconstruction CT angiography in the diagnosis of congenital heart diseases in infants[J].Chinese Journal of Medical Physics,2020,37(5):185.[doi:DOI:10.3969/j.issn.1005-202X.2020.02.010]
[7]谭波,袁野,谢一方,等.3D打印技术在重度脊柱侧弯截骨联合钉棒内固定矫正治疗中的辅助作用[J].中国医学物理学杂志,2020,37(10):1267.[doi:DOI:10.3969/j.issn.1005-202X.2020.10.010]
　TAN Bo,YUAN Ye,XIE Yifang,et al.Using 3D printing technology to assist the treatment of severe scoliosis by osteotomy combined with internal fixation[J].Chinese Journal of Medical Physics,2020,37(5):1267.[doi:DOI:10.3969/j.issn.1005-202X.2020.10.010]
[8]罗元臣,张英,骆周展,等.MSCT联合彩超诊断儿童先天性心脏病的价值[J].中国医学物理学杂志,2020,37(12):1544.[doi:DOI:10.3969/j.issn.1005-202X.2020.12.014]
　LUO Yuanchen,ZHANG Ying,LUO Zhouzhan,et al.The value of MSCT combined with color Doppler ultrasound in the diagnosis of childrens congenital heart disease[J].Chinese Journal of Medical Physics,2020,37(5):1544.[doi:DOI:10.3969/j.issn.1005-202X.2020.12.014]
[9]邹康,罗炜.3D打印技术在髋关节置换术中的应用[J].中国医学物理学杂志,2021,38(4):436.[doi:DOI:10.3969/j.issn.1005-202X.2021.04.008]
　ZOU Kang,LUO Wei.Application of 3D printing technology in hip replacement[J].Chinese Journal of Medical Physics,2021,38(5):436.[doi:DOI:10.3969/j.issn.1005-202X.2021.04.008]
[10]邹康,罗炜,李娜.3D打印技术在膝关节表面置换中的应用[J].中国医学物理学杂志,2021,38(8):1039.[doi:DOI:10.3969/j.issn.1005-202X.2021.08.023]
　ZOU Kang,LUO Wei,LI Na.Application of 3D printing technology in surface replacement of the knee joint[J].Chinese Journal of Medical Physics,2021,38(5):1039.[doi:DOI:10.3969/j.issn.1005-202X.2021.08.023]
[11]胡立伟,钟玉敏.3D打印技术在儿童先天性心脏病诊断及治疗中的应用进展[J].中国医学物理学杂志,2015,32(04):514.[doi:10.3969/j.issn.1005-202X.2015.04.014]
[12]胡立伟,钟玉敏,王谦,等.3D打印技术：一种认识先天性心脏病的新方法[J].中国医学物理学杂志,2016,33(2):173.[doi:10.3969/j.issn.1005-202X.2016.02.013]
[13]胡立伟,白凯,钟玉敏,等. 基于不同图像分割法构建3D打印右室双出口模型[J].中国医学物理学杂志,2016,33(12):1272.[doi:10.3969/j.issn.1005-202X.2016.12.020]
　[J].Chinese Journal of Medical Physics,2016,33(5):1272.[doi:10.3969/j.issn.1005-202X.2016.12.020]

备注/Memo

备注/Memo:
 【收稿日期】2018-02-15
【基金项目】上海交通大学科技创新专项（YG2015QN25）；上海市级医院新兴前沿技术项目（SHDC12015128）
【作者简介】姚小芬，硕士，工程师，研究方向：生物医学工程，E-mail: yaoxiaofen@126.com
【通信作者】潘慧红，主管技师，研究方向：医学影像技术，E-mail:panhuihong@scmc.com.cn
更新日期/Last Update: 2018-05-22