三维可视化影像技术在肝肿瘤应用的研究进展
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v6i5.10096
Abstract
医学三维可视化影像技术是指通过以计算机断层扫描CT等获得的二维影像资料为基础,再经过计算机特定的技术处理,最终得到肝脏三维立体模型的影像重建技术。近年来,医学三维可视化影像技术已经广泛应用于临床,特别是在肝脏疾病的诊断和治疗过程中发挥着重要作用,三维可视化影像技术可清晰显示肝内各级门静脉、肝动脉、肝静脉及胆管走行及变异情况；还可显示肿瘤大小、空间位置及与肝脏内脉管系统复杂的毗邻关系。通过肝脏三维立体模型评估肝脏内解剖变异、明确肿瘤的侵犯范围、模拟手术入路、预测术后剩余肝体积等,设计合理的治疗方案,达到缩短手术时间、减少术中出血量、减少术后并发症的发生和增加手术安全性,最终提高患者生存率。
Keywords
三维可视化；肝肿瘤；外科治疗
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[3] Hernandez-Alejandro R, Ruffolo L I,Sasaki K,etal.Recip ient and donor outcomes after living-donor liver transplant for unresectable colorectal liver metastases[J]. JAMA surgery, 2022,157(6):524-530.
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[18] 袁迎春,袁晓春,王琦,等.三维可视化术前规划系统辅助超声引导微波消融联合肝动脉化疗栓塞治疗大肝癌效果的初步研究[J].中华医学超声杂志(电子版),2020,17(04):315-319.
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[20] Glassberg M B, Ghosh S, Clymer J W, et al. Microwave ablation compared with radiofrequency ablation for treatm ent of hepatocellular carcinoma and liver metastases: a system atic review and meta-analysis[J]. OncoTargets and therapy,2019,12:6407.
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[22] Rai P, Ansari M Y, Warfa M, et al. Efficacy of fusion imaging for immediate post‐ablation assessment of maligna nt liver neoplasms:A systematic review[J].Cancer Medicine,2023.
[23] 申文凤,冯志强,张洪义,等.超声联合三维影像技术在微波消融治疗大肝癌中的应用[J]中华肝胆外科杂志,2016,22(8):509-512.
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[25] Wang J,Wu S,Wu Z,etal.Influences of blood flow paramet ers on temperature distribution during liver tumor microwave ablation[J].Frontiers in Bioscience-Landmark,2021,26(9):504-516.
[26] An C, Li X, Liang P, et al. A tumor map generated from three-dimensional visualization of image fusion for the assessment of microwave ablation of hepatocellular carcinoma: a preliminary study[J]. Cancer Management and Research, 2019:1569-1578.
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[30] Ran B, Chang Y L, Qi J, et al. The clinical effects of ultrasound-guided microwave ablation in the treatment of primary hepatic carcinoma: Protocol for a retrospective clinical observation[J]. Medicine,2021,100(48).
[31] Petrusca L,Cattin P,De Luca V,etal.Hybrid ultrasound /magnetic resonance simultaneous acquisition and image fus ion for motion monitoring in the upper abdomen[J].Investi gative radiology,2013,48(5):333-340.
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[35] Fang C,An J,Bruno A, et al. Consensus recommendations of three-dimensional visualization for diagnosis and manag ement of liver diseases[J].Hepatology international,2020,14:437-453.
[36] 肖亮,谭盛,米星宇,等.三维可视化技术联合荷瘤门静脉流域分析在腹腔镜解剖性肝切除中的应用[J].中国普通外科杂志,2023,32(01):30-39.
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[39] Sun Y F,Wu L,Liu S P,etal.Dissecting spatial heterogen eity and the immune-evasion mechanism of CTCs by singlecell RNA-seq in hepatocellular carcinoma[J].Nature Commun ications,2021,12(1):4091.
[40] Fang C,An J,Bruno A, et al. Consensus recommendations of three-dimensional visualization for diagnosis and manage ment of liver diseases[J]. Hepatology international, 2020, 14:437-453.
[41] Takamoto T.Improvement and development in anatom ical hepatectomy for hepatocellular carcinoma[J]. Hepatobili ary Surgery and Nutrition,2021,10(4):545.
[42] Liu Y, Wang Q, Du B,etal.A meta-analysis of the three -dimensional reconstruction visualization technology for hepatectomy[J].Asian Journal of Surgery,2023,46(2):669-676.
[43] Niu Z S, Wang W H, Niu X J. Recent progress in molecular mechanisms of postoperative recurrence and metastasis of hepatocellular carcinoma[J].World Journal of Gastroenterology,2022,28(46):6433.
[44] 刘鹏,李涛,王斌.腹腔镜技术在胃肠外科急腹症患者治疗中的效果分析[J].中外医疗,2023,42(13):42-45.
[45] 刁言青.腹腔镜下肠粘连松解术治疗粘连性肠梗阻的临床疗效分析[J].系统医学,2020,5(18):102-104.
[46] 王旭升,王石枫,刘荣梁.血清MIF、AFP水平与原发性肝癌患者腹腔镜肝切除术治疗预后的相关性[J]. 吉林医学,2022,43(11):3035-3038.
[47] 丛鹏,屈岳育,杨红春.腹腔镜精准肝切除术治疗原发性肝癌的疗效及对应激指标的影响 [J].中西医结合肝病杂志,2022,32(01):82-84.
[48] Mittal S, Bhardwaj M, Shekhrajka P, et al. An overview of unresolved issues in the perioperative management of liver transplant patients[J].Korean Journal of Transplantation,2023,37(4):221.
[49] Maspero M,Sposito C,Virdis M,etal.Liver Transplantati on for Hepatic Metastases from Colorectal Cancer: Current Knowledge and Open Issues[J].Cancers,2023,15(2):345.
[50] Wang P,Que W,Zhang M,etal.Application of 3-dimensio nal printing in pediatric living donor liver transplantation: a single-center experience[J].Liver Transplantation,2019,25 (6):831-840.
[51] Samuel D, Coilly A. Management of patients with liver diseases on the waiting list for transplantation:a major impa ct to the success of liver transplantation[J]. BMC medicine, 2018,16(1):1-5.
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