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Safety and efficacy of three-dimensional reconstruction technologyassisted percutaneous transhepatic biliary drainage:A metaanalysis
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作者 Ze-Hui Chen Li-Juan Zhang +4 位作者 Zhi-Xin Lin Shu-Xiang Lin Zheng-Fu Song Ze-Jian Wu Wei Lin 《World Journal of Gastrointestinal Surgery》 2025年第9期367-380,共14页
BACKGROUND Percutaneous transhepatic biliary drainage(PTBD)is one of the primary clinical treatment options for patients with obstructive jaundice.In recent years,PTBD assisted by three-dimensional(3D)reconstruction t... BACKGROUND Percutaneous transhepatic biliary drainage(PTBD)is one of the primary clinical treatment options for patients with obstructive jaundice.In recent years,PTBD assisted by three-dimensional(3D)reconstruction technology has been widely implemented,but its advantages over traditional methods remains inconclusive.Thus,a discussion is warranted.AIM To explore the safety and efficacy of 3D reconstruction technology-assisted PTBD.METHODS We systematically searched the databases including the Cochrane Library,PubMed,EMBASE,Web of Science and China National Knowledge Infrastructure.The search period extended from the establishment of each database to November,2024.We screened the literature according to predefined inclusion and exclusion criteria,assessed the quality of the studies,and extracted data.Meta-analysis was performed using Revman 5.4.1 software.RESULTS A total of 15 studies were included,involving 1434 patients.The results of the meta-analysis showed that compared with the traditional group,the overall post-operative complications rate in the 3D reconstruction technology group was significantly lower[odds ratio=0.25;95%confidence interval(CI):0.17-0.36,P<0.00001].The overall puncture success rate in the 3D reconstruction group was better than those in the traditional group(odds ratio=3.61;95%CI:1.98-6.55,P<0.0001).However,there was no significant difference between the two groups in the reduction levels of postoperative total bilirubin(mean difference=-1.38;95%CI:-3.29 to 0.53,P=0.16).Subgroup analysis were conducted on the surgery time according to guidance stages of the 3D reconstruction,3D reconstruction imaging modalities,and types of studies.The results were stable,with no significant changes observed.CONCLUSION 3D reconstruction technology significantly improves the puncture success rate and safety of PTBD.However,it has no significant advantage in bile drainage effectiveness.Continued research is warranted to further explore its clinical value and optimize its application. 展开更多
关键词 three-dimensional reconstruction technology Percutaneous transhepatic biliary drainage Obstructive jaundice COMPLICATIONS Liver function
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Technology and understanding of post-fracturing coring in three-dimensional development zone of Fuling shale gas,Sichuan Basin,SW China
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作者 SUN Huanquan LU Zhiyong +5 位作者 LIU Li FANG Jichao ZHENG Aiwei LI Jiqing ZHANG Yuqiang XIAO Jialin 《Petroleum Exploration and Development》 2025年第3期731-745,共15页
The core sampling experiments were conducted after hydraulic fracturing in the three-dimensional development zone of Fuling shale gas.Six coring wells of different well types were systematically designed.Based on the ... The core sampling experiments were conducted after hydraulic fracturing in the three-dimensional development zone of Fuling shale gas.Six coring wells of different well types were systematically designed.Based on the integrated engineering technology of post-fracturing drilling,coring and monitoring of shale and the analysis of fracture source tracing,the evaluation of the fracture network after fracturing in the three-dimensional development of shale gas was conducted.The data of core fractures after fracturing indicate that three major types of fractures are formed after fracturing:natural fractures,hydraulic fractures,and fractures induced by external mechanical force,which are further classified into six subcategories:natural structural fractures,natural bedding fractures,hydraulic fractures,hydraulically activated fractures,drilling induced fractures,and fractures induced by core transportation.The forms of the artificial fracture network after fracturing are complex.Hydraulic fractures and hydraulically activated fractures interweave with each other,presenting eight forms of artificial fracture networks,among which the“一”-shaped fracture is the most common,accounting for approximately 70%of the total fractures.When the distance to the fractured wellbore is less than 35 m,the density of the artificial fracture network is relatively high;when it is 35–100 m,the density is lower;and when it is beyond 100 m,the density gradually increases.The results of the fracture tracing in the core sampling area confirm that the current fracturing technology can essentially achieve the differential transformation of the reservoir in the main area of Jiaoshiba block in Fuling.The three-layer three-dimensional development model can efficiently utilize shale gas reserves,although there is still room for improvement in the complexity and propagation uniformity of fractures.It is necessary to further optimize technologies such as close-cutting combined with temporary blocking and deflection within fractures or at fracture mouths,as well as limited flow perforation techniques,to promote the balanced initiation and extension of fractures. 展开更多
关键词 Fuling shale gas field three-dimensional development post-fracturing core sampling coring technology fracture classification fracture source tracing fracture network assessment reserve utilization
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Three-dimensional printing technology for patient-matched instrument in treatment of cubitus varus deformity:A case report 被引量:1
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作者 Nithid Sri-utenchai Nachapan Pengrung +3 位作者 Korakod Srikong Chedtha Puncreobutr Boonrat Lohwongwatana Paphon Sa-ngasoongsong 《World Journal of Orthopedics》 2021年第5期338-345,共8页
BACKGROUND Recently,medical three-dimensional printing technology(3DPT)has demonstrated potential benefits for the treatment of cubitus varus deformity(CVD)by improving accuracy of the osteotomy through the use of an ... BACKGROUND Recently,medical three-dimensional printing technology(3DPT)has demonstrated potential benefits for the treatment of cubitus varus deformity(CVD)by improving accuracy of the osteotomy through the use of an osteotomy guide,with or without a patient-mated plate.Here,we present an interesting CVD case,involving a patient who was treated with corrective biplanar chevron osteotomy using an innovative customized osteotomy guide and a newly designed patient-matched monoblock crosslink plate created with 3DPT.CASE SUMMARY A 32-year-old female presented with a significant CVD from childhood injury.A computer simulation was processed using images from computerized tomography scans of both upper extremities.The biplanar chevron osteotomy was designed to create identical anatomy between the mirror image of the contralateral distal humerus and the osteotomized distal humerus.Next,the customized osteotomy guide and patient-matched monoblock crosslink plate were designed and printed.A simulation osteotomy was created for the real-sized bone model,and the operation was performed using the posterior paratricipital approach with k-wire positioning from the customized osteotomy guide as a predrilled hole for screw fixation to achieve immediate control of the reduction after osteotomy.Our method allowed for successful treatment of the CVD case,significantly improving the patient’s radiographic and clinical outcomes,with satisfactory result.CONCLUSION 3DPT-created patient-matched osteotomy guide and instrumentation provides accurate control during CVD correction. 展开更多
关键词 Cubitus varus deformity Post-trauma reconstruction three-dimensional printing technology Biplanar chevron osteotomy Customized osteotomy guide Patientmatched implant Case report
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Application and Analysis of Computer Virtual Simulation Technology in Three-dimensional Animation Production
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作者 Le Qiu 《管理科学与研究(中英文版)》 2019年第1期19-21,共3页
With the continuous promotion of computer technology, the application system of virtual simulation technology has been further optimized and improved, and has been widely used in various fields of social development, ... With the continuous promotion of computer technology, the application system of virtual simulation technology has been further optimized and improved, and has been widely used in various fields of social development, such as urban construction, interior design, industrial simulation and tourism teaching. China's three-dimensional animation production started relatively late, but has achieved good results with the support of related advanced technology in the process of development. Computer virtual simulation technology is an important technical support in the production of three-dimensional animation. In this paper, firstly, the related content of computer virtual simulation technology was introduced. Then, the specific application of this technology in the production of three-dimensional animation was further elaborated, so as to provide some reference for the improvement of the production effect of three-dimensional animation in the future. 展开更多
关键词 COMPUTER VIRTUAL Simulation technology three-dimensional ANIMATION PRODUCTION APPLICATION
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Application Status and Prospect of Three-Dimensional Printing Technology in the Field of Medical Devices
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作者 Ma Fei 《Journal of Clinical and Nursing Research》 2018年第4期13-15,共3页
Three-dimensional(3D)printing technology belongs to a new manufacturing science and has been widely used in various fields of industry.This article will apply 3D printing technology as its main research topic,with emp... Three-dimensional(3D)printing technology belongs to a new manufacturing science and has been widely used in various fields of industry.This article will apply 3D printing technology as its main research topic,with emphasis on its application in the field of medical devices and prospects for contribution. 展开更多
关键词 three-dimensional PRINTING technology MEDICAL equipment application STATUS PROSPECTS
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Application of Three-dimensional Laser Scanning Technology in the Teaching Practice of Surveying and Mapping of Ancient Buildings
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作者 Yapeng DUAN Junli LIU +2 位作者 Zhendong LIU Dingtao CAI Shaomin NI 《Asian Agricultural Research》 2019年第11期77-80,共4页
Based on the study of the application of three-dimensional laser scanning technology in ancient building surveying and mapping,this paper briefly describes the working principle and flow of three-dimensional laser sca... Based on the study of the application of three-dimensional laser scanning technology in ancient building surveying and mapping,this paper briefly describes the working principle and flow of three-dimensional laser scanning technology.Based on the practical application,this paper puts forward the discussion of related problems and matters needing attention.This has a certain reference significance for the study of new technology in surveying and mapping of ancient buildings. 展开更多
关键词 three-dimensional laser SCANNING technology SURVEYING and MAPPING of ANCIENT BUILDINGS
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Digital measurement of bone tumor volume by CT three-dimensional reconstruction technology
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作者 胡永成 《外科研究与新技术》 2011年第2期125-125,共1页
Objective To discuss the measurement of bone tumor volume on the basis of three dimensional images segmentation technology. Methods Twenty patients with lacunar bone tumor from Tianjin Hospital and Tongji Hospital wer... Objective To discuss the measurement of bone tumor volume on the basis of three dimensional images segmentation technology. Methods Twenty patients with lacunar bone tumor from Tianjin Hospital and Tongji Hospital were included in the 展开更多
关键词 BONE Digital measurement of bone tumor volume by CT three-dimensional reconstruction technology CT
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Glasses-free three-dimensional laparoscopic systems in oncologic surgery:Innovation or equivalence?
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作者 Gustavo Eder González Alvarez Christian Ramírez Sánchez +3 位作者 Melissa Martínez Nieto Mario A Alarcón-Sánchez Juan JoséVarela-Hernández Sarah M LomelíMartínez 《World Journal of Gastrointestinal Surgery》 2025年第11期6-11,共6页
The development of minimally invasive surgery has transformed the management of gastrointestinal cancer.Notably,three-dimensional visualization systems have increased surgical precision.This editorial discusses a rece... The development of minimally invasive surgery has transformed the management of gastrointestinal cancer.Notably,three-dimensional visualization systems have increased surgical precision.This editorial discusses a recent study by Shen and Zhang,which compared the clinical applications of naked-eye threedimensional laparoscopic systems vs traditional optical systems in radical surgery for gastric and colorectal cancer.Both systems appeared to yield comparable surgical and oncological outcomes in terms of safety parameters,operating times,and quality of lymph node dissection.However,the spectacle-free system’s technical and logistical limitations hindered its effects on the surgical team’s overall competency.This editorial examines the authors’findings within the broader context of the evolution of oncologic laparoscopy,discusses the relevance of the results in light of the current literature,and proposes future research directions focused on multicenter validation,comprehensive ergonomic analysis,and technological advancements aimed at enhancing intraoperative collaboration.As technology continues to evolve,clinical implementation of new methods must be supported by robust scientific evidence and standardized criteria,to ensure tangible improvements in efficiency,safety,and oncologic outcomes. 展开更多
关键词 Autostereoscopic three-dimensional technology Laparoscopic surgery three-dimensional laparoscopy Twodimensional laparoscopy Oncologic surgery
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Research on CT characteristics reconstruction technology
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作者 赵英亮 王黎明 韩焱 《Journal of Measurement Science and Instrumentation》 CAS CSCD 2016年第2期129-135,共7页
The traditional computed tomography(CT)reconstruction methods are noisy,low resolution,poor contrast,and generally not suitable to detect the smaller flaws.Besides,the filter design is also difficult.The CT characteri... The traditional computed tomography(CT)reconstruction methods are noisy,low resolution,poor contrast,and generally not suitable to detect the smaller flaws.Besides,the filter design is also difficult.The CT characteristics reconstruction technology was brought forward to improve in these aspects,which is defined to directly reconstruct the characteristics of the projection for the best requirements not the overall image quality.The two-dimension(2D)and three-dimension(3D)CT characteristics reconstruction algorithm were firstly introduced,then by detailed analysis,experimental results and comparsion of parameters calculated,its advantages in keeping better high-frequency feature,better noise immunity,short time-consuming and easier design are verified. 展开更多
关键词 three-dimension(3D) computed tomography(CT)reconstruction characteristics reconstruction technology
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Experimental investigation on the invert stability of operating railway tunnels with different drainage systems using 3D printing technology 被引量:6
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作者 Linyi Li Junsheng Yang +3 位作者 Jinyang Fu Shuying Wang Cong Zhang Maolong Xiang 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2022年第5期1470-1485,共16页
In recent years, the invert anomalies of operating railway tunnels in water-rich areas occur frequently,which greatly affect the transportation capacity of the railway lines. Tunnel drainage system is a crucial factor... In recent years, the invert anomalies of operating railway tunnels in water-rich areas occur frequently,which greatly affect the transportation capacity of the railway lines. Tunnel drainage system is a crucial factor to ensure the invert stability by regulating the external water pressure(EWP). By means of a threedimensional(3D) printing model, this paper experimentally investigates the deformation behavior of the invert for the tunnels with the traditional drainage system(TDS) widely used in China and its optimized drainage system(ODS) with bottom drainage function. Six test groups with a total of 110 test conditions were designed to consider the design factors and environmental factors in engineering practice,including layout of the drainage system, blockage of the drainage system and groundwater level fluctuation. It was found that there are significant differences in the water discharge, EWP and invert stability for the tunnels with the two drainage systems. Even with a dense arrangement of the external blind tubes, TDS was still difficult to eliminate the excessive EWP below the invert, which is the main cause for the invert instability. Blockage of drainage system further increased the invert uplift and aggravated the track irregularity, especially when the blockage degree is more than 50%. However, ODS can prevent these invert anomalies by reasonably controlling the EWP at tunnel bottom. Even when the groundwater level reached 60 m and the blind tubes were fully blocked, the invert stability can still be maintained and the railway track experienced a settlement of only 1.8 mm. Meanwhile, the on-site monitoring under several rainstorms further showed that the average EWP of the invert was controlled within 84 k Pa, while the maximum settlement of the track slab was only 0.92 mm, which also was in good agreement with the results of model test. 展开更多
关键词 Operating railway tunnels Invert stability Tunnel drainage system three-dimensional(3D)printing technology Model test
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Microfluidic three-dimensional cell culture of stem cells for high-throughput analysis 被引量:5
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作者 Jeong Ah Kim Soohyun Hong Won Jong Rhee 《World Journal of Stem Cells》 SCIE 2019年第10期803-816,共14页
Although the recent advances in stem cell engineering have gained a great deal of attention due to their high potential in clinical research,the applicability of stem cells for preclinical screening in the drug discov... Although the recent advances in stem cell engineering have gained a great deal of attention due to their high potential in clinical research,the applicability of stem cells for preclinical screening in the drug discovery process is still challenging due to difficulties in controlling the stem cell microenvironment and the limited availability of high-throughput systems.Recently,researchers have been actively developing and evaluating three-dimensional(3D)cell culture-based platforms using microfluidic technologies,such as organ-on-a-chip and organoid-on-a-chip platforms,and they have achieved promising breakthroughs in stem cell engineering.In this review,we start with a comprehensive discussion on the importance of microfluidic 3D cell culture techniques in stem cell research and their technical strategies in the field of drug discovery.In a subsequent section,we discuss microfluidic 3D cell culture techniques for high-throughput analysis for use in stem cell research.In addition,some potential and practical applications of organ-on-a-chip or organoid-on-a-chip platforms using stem cells as drug screening and disease models are highlighted. 展开更多
关键词 STEM CELL Microfluidic technology three-dimensional CELL CULTURE Highthroughput SCREENING
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Three-dimensional printed talar prosthesis with biological function for giant cell tumor of the talus:A case report and review of the literature 被引量:2
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作者 Qian-Dong Yang Mi-Duo Mu +1 位作者 Xu Tao Kang-Lai Tang 《World Journal of Clinical Cases》 SCIE 2021年第13期3147-3156,共10页
BACKGROUND Giant cell tumors(GCT)are most commonly seen in the distal femur.These tumors are uncommon in the small bones of the hand and feet,and a very few cases have been reported.A giant cell tumor of the talus is ... BACKGROUND Giant cell tumors(GCT)are most commonly seen in the distal femur.These tumors are uncommon in the small bones of the hand and feet,and a very few cases have been reported.A giant cell tumor of the talus is rarely seen clinically and could be a challenge to physicians.CASE SUMMARY We report a rare case of GCT of the talus in one patient who underwent a new reconstructive surgery technique using a three-dimensional(3D)printing talar prosthesis.The prosthesis shape was designed by tomographic image processing and segmentation using technology to match the intact side by mirror symmetry with 3D post-processing technologies.The patient recovered nearly full range of motion of the ankle after 6 mo.The visual analogue scale and American Orthopaedic Foot and Ankle Society scores were 1 and 89 points,respectively.CONCLUSION We demonstrated that 3D printing of a talar prosthesis is a beneficial option for GCT of the talus. 展开更多
关键词 three-dimensional printing technology Giant cell tumor Talar prosthesis Case report
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Slope excavation quality assessment and excavated volume calculation in hydraulic projects based on laser scanning technology 被引量:5
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作者 Chao Hu Yi-hong Zhou +1 位作者 Chun-ju Zhao Zhi-guo Pan 《Water Science and Engineering》 EI CAS CSCD 2015年第2期164-173,共10页
Slope excavation is one of the most crucial steps in the construction of a hydraulic project. Excavation project quality assessment and excavated volume calculation are critical in construction management. The positio... Slope excavation is one of the most crucial steps in the construction of a hydraulic project. Excavation project quality assessment and excavated volume calculation are critical in construction management. The positioning of excavation projects using traditional instruments is inefficient and may cause error. To improve the efficiency and precision of calculation and assessment, three-dimensional laser scanning technology was used for slope excavation quality assessment. An efficient data acquisition, processing, and management workflow was presented in this study. Based on the quality control indices, including the average gradient, slope toe elevation, and overbreak and underbreak,cross-sectional quality assessment and holistic quality assessment methods were proposed to assess the slope excavation quality with laserscanned data. An algorithm was also presented to calculate the excavated volume with laser-scanned data. A field application and a laboratory experiment were carried out to verify the feasibility of these methods for excavation quality assessment and excavated volume calculation. The results show that the quality assessment indices can be obtained rapidly and accurately with design parameters and scanned data, and the results of holistic quality assessment are consistent with those of cross-sectional quality assessment. In addition, the time consumption in excavation quality assessment with the laser scanning technology can be reduced by 70%e90%, as compared with the traditional method. The excavated volume calculated with the scanned data only slightly differs from measured data, demonstrating the applicability of the excavated volume calculation method presented in this study. 展开更多
关键词 Slope excavation Quality assessment Volume calculation three-dimensional laser scanning technology
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The use of carbon-based particle electrodes in three-dimensional electrode reactors for wastewater treatment 被引量:1
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作者 LU Hua-yu LIU Wei-feng +1 位作者 QIN Lei LIU Xu-guang 《新型炭材料(中英文)》 SCIE EI CAS CSCD 北大核心 2024年第5期973-991,共19页
The use of three-dimensional(3D)electrodes in water treatment is competitive because of their high catalytic efficiency,low energy consumption and promising development.The use of particle electrodes is a key research... The use of three-dimensional(3D)electrodes in water treatment is competitive because of their high catalytic efficiency,low energy consumption and promising development.The use of particle electrodes is a key research focus in this technology.They are usually in the form of particles that fill the space between the cathode and anode,and the selection of materials used is important.Carbon-based materials are widely used because of their large specific surface area,good adsorption performance,high chemical stability and low cost.The principles of 3D electrode technology are introduced and recent research on its use for degrading organic pollutants using carbon-based particle electrodes is summarized.The classification of particle electrodes is introduced and the challenges for the future development of carbon-based particle electrodes in wastewater treatment are discussed. 展开更多
关键词 Environmental pollution three-dimensional electrode technology Carbon-based materials Carbon-based particle electrode
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Application of digital technology in nasal reconstruction
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作者 Yidan Sun Zhenmin Zhao Yang An 《Chinese Journal of Plastic and Reconstructive Surgery》 2021年第4期204-208,共5页
Nasal defects are facial defects caused by trauma,tumors,or congenital diseases that seriously damage a patient’s physical and mental health.Nasal defects,from skin defects to total nasal defects,require surgical rep... Nasal defects are facial defects caused by trauma,tumors,or congenital diseases that seriously damage a patient’s physical and mental health.Nasal defects,from skin defects to total nasal defects,require surgical repair and reconstruction to restore the appearance and function of the nose,which have always been challenges for rhinoplasty.The development of digital technology has increased the possibility of nasal reconstruction.Digital technology is involved in the preoperative,intraoperative,and postoperative stages of nasal construction and is of great significance in improving the effect of this surgery.This article reviews the application of major digital technologies,including three-dimensional(3D)imaging technology,computer-assisted surgical navigation,and 3D printing,in nasal reconstruction and discusses the shortcomings of the current application of digital technology. 展开更多
关键词 Nasal reconstruction Digital technology Computer-aided design/manufacturing three-dimensional printing
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Three-Dimensional Volumetric Analysis of Venous Malformations for Assessing the Effectiveness of Percutaneous Sclerotherapy
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作者 Yungying WANG Hao GU +3 位作者 Li HU Xi YANG Hui CHEN Xiaoxi LIN 《Chinese Journal of Plastic and Reconstructive Surgery》 2020年第4期241-247,共7页
BACKGROUND Percutaneous sclerotherapy can be used to successfully treat venous malformations(VMs)of the head,neck,and limbs.However,the standard curative effect of sclerotherapy has rarely been analyzed,and there is c... BACKGROUND Percutaneous sclerotherapy can be used to successfully treat venous malformations(VMs)of the head,neck,and limbs.However,the standard curative effect of sclerotherapy has rarely been analyzed,and there is currently no accurate statistical method to measure the volume of VMs after sclerotherapy.Here,we propose a novel threedimensional(3D)reconstruction method to evaluate this effect.OBJECTIVE To test the feasibility of 3D software(MIMICS 19.0)to evaluate the treatment effect of sclerotherapy.METHODS This retrospective study included patients with VMs on the head,neck,and limbs who were treated with ethanol sclerotherapy or foam sclerotherapy every 8 weeks.MIMICS 19.0 was used to calculate the performance of the lesion after treatment and measure the VM volumes before and after the treatment.The effect of the clinical treatment dose on the lesion was evaluated,and the treatment effect of each patient was recorded.The relationship between the number of treatments and the reduced volume of VMs was analyzed.RESULTS Based on the MIMICS-calculated regions of interest(ROI),we found that 1 mL of ethanol reduced the lesion by 473 mm3 and that one dosage of foam(1 mL of polidocanol and 4 mL air content)reduced the lesion by 2138 mm3,demonstrating that the foam sclerosing agent exhibited greater efficacy in this study.CONCLUSIONS The MIMICS 3D volume reconstruction method can effectively and safely evaluate the efficacy of sclerotherapy and provide a preoperative evaluation.This method is simple,accurate,and feasible. 展开更多
关键词 Venous malformations three-dimensional reconstruction Digital imaging technology SCLEROTHERAPY
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Application of Digital Technology in Road and Bridge Design
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作者 Bai Fan 《Journal of Architectural Research and Development》 2024年第4期92-99,共8页
With the development and progress of science and technology,road and bridge design has experienced rapid development,from the initial manual drawing design to the popularity of Computer-Aided Design(CAD),and then to t... With the development and progress of science and technology,road and bridge design has experienced rapid development,from the initial manual drawing design to the popularity of Computer-Aided Design(CAD),and then to today’s digital software design era.Early designers relied on hand-drawn paper design forms which was time-consuming and error-prone.Digital support for road and bridge design not only saves the design time but the design quality has also achieved a qualitative leap.This paper engages in the application of digital technology in road and bridge design,to provide technical reference for China’s road and bridge engineering design units,to promote the popularity of Civil3D and other advanced design software in the field of engineering design and development,ultimately contributing to the sustainable development of China’s road and bridge engineering. 展开更多
关键词 Road and bridge design Digital technology Civil3D MODELLING three-dimensional view Earth calculation
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BLADE联合3D-SPACE在不孕症患者子宫内膜息肉样病变MRI中的应用价值
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作者 谢灵灵 刘颖 欧宁 《影像技术》 2025年第6期4-9,共6页
目的:子宫内膜息肉样病变是导致不孕症的重要原因,精准诊断对改善生育结局至关重要。本研究探讨联合应用刀锋(BLADE)技术与三维可变翻转角快速自旋回波(3D-SPACE)技术在不孕症患者子宫内膜息肉样病变MRI的图像质量与病变显示中的应用价... 目的:子宫内膜息肉样病变是导致不孕症的重要原因,精准诊断对改善生育结局至关重要。本研究探讨联合应用刀锋(BLADE)技术与三维可变翻转角快速自旋回波(3D-SPACE)技术在不孕症患者子宫内膜息肉样病变MRI的图像质量与病变显示中的应用价值,以期为临床提供诊疗依据。方法:选取32例2021年9月至2022年9月在我院经超声疑似子宫内膜息肉样病变的不孕症患者,在月经干净5~7天内行盆腔3.0T MRI检查,分别采集T2WI-TSE、T2WI-BLADE及3D-SPACE序列图像,以五级评分法对图像呼吸与肠蠕动相关运动伪影程度、解剖结构清晰度、对病变的识别能力及整体的成像质量进行评价。分析3D-SPACE后处理图像对病变结构位置、立体形态的显示。同时,以术后病理结果为金标准,计算BLADE联合3D-SPACE序列对子宫内膜息肉的诊断灵敏度、特异度、准确率及ROC曲线下面积(AUC),并与TSE序列对比,采用Kappa系数评估MRI诊断与病理结果的一致性。结果:与传统的TSE序列相比,BLADE技术在图像呼吸与肠蠕动相关运动伪影程度、解剖结构清晰度、对病变的识别能力及整体的成像质量评价中评分更高,差异均有统计学意义(P<0.05)。32例患者中,病理确诊息肉20例,非息肉12例。BLADE联合3D-SPACE序列的诊断灵敏度(90.00%vs.75.00%)、特异度(83.33%vs.58.33%)、准确率(87.50%vs.68.75%)及AUC(0.92 vs.0.75),虽然BLADE+3D-SPACE的灵敏度、特异度、准确率数值上更高,但样本量较小(n=32)导致统计功效不足,仅AUC差异显著。若需提升统计显著性,需扩大样本量或优化分组设计。BLADE联合3D-SPACE与病理结果的Kappa一致性较高(Kappa=0.74)。结论:将T2WI-BLADE技术应用于不孕症患者子宫内膜息肉样病变相较于常规的TSE技术可获得更佳的图像质量,结合3D-SPACE序列,提高了图像质量和宫腔内息肉样病变的检出率及诊断准确率,对提高识别病变能力及临床鉴别诊断具有重要的应用价值。 展开更多
关键词 刀锋技术 3D-SPACE 磁共振成像 三维重建技术 子宫内膜息肉样病变 子宫黏膜下肌瘤
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Innovations and trends in hepatobiliary surgery education:Embracing technological advancements for enhanced surgical training
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作者 Yu Wang Lei Li Yan Jiao 《World Journal of Gastrointestinal Surgery》 2025年第12期53-58,共6页
The landscape of hepatobiliary surgical education has undergone a significanttransformation with the integration of advanced technologies such as threedimensionalmodeling,virtual reality,augmented reality,and artifici... The landscape of hepatobiliary surgical education has undergone a significanttransformation with the integration of advanced technologies such as threedimensionalmodeling,virtual reality,augmented reality,and artificial intelligence.This review synthesizes recent advancements in surgical education,examiningthe role of these technologies in improving anatomical understanding,surgicalskill acquisition,and overall trainee engagement.Evidence from randomizedcontrolled trials,systematic reviews,and cohort studies shows that immersivetraining tools,including virtual reality,augmented reality,and haptic feedback,outperform traditional apprenticeship methods in fostering cognitive and psychomotorskills.Artificial intelligence applications provide real-time feedback,furtherenhancing learning efficiency.However,these technologies should complement,rather than replace,traditional hands-on training.Some challenges remain to beaddressed,such as high costs,infrastructure requirements,and limited long-termvalidation of these technologies.The review concludes that while these innovationsoffer promising educational benefits,further research is needed to standardizetheir application and evaluate their long-term impact on surgical outcomes. 展开更多
关键词 Immersive learning technology integration Surgical training Haptic feedback Artificial intelligence Augmented reality Virtual reality three-dimensional modeling Hepatobiliary surgery education
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Blade技术和常规技术在眼眶磁共振扫描中对图像有效率改善的对比分析 被引量:3
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作者 董玉茹 王宏 +4 位作者 钟心 马毅 董悦 杨斯娇 刘勉 《医疗卫生装备》 CAS 2014年第11期71-74,共4页
目的:通过常规技术和Blade技术在眼眶疾病检查中图像改善程度的对比分析,探讨Blade技术对伪影发生、影像质量的改善情况和眼眶分区、伪影程度对Blade技术图像校正的影响规律。方法:选择136例患者为对比分析对象。采用德国西门子公司Trio... 目的:通过常规技术和Blade技术在眼眶疾病检查中图像改善程度的对比分析,探讨Blade技术对伪影发生、影像质量的改善情况和眼眶分区、伪影程度对Blade技术图像校正的影响规律。方法:选择136例患者为对比分析对象。采用德国西门子公司Trio Tim 3.0T超导磁共振成像系统,以不同参数,在相同位置(眼球区、视神经鞘区、肌锥内区、肌锥外区和骨膜外区)对所有患者先后进行常规磁共振扫描和Blade技术扫描,并以常规磁共振扫描图像的图像质量分级,获取不同组2种扫描图像和Blade技术图像改善有效率。采用Excel进行数据录入,计数资料采用百分率及构成比表示;计量资料采用配对t检验或配对秩和检验。结果:136例患者中,轻度、中度和重度伪影组年龄和性别均无统计学差异(P>0.05)。在眼球区(χ2=22.805,P<0.05)和视神经鞘区(χ2=14.378,P<0.05)内,Blade技术的图像改善有效率均是重度伪影组高于轻度、中度伪影组;轻度伪影组Blade技术的图像改善有效率骨膜外区最高(80.0%),眼球区最低(33.3%)(χ2=28.422,P<0.05);重度伪影组Blade技术的图像改善有效率视神经鞘区最高(82.4%),肌锥外区最低(45.1%)(χ2=26.132,P<0.05)。结论:Blade技术相对于常规技术,对扫描图像有效率的改善可能受眼眶分区及伪影程度的影响。 展开更多
关键词 眼眶 磁共振扫描 blade技术 应用研究
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