|
|||||
|
|
Detection of cephalopelvic disproportion using a virtual reality model: a feasibility study of three cases |
|
| Authors: | Ami O Chabrot P Jardon K Rocas D Delmas V Boyer L Mage G |
| Affiliation: | a Service de gynécologie-obstétrique et médecine de la reproduction, pôle de gynécologie-obstétrique, polyclinique Hôtel-Dieu, CHU de Clermont-Ferrand, université d’Auvergne-Clermont 1, boulevard Léon-Malfreyt, 63058 Clermont-Ferrand cedex 1, France b ERIM EA 3295, UFR médecine, service de radiologie B, CHU Clermont-Ferrand, université d’Auvergne-Clermont 1, 63000 Clermont-Ferrand, France c Unité de recherche en développement, imagerie et anatomie, Urdia EA 4465, UFR biomédicale des Saints-Pères, université Paris Descartes, 75006 Paris, France d Service de gynécologie-obstétrique, université Paris Sud, hôpital Antoine-Béclère, AP-HP, 92140 Clamart, France |
| Abstract: | Routine daily practice shows that successful vaginal delivery for women with suspected narrow pelvis or large fetus remains possible. We present a computer software for the detection of fetopelvic disproportion based on 3D vectorial reconstructions of the fetal head and maternal pelvis with simulation of head passage through the pelvis for collision detection. Three delivery simulations were generated from MR pelvimetry data in two patients, one with narrow pelvis and the other with macrosomic fetus. Based on the simulation, fetus size in both cases was appropriate for the pelvic size, but delivery simulation for the macrosomic fetus concluded that vaginal delivery was mechanically impossible. Further evaluation of this promising software on a larger patient population is necessary. |
| Keywords: | Disproportion cé phalopelvienne Pelvimé trie Parturition Simulation ordinateur Technique d&rsquo imagerie par ré sonance magné tique nuclé aire |
| 本文献已被 ScienceDirect PubMed 等数据库收录！ | |