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US-MRI图像配准融合技术在高强度聚焦超声消融子宫肌瘤中的应用价值
引用本文:唐海英,何春,胡亮,王体春,文银刚,王智彪,陈锦云. US-MRI图像配准融合技术在高强度聚焦超声消融子宫肌瘤中的应用价值[J]. 中国医学影像技术, 2016, 32(11): 1744-1748
作者姓名:唐海英  何春  胡亮  王体春  文银刚  王智彪  陈锦云
作者单位:重庆医科大学生物医学工程学院 省部共建国家重点实验室培育基地-重庆市超声医学工程重点实验室 重庆市生物医学工程学重点实验室 重庆市微无创医学协同创新中心, 重庆 400016,遵义医学院附属医院手术室, 贵州 遵义 563000,重庆医科大学生物医学工程学院 省部共建国家重点实验室培育基地-重庆市超声医学工程重点实验室 重庆市生物医学工程学重点实验室 重庆市微无创医学协同创新中心, 重庆 400016,重庆医科大学研究生院, 重庆 400016,超声医疗国家工程研究中心, 重庆 401121,重庆医科大学生物医学工程学院 省部共建国家重点实验室培育基地-重庆市超声医学工程重点实验室 重庆市生物医学工程学重点实验室 重庆市微无创医学协同创新中心, 重庆 400016,重庆医科大学生物医学工程学院 省部共建国家重点实验室培育基地-重庆市超声医学工程重点实验室 重庆市生物医学工程学重点实验室 重庆市微无创医学协同创新中心, 重庆 400016
基金项目:十二五科技支撑项目(2011BAI14B01)、国家重点基础研究发展计划(973计划)(2011CB707900)。
摘    要:目的 探讨超声和MRI图像(US-MRI)配准融合技术在高强度聚焦超声(HIFU)消融子宫肌瘤中的价值。方法 评估78例子宫肌瘤患者的80组US-MRI图像的配准与融合效果;记录并分析用于指导不同配准融合操作的解剖标记部位和效果。结果 以子宫的边界为标志配准同一子宫平面,与配准前比较,图像清晰度评分显著增加(P=0.004);以子宫肌瘤的边界为标志配准同一子宫肌瘤平面,与配准前比较,图像清晰度评分显著增加(P<0.001);以耻骨边界为标志能配准同一耻骨平面;以骶岬为标志点能配准骶尾骨。结论 US-MRI配准技术可有效提高HIFU消融子宫肌瘤的可视化空间。

关 键 词:配准  融合  高强度聚焦超声  磁共振成像
收稿时间:2016-06-23
修稿时间:2016-09-05

Application value of US-MRI registration and fusion technique in HIFU ablation for uterine fibroids
TANG Haiying,HE Chun,HU Liang,WANG Tichun,WEN Yingang,WANG Zhibiao and CHEN Jinyun. Application value of US-MRI registration and fusion technique in HIFU ablation for uterine fibroids[J]. Chinese Journal of Medical Imaging Technology, 2016, 32(11): 1744-1748
Authors:TANG Haiying  HE Chun  HU Liang  WANG Tichun  WEN Yingang  WANG Zhibiao  CHEN Jinyun
Affiliation:College of Biomedical Engineering, State Key Laboratory of Ultrasound Engineering in Medicine Co-Founded by Chongqing and the Ministry of Science and Technology, Chongqing Key Laboratory of Biomedical Engineering, Chongqing Collaborative Innovation Center for Minimally-invasive and Noninvasive Medicine, Chongqing Medical University, Chongqing 400016, China,Operation Room, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China,College of Biomedical Engineering, State Key Laboratory of Ultrasound Engineering in Medicine Co-Founded by Chongqing and the Ministry of Science and Technology, Chongqing Key Laboratory of Biomedical Engineering, Chongqing Collaborative Innovation Center for Minimally-invasive and Noninvasive Medicine, Chongqing Medical University, Chongqing 400016, China,Graduate School, Chongqing Medical University, Chongqing 400016, China,National Engineering Research Center of Ultrasound Medicine, Chongqing 401121, China,College of Biomedical Engineering, State Key Laboratory of Ultrasound Engineering in Medicine Co-Founded by Chongqing and the Ministry of Science and Technology, Chongqing Key Laboratory of Biomedical Engineering, Chongqing Collaborative Innovation Center for Minimally-invasive and Noninvasive Medicine, Chongqing Medical University, Chongqing 400016, China and College of Biomedical Engineering, State Key Laboratory of Ultrasound Engineering in Medicine Co-Founded by Chongqing and the Ministry of Science and Technology, Chongqing Key Laboratory of Biomedical Engineering, Chongqing Collaborative Innovation Center for Minimally-invasive and Noninvasive Medicine, Chongqing Medical University, Chongqing 400016, China
Abstract:Objective To explore the value of the registration and fusion technique of ultrasound image and magnetic resonance image (US-MRI) in high-intensity focused ultrasound (HIFU) ablation for uterine fibroids. Methods The effect of registration and fusion in 80 groups of images from 78 patients with symptomatic uterine fibroids was evaluated. The anatomic sites and effects of different registration and fusion operations were recorded and analyzed. Results Taking the boundaries of the uterus as a sign to register the same plane of uterine, the registration clarity of the images significantly increased than that of the images before registration (P=0.004). While taking the boundaries of the fibroids as a sign to register the same plane of fibroids, the registration clarity significantly increased than that of the images before registration (P<0.001). The boundary of the pubic bone was taken as a sign to match the same plane of the pubic bone, and the sacral promontory was taken as a sign to match the sacrococcyx. Conclusion US-MRI registration technique can effectively improve the visualization space of HIFU ablation for uterine fibroids.
Keywords:Registration  Fusion  High-intensity focused ultrasound  Magnetic resonance imaging
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