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移动式C型臂X射线机图像拼接在骨科手术中的应用
作者姓名:谢加兵  徐祝军  丁国正  周茂生  汪正宇  朱劲松  杨 民
作者单位:皖南医学院弋矶山医院创伤骨科,安徽省芜湖市 241000
基金项目:安徽省卫生厅科研项目(2010C065),芜湖市科技计划项目(卫生类-2-9),皖南医学院弋矶山医院三新项目及引进人才科研基金(Y12008,YJRC200910,YJRC200907)
摘    要:背景:在脊柱和长骨骨折等骨科手术治疗中,获取骨折部位的完整骨结构图像对于监控和评价骨科术中效果具有十分重要的临床意义。 目的:探讨移动式C型臂X射线机图像拼接技术在临床骨科手术中的应用效果。 方法:对骨科手术部位的脊柱和长骨进行C型臂X射线机透视并采集2-4幅图像,经过图像拼接软件将图像多区域重叠,进行图像拼接技术处理后得到脊柱和长骨骨折内固定手术部位的1张全景图像。 结果与结论:移动式C型臂X射线机图像拼接技术处理后能在1张照片上获得脊柱和长骨骨折内固定手术部位全景图像,能较清晰、完整地显示脊柱和长骨的全景,并有助于术者在术中及时地了解和评估骨折部位的对位、对线情况,且能进行长度和角度测量,为进一步提高手术质量提供强有力的支持。

关 键 词:骨关节植入物    骨与关节图像与影像    C型臂X射线机    全景成像    拼接技术    骨折手术    胫骨    股骨    脊柱    微创    图像拼接    省级基金  
收稿时间:2012-08-24

Mobile C-arm X-ray image-splicing techniques applied in orthopedic surgery
Authors:Xie Jia-bing  Xu Zhu-jun  Ding Guo-zheng  Zhou Mao-sheng  Wang Zheng-yu  Zhu Jin-song  Yang Min
Institution:Department of Orthopaedic Trauma, Yijishan Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China
Abstract:BACKGROUND:In the treatment of orthopedic surgery of the spine and long bone fractures, obtaining the complete bone structure image of the fracture part has great clinical significance for monitoring and evaluating the intraoperative effect of orthopedic surgery.  OBJECTIVE:To investigate the clinical application of mobile C-arm X-ray image-splicing technology in orthopedic surgery. METHODS:The spine and long bone in the surgical site took the X-ray C-arm fluoroscopy in order to obtain 2-4 images. The image mosaicing software was used to multiple regional overlap the images, and then a panoramic image of spine and long bone on the surgical site was obtained after treated with image-splicing technology. RESULTS AND CONCLUSION:A panoramic image of spine and long bone on the surgical site was obtained on one photo after treated with C-arm X-ray image-splicing technology, which could display the overall view of spine and long bone clearly and completely, help the surgeon to understand and evaluate the contraposition and alignment situation timely, thus measure the length and the angle. It can provide strong support for the further development of the surgical quality.
Keywords:bone and joint implants  photographs and images of bone and joint  C-arm X-ray machine  panoramic imaging  splicing technology  fracture surgery  tibia  femur  spine  minimally invasive  image-splicing  provincial grants-supported paper  
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