[1]谢国强,周小卫,左 毅,等.基于智能手机的简易增强现实技术对幕上高血压性脑内血肿定位的价值[J].中国临床神经外科杂志,2019,(06):345-347+351.[doi:10.13798/j.issn.1009-153X.2019.06.009]
　XIE Guo-qiang,ZHOU Xiao-wei,ZUO Yi,et al.Accuracy and reliability of localization of intracerebral hemorrhage by smart phone based on easy-to-use augmented reality technique[J].,2019,(06):345-347+351.[doi:10.13798/j.issn.1009-153X.2019.06.009]
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基于智能手机的简易增强现实技术对幕上高血压性脑内血肿定位的价值()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年06期
页码:
345-347+351
栏目:
论著
出版日期:
2019-06-25

文章信息/Info

Title:
Accuracy and reliability of localization of intracerebral hemorrhage by smart phone based on easy-to-use augmented reality technique
文章编号:
1009-153X（2019）06-0345-03
作者:
谢国强; 周小卫; 左 毅; 肖三潮; 陈尚军; 郝五记; 陈晓雷
712000 陕西咸阳，陕西省核工业215医院神经外科（谢国强、周小卫、左 毅、肖三潮、陈尚军），影像科（郝五记）；100853 北京，解放军总医院神经外科（陈晓雷）
Author(s):
XIE Guo-qiang1;  ZHOU Xiao-wei1;  ZUO Yi1;  XIAO San-chao1;  CHEN Shang-jun1;  HAO Wu-ji2;  CHEN Xiao-lei3.
1. Department of Neurosurgery, The 215th Hospital of Nuclear Industry, Shanxi Province, Xianyang 712000, China; 2. Department of Medical Imaging, The 215th Hospital of Nuclear Industry, Shanxi Province, Xianyang 712000, China; 3. Department of Neurosurger
关键词:
高血压性脑出血; 增强现实技术; 智能手机; 微创手术
Keywords:
Intracerebral hemorrhage;  Augmented reality;  Smart phone;  Localization;  Accuracy;  Reliability
分类号:
R 743.34; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2019.06.009
文献标志码:
A
摘要:
目的 探讨基于智能手机简易增强现实技术定位幕上高血压性脑内血肿的可靠性和准确性。方法 回顾性分析2017年10月至2018年10月微创手术治疗的42例幕上高血压性脑出血的临床资料。术前将急诊头颅CT扫描数据以DICOM形式通过医学影像存档与通信系统导入工作电脑，应用3D Slicer软件行脑内血肿及头面部皮肤三维重建，设置参考点后将图像导入智能手机，通过手机相机功能实现简易增强现实技术，描画脑内血肿体表投影后，在血肿边缘粘贴标记物后复查头颅CT，分析各标记点与血肿实际边界的距离偏差。结果 42例共粘贴标记物168个。标记物与血肿距离偏差在0.04~7.20 mm，平均（3.10±1.10）mm；上缘、下缘、前缘、后缘的距离分别为（2.90±1.19）mm、（3.02±1.31）mm、（2.66±1.27）mm、（2.43±1.41）mm。头皮标记物与脑内深部血肿实际上缘、下缘、前缘、后缘的距离偏差无统计学差异（P>0.05）。结论 简易增强现实技术可为幕上高血压性脑内血肿微创手术提供可靠及较准确的体表定位指导，可作为脑内血肿定位参考指标。
Abstract:
Objective To investigate the accuracy and reliability of the localization of intracerebral hemorrhage (ICH) by smart phone based on easy-to-use augmented reality (AR) technique. Methods The clinical data of 42 patients with hypertensive ICH were analyzed retrospectively. The raw data of emergent head CT in digital imaging and communications in medicine data (DICOM) forum were loaded into open-source software 3D Slicer through Picture Archiving and Communicating System (PACS) of hospital. The hematomas and the scalps were reconstructed by the software before the screenshots with markers on the virtual scalp were transmitted to a smart phone. The easy-to-use augmented reality technique was realized through the camera of smart phone allowing a projection of the hematoma image on the patient’s scalp. The profiles of the hematomas were depicted under the smart phone monitoring, and then four markers were fixed on the periphery of the hematomas. The patients underwent brain CT scan reexamination and the deviation o the markers from the actual hematoma boundaries were recorded and analyzed. Results The mean deviation of the marker from the actual hematoma boundaries was (3.1±1.1) mm, ranging from 0.04 mm to 7.2 mm, on easy-to-use AR. There was no significant difference among the deviations of all the markers from all the boarders (P>0.05). Conclusion The low cost smart phone AR technique may provide relatively reliable and accurate localization of ICH.

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备注/Memo

备注/Memo:
基金项目：陕西省咸阳市社会发展科技攻关项目（2016K02-92） 通讯作者：陈晓雷，E-mail：chxlei@mail.sysu.edu.cn
更新日期/Last Update: 2019-06-25