胸外科手术中的三维重建和混合现实:叙事审查和用户指南
Alexander Pohlman1,2,3, Jericho Hallare1,2,4, Matthew A Facktor5
1Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA.
Journal of thoracic disease
|January 12, 2026
概括
三维 (3D) 重建和混合现实 (MR) 技术在胸部手术中为规划和培训提供了重大潜力. 了解它们目前的局限性和实施指南对于外科医生更广泛采用它们至关重要.
科学领域:
- 医学成像和可视化 医学成像和可视化
- 手术技术 手术技术
- 计算机辅助手术 计算机辅助手术
背景情况:
- 三维 (3D) 重建技术,包括3D打印,虚拟现实 (VR) 和增强现实 (AR),在胸部手术中越来越重要.
- 尽管有监管部门的批准和正在进行的开发,但外科医生对这些技术的采用仍然很缓慢,原因包括有限的理解,不清楚的实施准则和成本.
研究的目的:
- 审查现有的关于胸部手术3D重建的文献.
- 为胸部外科医生提供关于这些新兴技术的实施和使用的实用指南.
主要方法:
- 在PubMed中搜索了"胸部手术"与"增强现实"",虚拟现实"和"3D重建" (2010-2025) 相结合.
- 确定了与胸部手术相关的高影响物品和FDA 510k批准的VR/AR技术.
- 根据模型创建,指示,可用的平台和外科医生的看法分析了研究结果.
主要成果:
- 从医学成像 (例如,CT扫描) 创建3D模型,使用手动细分或AI,兼容VR/AR或3D打印.
- 应用包括手术培训,手术前规划,手术内指导和创建3D打印假肢.
- 关键的局限性包括可变模型准确性,证据不足,外科医生采用障碍和高成本.
结论:
- 3D重建和混合现实平台代表了胸部外科手术的重大进展.
- 进一步研究开发,应用和安全是必不可少的.
- 在将这些技术纳入实践之前,外科医生必须意识到当前的用途和局限性.
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