Progress in clinical application of fracture mapping based on CT three-dimensional reconstruction

Zheng-Hao Wang, Kainan Li
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Abstract

CT three-dimensional reconstruction has been widely used in the diagnosis and classification of fractures. Fracture mapping based on the CT three-dimensional reconstruction can visually display the morphology of fracture lines by drawing a fracture model, showing the starting and ending points, progress and area of the fracture lines. It provides a new method for diagnosis and classification of fractures, operative plan and design of implants for fractures, statistic analyses of predominant fracture sites, and developing standardized fracture models. This review gives a brief introduction of the research progress at home and abroad in fracture mapping for scapular fracture, pilon fracture, ulnar coronoid fracture, tibial plateau fracture, radial head fracture, intertrochanteric lateral wall fracture and acetabular quadrilateral surface fracture, summarizes the likely sites in the above fracture models and clinical application of fracture mapping in fracture classification, and discusses the prospects and problems of this technique in clinical application. Key words: Image processing, computer-assisted; Diagnostic imaging; Review; Fractures, models, maps; Fracture lines, morphology
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基于CT三维重建的骨折定位临床应用进展
CT三维重建已广泛应用于骨折的诊断和分型。基于CT三维重建的骨折映射可以通过绘制骨折模型,直观地显示骨折线的形态,显示骨折线的起点和终点、进程和面积。它为骨折的诊断和分类、骨折的手术计划和植入物的设计、主要骨折部位的统计分析以及标准化骨折模型的建立提供了新的方法。本文简要介绍了肩胛骨骨折、枕部骨折、尺冠骨折、胫骨平台骨折、桡骨头骨折、粗隆间侧壁骨折和髋臼四边形面骨折的骨折定位的国内外研究进展,总结了上述骨折模型中可能出现的部位及骨折定位在骨折分类中的临床应用。并讨论了该技术在临床应用中的前景及存在的问题。关键词:图像处理;计算机辅助;诊断成像;审查;裂缝、模型、地图;断口线、形貌
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