博碩士論文 983203096 詳細資訊




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姓名 張育晨(Yu-chen Chang)  查詢紙本館藏   畢業系所 機械工程學系
論文名稱 顱內動脈瘤手術術前評估系統發展
(On the Development of a Preoperative Planning System for Aneurysm Surgery)
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摘要(中) 顱內動脈瘤所引發的蜘蛛網膜下腔出血其致死率相當高,且通常發現時患者情況已十分危急,所幸現今電腦斷層攝影術相當普及,其快速拍攝且低風險的特性剛好適用於此狀況,但醫師在診斷時仍然以二維影像為主,如要重建出三維影像則須將影像於放射科重建,且所重建三維影像無法作即時的操作與瀏覽,如此一來,不僅費時且無充分利用三維影像的優點。本研究為了讓醫師充分利用CT影像,並獲取足夠的術前輔助資訊,因此發展了一顱內動脈瘤手術術前評估系統,提供了腦瘤區域快速判斷的機制讓醫師迅速找出病灶制定方針,並以軟體進行開顱手術模擬,讓醫師不需實際動刀即能觀看開刀後的結果,在手術模擬的最後,本研究運用所開發之半自動對位演算法,進行腦血管擷取,並設計案例驗證其準確性與適用性。
摘要(英) Intracranial aneurysm, often caused by subarachnoid hemorrhage, is usually found in a very critical condition and its mortality is quite high. Fortunately, computed tomography is right for catching the image of this disease for its fast shooting and low risk. However, doctors usually do the diagnosis with two-dimensional images. Although three-dimensional images are currently available, they only can be provided by the Department of Radiology, which makes it difficult for doctors to perform real analysis, planning and simulation in a three-dimensional environment. As a result, it is not only time-consuming, but also cannot fully utilize the advantages of three-dimensional images. This study aims to take full advantage of CT images to development an intracranial aneurysm craniotomy system. The proposed system is based on 3D images display and manipulation for the analysis, planning and simulation of craniotomy surgery procedures. A semi-automatic alignment algorithm is developed in this study to retrieve cerebral blood vessels for two sets of CT images, one with contrast medium, while the other not. Doctors can realize the entire surgical process and can obtain as much information as possible before surgery. It can indeed provide substantial help for the preoperative planning of craniotomy surgery.
關鍵字(中) ★ 定位
★ 顱內動脈瘤
★ 開顱手術
關鍵字(英) ★ craniotomy
★ alignment
★ Intracranial aneurysms
論文目次 摘要 I
Abstract II
誌謝 III
圖目錄 VI
表目錄 VIII
第一章 緒論 1
1.1前言 1
1.2文獻回顧 2
1.2.1顱內動脈瘤 2
1.2.2腦血管擷取技術 4
1.3研究目的與方法 5
1.3.1研究目的 5
1.3.2研究方法 6
1.4 論文架構 8
第二章 兩組CT影像腦血管擷取技術 10
2.1前言 10
2.2操作介面 10
2.3半自動對位計算 14
2.3.1對位前處理 14
2.3.2初定位與精定位 15
2.4 影像資料比對擷取腦血管 23
第三章 開顱手術規劃與模擬 25
3.1前言 25
3.2三維腦瘤區域快速判斷 25
3.2.1三維顯示與操作 25
3.2.2腦瘤區域半自動判斷 27
3.3 開顱手術模擬 27
3.3.1 開顱模擬 27
3.3.2動脈瘤夾選放模擬 33
3.3.3腦血管擷取 33
第四章 半自動對位演算法驗證與範例探討 36
4.1前言 36
4.2對位演算法驗證 36
4.3 實際應用範例 44
第五章 結論與未來可發展議題 52
5.1結論 52
5.2未來展望 53
參考文獻 54
參考文獻 [1]台灣腦中風學會,http://www.stroke.org.tw/guideline/guideline_4.asp.
[2]李鐵錚,「腦動脈瘤的比較診斷」,齊齊哈爾醫學院學報,2006。
[3]I. Sakuma, N. Tomura, H. Kinouchi, S. Takahashi, T. Otani, J. Watarai and K. Mizoi, “Postoperative three-dimensional CT angiography after cerebral aneurysm clipping with titanium clips: detection with single detector CT. Comparison with intra-arterial digital subtraction angiography”, Clinical Radiology, Vol. 61, No. 6, pp. 505-512, 2006.
[4]R. A. Alberico, M. Patel, S. Casey, B. Jacobs, W. Maguire and R. Decker, “Evaluation of the circle of Willis with three-dimensional CT angiography in patients with suspected intracranial aneurysms”, AJNR, Vol. 16, pp. 1571-1578, 1995.
[5]P. C. Sanelli, M. J. Mifsud, N. Zelenko and L. A. Heier, “CT angiography in the evaluation of cerebrovascular diseases”, AJR, Vol. 184, pp. 305-312, 2005.
[6]M. B. Horowitz, E. Levy, A. Kassam and P. D. Purdy, “Endovascular therapy for intracranial aneurysms: a historical and present status review”, Surgical Neurology, Vol. 57, No. 3, pp. 147-158, 2002.
[7]常義,「腦動脈瘤破裂致蛛網膜下腔出血診治中的有關問題」,齊齊哈爾醫學院學報,2008。
[8]H. Nagashima, S. Kobayashi, Y. Tanaka and K. Hongo, “Endovascular therapy versus surgical clipping for basilar artery bifurcation aneurysm: retrospective analysis of 117 cases”, Journal of Clinical Neuroscience, Vol. 11, No. 5, pp. 475-479, 2004.
[9]J. J. Lewis, R. J. O’Callaghan, S. G. Nikolov, D. R. Bull and N. Canagarajah, “Pixel- and region-based image fusion with complex wavelets”, Information Fusion, Vol. 8, No. 2, pp. 119-130, 2007.
[10]B. Yang and S. Li, “Pixel-level image fusion with simultaneous orthogonal matching pursuit”, Information Fusion, Vol. 13, No. 1, pp. 10-19, 2012.
[11]Y. Masutani, T. Schiemann and K. H. Hohne, “Vascular shape segmentation and structure extraction using a shape-based region-growing model”, in Medical Image Computing and Computer Aided Intervention, Vol. 1496, pp. 1242-1249, 1998.
[12]J. G. Park and C. Lee, “Skull stripping based on region growing for magnetic resonance brain images”, NeuroImage, Vol. 47, No. 2, pp. 1394-1407, 2009.
[13]闕迪斌,以局部閥值法分離電腦斷層血管影像中之頭骨及顯示技術開發,國立陽明大學生物醫學影像暨放射科學研究所碩士論文,2008。
[14]劉嘉修,計算解剖學之腦區域擷取與對位演算法,國立交通大學資訊科學與工程研究所博士論文,2009。
[15]A. Gholipour, N. Kehtarnavaz, R. Briggs, M. Devous and K. Gopinath, “Brain functional localization: a survey of image registration techniques”, Medical Imaging, Vol. 5, No. 2, pp. 143-146, 2001.
[16]P. W. Pluim, J. B. Maintz and M. A. Viergever, “Mutual-information-based registration of medical images: a survey”, IEEE Transactions on Medical, Vol. 22, No. 8, pp. 986-1004, 2003.
[17]M. Jenkingson and S. Smith, “A global optimisation method for robust affine registration of brain images”, Medical Image Analysis, Vol. 26, No. 4, pp. 427-451, 2007.
[18]歐陽源,以最小條件熵值為基準的影像對位技術之研究,國立清華大學電機工程研究所碩士論文,1995。
[19]J. M. Lee, U. Yoon, S. H. Narm, J. H. Kim, I. Y. Kim and S. I. Kim, “Evaluation of automated and semi-automated skull-stripping algorithms using similarity index and segmentation error”, Computers in Biology and Medicine, Vol. 33, No. 6, pp. 495-507, 2003.
[20]M. M. Lell, K. Anders, M. Uder, E. Klotz, H. Ditt, F. V. H., T. Bos- kamp, W. A. Bautz and B. F. Tomandl, “New techniques in CT angiography”, Radiographics, Vol. 26, pp. S45-S62, 2006.
[21]俞首安,電腦輔助骨盆骨折術前評估系統發展,國立中央大學機械工程學系碩士論文,2010。
[22]黃詣超,螺旋轉子三維嚙合模擬與間隙計算方法研究,國立中央機械工程學系博士論文,2011。
[23]羅賴鈞,醫學影像之三維顯示與骨組織三角網格重建技術探討, 國立中央大學機械工程學系碩士班論文, 2009。
指導教授 賴景義(Jiing-yih Lai) 審核日期 2012-7-17
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