The central neck in 3 dimensions: a digital model derived from radiology, peer-reviewed literature, and medical illustration

Q3 Medicine

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2025-03-01 DOI:10.1016/j.otot.2024.08.005

Gabriel A. Hernandez-Herrera BS , Lazaro R. Peraza MD , Hyo Bin You BA , Gabriela A. Calcano BS , Tissiana G. Vallecillo MS , Emilyn Frohn MS , Caitlin J. Vander Wert MA , Kathryn M. Van Abel MD , Jonathan M. Morris MD , Kendall K. Tasche MD

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引用次数: 0

Abstract

This project aims to create a 3-dimensional (3D) digital model of central neck anatomy, including muscles, neurovasculature, and viscera. The neck was segmented from a CT angiogram of a healthy 29-year-old female, and then transferred into 3D illustration software after removing imaging artifact. To enhance anatomical accuracy, details not captured by imaging or unclear from the study were added and refined with relevant peer-reviewed literature. These structures were later incorporated into the head and neck model. Following segmentation, the 3D models was refined in 3D CAD software. Structures not identified by segmentation were designed by a medical illustrator and all structures were refined from peer-reviewed anatomic literature. Where discrepancies were found in the literature, the size, source, and methodology of the studies were considered to determine the most common variants of each structure. Finally, the 3D model was uploaded to MedReality for online viewing. Technological progress in illustration software, patient specific anatomic modeling, and precise 3D CAD modeling has allowed the most accurate 3D surgical anatomy model to be created when combined with existing literature. The associated 3D model and manuscript will serve as a helpful tool for medical professionals regardless of academic level. To our knowledge, this literature-based model of the central neck combined with 3D anatomic modeling from real patient data is unprecedented and should aid in surgical anatomy education.

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三维中心颈部：基于放射学、同行评议文献和医学插图的数字模型

该项目旨在创建一个三维（3D）数字模型的中央颈部解剖，包括肌肉，神经血管系统和内脏。对一名29岁健康女性的CT血管造影进行颈部分割，去除成像伪影后转入3D绘图软件。为了提高解剖学的准确性，我们添加了未被成像捕获或研究中不清楚的细节，并根据相关的同行评审文献进行了完善。这些结构后来被纳入头颈部模型。分割后，在三维CAD软件中对三维模型进行细化。未通过分割识别的结构由医学插图画家设计，所有结构都是从同行评审的解剖文献中提炼出来的。如果在文献中发现差异，则考虑研究的规模、来源和方法，以确定每种结构的最常见变体。最后，3D模型被上传到MedReality供在线观看。插图软件、患者特异性解剖建模和精确的3D CAD建模的技术进步，使得结合现有文献可以创建最精确的3D外科解剖模型。相关的3D模型和手稿将作为一个有用的工具，无论学术水平的医疗专业人员。据我们所知，这种基于文献的中央颈部模型与来自真实患者数据的三维解剖建模相结合是前所未有的，应该有助于外科解剖教育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Techniques in Otolaryngology - Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.70

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.