摘要
背景:3D精准打印在骨科康复医学中的应用正受到临床医生、工程师和科研人员的重视。目的:综述3D打印技术在骨科康复学方面的发展情况。方法:应用计算机检索CNKI数据库、万方数据库、PubMed数据库及Elsevier数据库中2011至2019年收录的相关文献,中文检索词为"3D精准打印、骨科康复医学、人工智能",英文检索词为"3D Precision Printing,Orthopedic rehabilitation medicine,Artificial Intelligence"。结果与结论:目前,3D精准打印在骨科康复医学应用中的关键技术,包括医学图像处理与3D建模、手术模拟规划系统、手术导板设计、植入物设计与3D精准打印装备等。其中通过多层面重组、容积再现技术、最大密度投影、最小密度投影和表面阴影显示等3D重建技术读取医学数字数据,实现可视化医学图像处理与3D建模,可提升医患沟通效率;通过计算机来模拟医生的康复手术思维过程和智能行为,制造类似于医生人脑智能的云服务中心,辅助医生开展康复手术规划;利用个性化康复手术导板设计软件辅助,可实现移植骨截骨导板为医生规划截骨线和截骨范围,缩短手术时间,提高手术安全性;利用聚合材料、金属材料、陶瓷材料等作为3D打印材料还存在力学适配、生理适配不理想等问题;常见生物3D设计软件的自动化程度偏低,易出现骨科医疗器械性能与缺损部位的匹配度不理想、植入物内部孔隙结构单一等问题;然而,3D精准打印技术应用于浸入式康复医学教学系统对于跨学科医工结合的康复医学人才培养有益处。
BACKGROUND:The application of three-dimensional(3D)precision printing in orthopedic rehabilitation medicine is attracting more and more attention from clinicians,engineers and researchers.OBJECTIVE:To review the development of 3D printing in orthopedic rehabilitation.METHODS:Relevant documents published from 2011 to 2019 were retrieved from CNKI database,Wanfang database,PubMed database and Elsevier database by computer.The search terms were“3D Precision Printing,Orthopedic rehabilitation medicine,Artificial Intelligence”in English and Chinese.RESULTS AND CONCLUSION:At present,3D precision printing is the key technology in the application of orthopedic rehabilitation medicine,including medical image processing and 3D modeling,surgical simulation planning system,surgical guide board design,implant design and 3D precision printing equipment.Among them,3D reconstruction technologies such as multiplanar reconstructions,volume rendering technique,maximum intensity projection,minimum intensity projection and surface shaded display are used to read medical digital data and realize visual medical image processing and 3D modeling,which can improve doctor-patient communication efficiency.The thinking process and intelligent behavior of doctors in rehabilitation surgery can be simulated by computer,and a cloud service center with function similar to the brain intelligence of doctors is created to assist doctors in the planning of rehabilitation surgery.With the aid of personalized rehabilitation surgery guide board design software,the bone graft osteotomy guide board can be used to plan the osteotomy line and osteotomy range for the doctor,which can shorten the operation time and improve the operation safety.Using polymer materials,metal materials,ceramic materials and other materials as 3D printing materials,there are still problems such as poor mechanical adaptation and physiological adaptation.The automation degree of common biological 3D design software is relatively low,which is prone to problems such as unsatisfac
作者
彭坤
林一民
甘晓玲
吴治勇
Peng Kun;Lin Yimin;Gan Xiaoling;Wu Zhiyong(Chongqing Medical and Pharmaceutical College,Chongqing 401331,China;Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment,Chongqing University Cancer Hospital,Chongqing 400030,China;Chongqing Gonggang Zhihui Additive Manufacturing Technology Service Co.,Ltd.,Chongqing 400030,China)
出处
《中国组织工程研究》
CAS
北大核心
2021年第4期632-637,共6页
Chinese Journal of Tissue Engineering Research
基金
重庆市自然科学基金(cstc2018jcyjAX0828),项目负责人:彭坤
重庆市高等学校青年骨干教师资助计划(2016),项目负责人:彭坤。
关键词
骨
材料
3D
康复
人工智能
医学图像
现代化
综述
bone
material
3D
rehabilitation
artificial intelligence
medical image
modernization
review
