Surgical anatomy imaging associated with cervical cancer treatment

A cadaveric study

Masaru Nakamura, Takuma Fujii, Nobuaki Imanishi, Masahiro Jinzaki, Minoru Yamada, Sachio Kuribayashi, Daisuke Aoki

研究成果: Article

2 引用 (Scopus)

抄録

The objectives of this study were to visualize the surgical anatomical structures in the female pelvis by computed tomography and to investigate the components of the parametrium for anatomical education, radiological diagnosis, and surgical simulation. We surgically dissected fresh female cadavers maintained in precise surgical anatomic positions and examined the anatomical structures using experimental fine cell detector multislice computed tomography (FDCT) with a slice thickness of 0.3125 mm. In addition, we established a three-dimensional (3D) reconstruction model for precise observation of the surgical anatomy using Materialise's Interactive Medical Image Control System (Mimics). We evaluated two-dimensional (2D) images of the surgical anatomical structures in combination with the 3D reconstruction model. The 3D model was reconstructed from 430 serial axial pelvic CT images of a cadaver. The cardinal ligament, uterosacral ligament, paravesical space, and pararectal space were visualized on the CT images obtained from the surgically dissected part. The parametrium components were clearly distinguished on the surgically dissected side. Based on the information from the dissected side, these components on the undissected side could be distinguished as well. We recognized the parametrium components in the area extirpated during radical hysterectomy. The approach using cadavers, experimental FDCT, and 3D software provided excellent visualization of pelvic structures. High-quality images of surgical anatomical structures provide new insight regarding precise surgical anatomy in the female pelvis. The radiological information has practical usefulness for radiotherapeutic planning and surgical simulation.

元の言語English
ページ(範囲)503-510
ページ数8
ジャーナルClinical Anatomy
27
発行部数3
DOI
出版物ステータスPublished - 01-01-2014

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Peritoneum
Cadaver
Uterine Cervical Neoplasms
Anatomy
Multidetector Computed Tomography
Pelvis
Ligaments
Hysterectomy
Software
Tomography
Observation
Education

All Science Journal Classification (ASJC) codes

  • Anatomy
  • Histology

これを引用

Nakamura, M., Fujii, T., Imanishi, N., Jinzaki, M., Yamada, M., Kuribayashi, S., & Aoki, D. (2014). Surgical anatomy imaging associated with cervical cancer treatment: A cadaveric study. Clinical Anatomy, 27(3), 503-510. https://doi.org/10.1002/ca.22319
Nakamura, Masaru ; Fujii, Takuma ; Imanishi, Nobuaki ; Jinzaki, Masahiro ; Yamada, Minoru ; Kuribayashi, Sachio ; Aoki, Daisuke. / Surgical anatomy imaging associated with cervical cancer treatment : A cadaveric study. :: Clinical Anatomy. 2014 ; 巻 27, 番号 3. pp. 503-510.
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Nakamura, M, Fujii, T, Imanishi, N, Jinzaki, M, Yamada, M, Kuribayashi, S & Aoki, D 2014, 'Surgical anatomy imaging associated with cervical cancer treatment: A cadaveric study', Clinical Anatomy, 巻. 27, 番号 3, pp. 503-510. https://doi.org/10.1002/ca.22319

Surgical anatomy imaging associated with cervical cancer treatment : A cadaveric study. / Nakamura, Masaru; Fujii, Takuma; Imanishi, Nobuaki; Jinzaki, Masahiro; Yamada, Minoru; Kuribayashi, Sachio; Aoki, Daisuke.

:: Clinical Anatomy, 巻 27, 番号 3, 01.01.2014, p. 503-510.

研究成果: Article

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Nakamura M, Fujii T, Imanishi N, Jinzaki M, Yamada M, Kuribayashi S その他. Surgical anatomy imaging associated with cervical cancer treatment: A cadaveric study. Clinical Anatomy. 2014 1 1;27(3):503-510. https://doi.org/10.1002/ca.22319