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A fast 3-dimensional magnetic resonance imaging reconstruction for surgical planning of uterine myomectomy

Title
A fast 3-dimensional magnetic resonance imaging reconstruction for surgical planning of uterine myomectomy
Authors
Lee S.R.Kim Y.J.Kim K.G.
Ewha Authors
이사라
SCOPUS Author ID
이사라scopus
Issue Date
2018
Journal Title
Journal of Korean Medical Science
ISSN
1011-8934JCR Link
Citation
Journal of Korean Medical Science vol. 33, no. 2
Keywords
FertilityImagingMyomaMyomectomyThree-dimension
Publisher
Korean Academy of Medical Science
Indexed
SCIE; SCOPUS; KCI WOS scopus
Document Type
Article
Abstract
Background: Uterine myoma is the most common benign gynecologic tumor in reproductive-aged women. During myomectomy for women who want to preserve fertility, it is advisable to detect and remove all myomas to decrease the risk of additional surgery. However, finding myomas during surgery is often challenging, especially for deep-seated myomas. Therefore, three-dimensional (3D) preoperative localization of myomas can be helpful for the surgical planning for myomectomy. However, the previously reported manual 3D segmenting method takes too much time and effort for clinical use. The objective of this study was to propose a new method of rapid 3D visualization of uterine myoma using a uterine template. Methods: Magnetic resonance images were listed according to the slide spacing on each plane of the multiplanar reconstruction, and images that were determined to be myomas were selected by simply scrolling the mouse down. By using the selected images, a 3D grid with a slide spacing interval was constructed and filled on its plane and finally registered to a uterine template. Results: The location of multiple myomas in the uterus was visualized in 3D and this proposed method is over 95% faster than the existing manual-segmentation method. Not only the size and location of the myomas, but also the shortest distance between the uterine surface and the myomas, can be calculated. This technique also enables the surgeon to know the number of total, removed, and remaining myomas on the 3D image. Conclusion: This proposed 3D reconstruction method with a uterine template enables faster 3D visualization of myomas. © 2018 The Korean Academy of Medical Sciences.
DOI
10.3346/jkms.2018.33.e12
Appears in Collections:
의과대학 > 의학과 > Journal papers
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