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3D RECONSTRUCTION OF PATIENT-SPECIFIC ABDOMINAL AORTIC ANEURYSMS: FROM CT SCAN TO SILICONE MODEL

机译:患者特异性腹主动脉瘤的三维重建:从CT扫描到硅胶模型

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Abdominal aortic aneurysm (AAA) is a local, permanent, irreversible dilation of the infrarenal section of the aorta that risks rupture until treated. AAA is defined as an infrarenal diameter 1.5 times the normal diameter. Currently, surgeons intervene when the aneurysm reaches a maximum diameter of 50 mm [1]. 200,000 new cases are diagnosed each year in the US, with 500,000 new cases diagnosed worldwide [2]. This results in 15,000 deaths each year from AAA rupture in the US alone [3], with 8,000 deaths per year in the UK [4]. Literature supports the theory that small aneurysms may be as likely to rupture as larger aneurysms [5-7], and therefore, the need for a more reliable predictor of AAA rupture may have clinical importance. Geometrically correct 3D reconstruction of AAAs has become commonplace in the stress analysis of these aneurysms. The purpose of this paper is to show the creation process from patient-specific computed tomography (CT) scans to a patient-specific silicone model. These patient-specific AAA models can then be utilised with various experimental techniques, such as, stress analyses using the photoelastic method [8], fluid dynamic studies, post-operative stent graft distraction testing, and also experimental rupture studies.
机译:腹主动脉瘤(AAA)是主动脉的局部永久性,不可逆扩张的主动脉梗死,其在抗癌到治疗之前。 AAA定义为正常直径的1.5倍的Infrarenal直径。目前,外科医生在动脉瘤达到50mm的最大直径时进行干预。每年在美国诊断200,000例新病例,诊断为全球500,000例新病例[2]。这导致每年从美国均衡的15,000人死亡,仅在英国的每年有8,000人死亡[4]。文献支持的理论,即小动脉瘤可能像较大的动脉瘤一样破裂[5-7],因此,对AAA破裂的更可靠预测因子可能具有临床重要性。在这些动脉瘤的应力分析中,AAA的几何校正3D重建已变得普遍。本文的目的是将患者特定的计算机断层扫描(CT)扫描显示到患者特定的硅胶模型的创建过程。然后可以通过各种实验技术使用这些患者特异性AAA模型,例如使用光弹性方法[8],流体动力学研究,术后支架移植牵引试验以及实验性破裂研究。

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