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CN108186116A - A kind of operation point of a knife heat source imaging system and its method - Google Patents

A kind of operation point of a knife heat source imaging system and its method Download PDF

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CN108186116A
CN108186116A CN201810146314.0A CN201810146314A CN108186116A CN 108186116 A CN108186116 A CN 108186116A CN 201810146314 A CN201810146314 A CN 201810146314A CN 108186116 A CN108186116 A CN 108186116A
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image
scalpel
tip
heat source
scalpel tip
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熊力
张江杰
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Second Xiangya Hospital of Central South University
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Priority to PCT/CN2019/070111 priority patent/WO2019153983A1/en
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    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/373Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners

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Abstract

本发明公开了一种手术刀尖热源成像系统及其方法,包括:整合处理CT图像的3D模型建立部分:通过收集和分析患者的多张CT扫描图,对扫描的CT图进行处理构造患者的3D模拟图像,定义患者某部位坐标数据;手术刀尖捕捉部分:对发热手术刀进行捕捉,然后进行测量和计算,再利用图像处理技术定位手术刀中间点,即为手术刀尖位置;图像标记显示部分:根据手术刀尖的坐标确定CT纵向扫描图后,对扫描图进行图像灰度处理,并在结合侧向位置和横向位置具体加深标注。本发明实时追踪手术刀尖位置,将其显示在对应的图像系统中,定位手术刀尖位置,辅助和引导医生进行手术操作,解决了新手或实习医生并不能准确判断患者的各组织器官位置的问题。

The invention discloses a scalpel tip heat source imaging system and its method, comprising: a 3D model building part for integrated processing of CT images: by collecting and analyzing multiple CT scan images of a patient, processing the scanned CT images to construct a patient's image 3D simulation image to define the coordinate data of a certain part of the patient; the scalpel tip capture part: capture the heated scalpel, then measure and calculate, and then use image processing technology to locate the middle point of the scalpel, which is the position of the scalpel tip; image marking Display part: After determining the CT longitudinal scan image according to the coordinates of the tip of the scalpel, the image grayscale processing is performed on the scan image, and the marking is specifically deepened in combination with the lateral position and the transverse position. The invention tracks the position of the scalpel tip in real time, displays it in the corresponding image system, locates the position of the scalpel tip, assists and guides the doctor to perform the operation, and solves the problem that novices or interns cannot accurately judge the position of various tissues and organs of the patient. question.

Description

一种手术刀尖热源成像系统及其方法A scalpel tip heat source imaging system and method thereof

技术领域technical field

本发明涉及医疗电子技术领域,尤其涉及一种手术刀尖热源成像系统及其方法。The invention relates to the technical field of medical electronics, in particular to a scalpel tip heat source imaging system and a method thereof.

背景技术Background technique

高频电刀(高频手术器)是一种取代机械手术刀进行组织切割的电外科器械。它通过有效电极尖端产生的高频高压电流与肌体接触时对组织进行加热,实现对肌体组织的分离和凝固,从而起到切割和止血的目的。High-frequency electric knife (high-frequency surgical device) is an electrosurgical instrument that replaces a mechanical scalpel for tissue cutting. It heats the tissue when the high-frequency and high-voltage current generated by the effective electrode tip contacts the body, and realizes the separation and coagulation of the body tissue, thereby achieving the purpose of cutting and hemostasis.

CT(Computed Tomography),即电子计算机断层扫描,它是利用精确准直的X线束、γ射线、超声波等,与灵敏度极高的探测器一同围绕人体的某一部位作一个接一个的断面扫描,具有扫描时间快,图像清晰等特点,可用于多种疾病的检查;根据所采用的射线不同可分为:X射线CT(X-CT)、超声CT(UCT)以及γ射线CT(γ-CT)等。CT (Computed Tomography), that is, electronic computer tomography, it uses precisely collimated X-ray beams, γ-rays, ultrasound, etc., together with highly sensitive detectors, to conduct cross-sectional scans one after another around a certain part of the human body. It has the characteristics of fast scanning time and clear images, and can be used for the examination of various diseases; according to the different rays used, it can be divided into: X-ray CT (X-CT), ultrasonic CT (UCT) and γ-ray CT (γ-CT) )Wait.

数字图像处理数字图像处理(Digital Image Processing)是通过计算机对图像进行去除噪声、增强、复原、分割、提取特征等处理的方法和技术。数字图像处理的产生和迅速发展主要受三个因素的影响:一是计算机的发展;二是数学的发展(特别是离散数学理论的创立和完善);三是广泛的农牧业、林业、环境、军事、工业和医学等方面的应用需求的增长。数字图像处理在生物医学工程方面的应用十分广泛,而且很有成效。除了上面介绍的CT技术之外,还有一类是对医用显微图像的处理分析,如红细胞、白细胞分类,染色体分析,癌细胞识别等。此外,在X光肺部图像增晰、超声波图像处理、心电图分析、立体定向放射治疗等医学诊断方面都广泛地应用图像处理技术。Digital image processing (Digital Image Processing) is a method and technology for removing noise, enhancing, restoring, segmenting, and extracting features from an image through a computer. The emergence and rapid development of digital image processing are mainly affected by three factors: one is the development of computers; the other is the development of mathematics (especially the creation and improvement of discrete mathematics theory); , military, industrial and medical applications demand growth. Digital image processing is widely and effectively used in biomedical engineering. In addition to the CT technology described above, there is another type of processing and analysis of medical microscopic images, such as red blood cell and white blood cell classification, chromosome analysis, cancer cell identification, etc. In addition, image processing technology is widely used in medical diagnosis such as X-ray lung image enhancement, ultrasonic image processing, electrocardiogram analysis, and stereotactic radiation therapy.

热成像是通过非接触探测红外能量(热量),并将其转换为电信号,进而在显示器上生成热图像和温度值,并可以对温度值进行计算的一种检测设备。热成像的作用有:炎症的提示、肿瘤的早期预警、周围神经疾病的提示、其他疑难病症分析、疗效跟踪。Thermal imaging is a detection device that detects infrared energy (heat) through non-contact and converts it into an electrical signal, and then generates a thermal image and temperature value on the display, and can calculate the temperature value. The functions of thermal imaging include: reminder of inflammation, early warning of tumor, reminder of peripheral nerve disease, analysis of other difficult diseases, and tracking of curative effect.

鉴于很多新手或实习医生并不能准确判断患者的各组织器官位置,为解决这些弊端,方便实习医生的快速进步和发展,以及经验丰富的医生需要手术实时可视化了解深部结构的解剖毗邻,传统的手术刀已经逐渐被热切割手术刀替换,最大的技术上的问题就是在热成像系统中较准确的捕捉到手术刀尖位置和对应位置的3D成像,但现有技术还没有实现这一效果的较好方案。In view of the fact that many novices or interns cannot accurately judge the position of various tissues and organs of patients, in order to solve these disadvantages, facilitate the rapid progress and development of interns, and experienced doctors need real-time visualization of surgery to understand the anatomical adjacency of deep structures. Traditional surgery Knives have been gradually replaced by thermal cutting scalpels. The biggest technical problem is to accurately capture the position of the tip of the scalpel and the 3D imaging of the corresponding position in the thermal imaging system, but the existing technology has not yet achieved this effect. good plan.

发明内容Contents of the invention

有鉴于现有技术的上述缺陷,本发明所要解决的技术问题是提供一种手术刀尖热源成像系统及其方法,以解决现有技术的不足。In view of the above-mentioned defects of the prior art, the technical problem to be solved by the present invention is to provide a scalpel tip heat source imaging system and its method to solve the deficiencies of the prior art.

为实现上述目的,本发明提供了一种手术刀尖热源成像系统,包括:In order to achieve the above object, the present invention provides a scalpel tip heat source imaging system, including:

整合处理CT图像的3D模型建立部分:通过收集和分析患者的多张CT扫描图,对扫描的CT图进行图像增强后,再将图像进行压缩编码,解码图像构造患者的3D模拟图像,以x、y、z三维数据存储,定义横轴为x,纵轴为y,竖轴为z,若(x,y,z)坐标点数据不为零时,即为患者某部位数据;Integrate and process the 3D model building part of CT images: by collecting and analyzing multiple CT scans of patients, image enhancement is performed on the scanned CT images, and then the images are compressed and coded, and the decoded images are constructed to construct a 3D simulation image of the patient. , y, z three-dimensional data storage, define the horizontal axis as x, the vertical axis as y, and the vertical axis as z. If the (x, y, z) coordinate point data is not zero, it is the data of a certain part of the patient;

手术刀尖捕捉部分:对发热手术刀进行捕捉,然后进行测量和计算,再利用图像处理技术定位手术刀中间点,即为手术刀尖位置,命名为(x,y,z);Scalpel tip capture part: capture the heated scalpel, then measure and calculate, and then use image processing technology to locate the middle point of the scalpel, which is the position of the scalpel tip, named (x, y, z);

图像标记显示部分:根据手术刀尖的坐标确定CT纵向扫描图后,对扫描图进行图像灰度处理,并在结合侧向位置和横向位置具体加深标注。Image marking display part: After determining the CT longitudinal scan image according to the coordinates of the scalpel tip, the image grayscale processing is performed on the scan image, and the marking is specifically deepened in combination with the lateral position and the transverse position.

进一步地,所述手术刀尖位置的温度在100℃左右,以该温度的70%为界限点。Further, the temperature at the tip of the scalpel is about 100°C, with 70% of the temperature as the limit point.

进一步地,所述手术刀尖捕捉部分以频率为50Hz对发热手术刀进行捕捉。Further, the scalpel tip capturing part captures the heating scalpel at a frequency of 50 Hz.

进一步地,所述手术刀尖捕捉部分安装在在手术台右侧150cm位置。Further, the scalpel tip catching part is installed at a position 150 cm from the right side of the operating table.

进一步地,所述利用图像处理技术定位手术刀中间点用到的图像处理技术包括但不限于:图像识别、红外、超声波。Further, the image processing technology used for locating the middle point of the scalpel by using the image processing technology includes but not limited to: image recognition, infrared, and ultrasound.

一种手术刀尖热源成像方法,具体实施步骤为:A scalpel tip heat source imaging method, the specific implementation steps are:

第一步、以50HZ的刷新频率扫描热源成像,再根据已定阈值,判断手术刀尖位置,依照图像处理中的比对计算公式,确定其坐标(x,y,z);The first step is to scan the heat source image at a refresh rate of 50HZ, then judge the position of the scalpel tip according to the predetermined threshold, and determine its coordinates (x, y, z) according to the comparison calculation formula in image processing;

第二步、在已知坐标情况下,据其Y轴(纵向)坐标,将已进行图像处理的对应CT扫描图展示在显示系统中,并对扫描图进行增强;In the second step, in the case of known coordinates, according to its Y-axis (longitudinal) coordinates, the corresponding CT scan image that has been image-processed is displayed in the display system, and the scan image is enhanced;

第三步、据X(横向),Z(侧向)坐标在对应显示系统的图像中标示出来,为方便观察,图像可进行放大缩小。The third step is to mark out the X (horizontal) and Z (lateral) coordinates in the image corresponding to the display system. For the convenience of observation, the image can be zoomed in and out.

本发明的有益效果是:The beneficial effects of the present invention are:

本发明的一种手术刀尖热源成像系统,根据高频手术刀加热切割现象,利用热成像形式捕获手术刀尖热源点坐标,再结合数字图像处理技术,模拟手术环境和患者的图像系统,形成对应的可视化图像,并能实时持续动态追踪手术刀尖位置,将其显示在对应的图像系统中,以达到定位手术刀尖位置,辅助和引导医生进行手术操作,解决了新手或实习医生并不能准确判断患者的各组织器官位置的问题。A scalpel tip heat source imaging system of the present invention, according to the phenomenon of high-frequency scalpel heating and cutting, uses thermal imaging to capture the coordinates of the scalpel tip heat source point, and then combines digital image processing technology to simulate the surgical environment and the patient's image system to form Corresponding visual images, and can continuously and dynamically track the position of the scalpel tip in real time, and display it in the corresponding image system, so as to locate the position of the scalpel tip, assist and guide the doctor to perform the operation, and solve the problem that novices or interns cannot Accurately determine the location of various tissues and organs of the patient.

以下将结合附图对本发明的构思、具体结构及产生的技术效果作进一步说明,以充分地了解本发明的目的、特征和效果。The idea, specific structure and technical effects of the present invention will be further described below in conjunction with the accompanying drawings, so as to fully understand the purpose, features and effects of the present invention.

附图说明Description of drawings

图1是本发明的系统结构框图。Fig. 1 is a system structure block diagram of the present invention.

图2是本发明的系统流程图。Fig. 2 is a system flow chart of the present invention.

具体实施方式Detailed ways

实施例一Embodiment one

如图1、2所示,一种手术刀尖位置捕捉的成像系统。该系统包括:As shown in Figures 1 and 2, an imaging system for capturing the position of the scalpel tip. The system includes:

A.整合处理CT图像的3D模型建立部分:通过收集和分析患者的多张CT扫描图,对扫描的CT图进行图像增强后,再将图像进行压缩编码,解码图像构造患者的3D模拟图像,以x,y,z三维数据存储,定义横轴为x,纵轴为y,竖轴为z,若(x,y,z)坐标点数据不为零时,即为患者某部位数据;A. The 3D model building part of integrated processing of CT images: by collecting and analyzing multiple CT scans of the patient, image enhancement is performed on the scanned CT images, and then the images are compressed and encoded, and the decoded images are constructed to construct a 3D simulation image of the patient. Stored in x, y, z three-dimensional data, define the horizontal axis as x, the vertical axis as y, and the vertical axis as z. If the (x, y, z) coordinate point data is not zero, it is the data of a certain part of the patient;

B.在手术刀尖捕捉部分:在手术台右侧150cm位置安装热成像捕捉设备,该设备能以频率为50Hz对发热手术刀进行捕捉,根据测量和计算,手术刀尖位置的温度为100℃左右,即可在程序中以该温度的70%为界限点,较准确的定位位置,再利用图像处理技术定位中间点,即为手术刀尖位置,命名为(x,y,z)。B. In the part of capturing the tip of the scalpel: Install a thermal imaging capture device at 150cm to the right of the operating table. This device can capture the heated scalpel at a frequency of 50Hz. According to the measurement and calculation, the temperature at the tip of the scalpel is 100°C Left or right, you can use 70% of the temperature as the limit point in the program to locate the position more accurately, and then use image processing technology to locate the middle point, which is the position of the scalpel tip, named (x, y, z).

C.图像标记显示部分:根据手术刀尖的坐标确定CT纵向扫描图后,对扫描图进行图像灰度处理,并在结合侧向位置和横向位置具体加深标注,方便医生快速准确识别位置。C. Image marking display part: After determining the CT longitudinal scanning image according to the coordinates of the scalpel tip, the image grayscale processing is performed on the scanning image, and the marking is specifically deepened in combination with the lateral position and the horizontal position, so that the doctor can quickly and accurately identify the position.

具体实施步骤如下:The specific implementation steps are as follows:

第一步以50HZ的刷新频率扫描热源成像,再根据已定阈值,判断手术刀尖位置,依照图像处理中的比对计算公式,确定其坐标(x,y,z),对应A部分的系统坐标。The first step is to scan the heat source image with a refresh rate of 50HZ, and then judge the position of the scalpel tip according to the predetermined threshold, and determine its coordinates (x, y, z) according to the comparison calculation formula in image processing, corresponding to the system in part A coordinate.

第二步在已知坐标情况下,据其Y轴(纵向)坐标,将已进行图像处理的对应CT扫描图展示在显示系统中,并对扫描图进行增强。In the second step, in the case of known coordinates, according to its Y-axis (longitudinal) coordinates, the corresponding CT scan image that has been image-processed is displayed on the display system, and the scan image is enhanced.

第三步据X(横向),Z(侧向)坐标在对应显示系统的图像中标示出来,为方便观察,图像可进行放大缩小。The third step is to mark the X (horizontal) and Z (lateral) coordinates in the image corresponding to the display system. For the convenience of observation, the image can be zoomed in and out.

确定好手术刀尖位置后即可按照既定的手术路线进行手术操作。After determining the position of the scalpel tip, the surgical operation can be performed according to the established surgical route.

实施例二Embodiment two

与实施例一不同的地方是,进行既定手术路线操作后,还要在终点处进行下一个手术。同理,继续B、C部分,完成后续实施步骤,重新规划一条新的手术路线,从终点处继续手术操作,根据现实部分对刀尖位置的不同图片展示,结合医生自身经验,进行细微修正,完成下一个手术。The difference from the first embodiment is that after the operation of the predetermined operation route, the next operation should be performed at the end point. In the same way, continue to part B and C, complete the follow-up implementation steps, re-plan a new surgical route, continue the surgical operation from the end point, and make minor corrections based on the different pictures of the position of the knife tip according to the actual part, combined with the doctor's own experience, Complete the next operation.

值得注意的是使用该系统前需要对患者进行固定操作,最简单实用的是,将对需手术的患者在进行CT扫描前即打下麻醉,并用装置固定(临床上是用绑带固定,可以发明专门的固定方案,以防偏移),在进行CT扫描时,系统将对患者的各个部位(特别是体表定位,因为我们的手术床标尺不仅仅需要上述固定装置来辅助调整,更重要的是根据与CT骨性标志等对应的确认可靠的体表定位来确定)进行位置确定,并可在操作下进行调整和修正,用以保证系统坐标不会出现偏差,同时,医生在使用过程中可以自行操作该系统微调一些参数等,用以方便对照操作。其中参数包含图片大小、定位校准等。It is worth noting that the patient needs to be fixed before using the system. The simplest and most practical is to anesthetize the patient who needs surgery before the CT scan and fix it with a device (clinically, it is fixed with a bandage, which can be invented Special fixation scheme to prevent deviation), when performing CT scan, the system will position the various parts of the patient (especially the body surface, because our operating bed scale not only needs the above-mentioned fixation device to assist in adjustment, but more importantly It is determined according to the confirmed and reliable body surface positioning corresponding to CT bony landmarks, etc.), and can be adjusted and corrected under operation to ensure that the system coordinates will not deviate. At the same time, the doctor during use You can operate the system by yourself to fine-tune some parameters, etc., to facilitate comparison operations. The parameters include image size, positioning calibration, etc.

本发明的一种手术刀尖热源成像系统,根据高频手术刀加热切割现象,利用热成像形式捕获手术刀尖热源点坐标,再结合数字图像处理技术,模拟手术环境和患者的图像系统,形成对应的可视化图像,并能实时持续动态追踪手术刀尖位置,将其显示在对应的图像系统中,以达到定位手术刀尖位置,辅助和引导医生进行手术操作,解决了新手或实习医生并不能准确判断患者的各组织器官位置的问题。A scalpel tip heat source imaging system of the present invention, according to the phenomenon of high-frequency scalpel heating and cutting, uses thermal imaging to capture the coordinates of the scalpel tip heat source point, and then combines digital image processing technology to simulate the surgical environment and the patient's image system to form Corresponding visual images, and can continuously and dynamically track the position of the scalpel tip in real time, and display it in the corresponding image system, so as to locate the position of the scalpel tip, assist and guide the doctor to perform the operation, and solve the problem that novices or interns cannot Accurately determine the location of various tissues and organs of the patient.

以上详细描述了本发明的较佳具体实施例。应当理解,本领域的普通技术人员无需创造性劳动就可以根据本发明的构思做出诸多修改和变化。因此,凡本技术领域中技术人员依本发明的构思在现有技术的基础上通过逻辑分析、推理或者有限的实验可以得到的技术方案,皆应在由权利要求书所确定的保护范围内。The preferred specific embodiments of the present invention have been described in detail above. It should be understood that those skilled in the art can make many modifications and changes according to the concept of the present invention without creative effort. Therefore, all technical solutions that can be obtained by those skilled in the art based on the concept of the present invention through logical analysis, reasoning or limited experiments on the basis of the prior art shall be within the scope of protection defined by the claims.

Claims (6)

1.一种手术刀尖热源成像系统,其特征在于,包括:1. A scalpel tip heat source imaging system, characterized in that it comprises: 整合处理CT图像的3D模型建立部分:通过收集和分析患者的多张CT扫描图,对扫描的CT图进行图像增强后,再将图像进行压缩编码,解码图像构造患者的3D模拟图像,以x、y、z三维数据存储,定义横轴为x,纵轴为y,竖轴为z,若(x,y,z)坐标点数据不为零时,即为患者某部位数据;Integrate and process the 3D model building part of CT images: by collecting and analyzing multiple CT scans of patients, image enhancement is performed on the scanned CT images, and then the images are compressed and coded, and the decoded images are constructed to construct a 3D simulation image of the patient. , y, z three-dimensional data storage, define the horizontal axis as x, the vertical axis as y, and the vertical axis as z. If the (x, y, z) coordinate point data is not zero, it is the data of a certain part of the patient; 手术刀尖捕捉部分:对发热手术刀进行捕捉,然后进行测量和计算,再利用图像处理技术定位手术刀中间点,即为手术刀尖位置,命名为(x,y,z);Scalpel tip capture part: capture the heated scalpel, then measure and calculate, and then use image processing technology to locate the middle point of the scalpel, which is the position of the scalpel tip, named (x, y, z); 图像标记显示部分:根据手术刀尖的坐标确定CT纵向扫描图后,对扫描图进行图像灰度处理,并在结合侧向位置和横向位置具体加深标注。Image marking display part: After determining the CT longitudinal scan image according to the coordinates of the scalpel tip, the image grayscale processing is performed on the scan image, and the marking is specifically deepened in combination with the lateral position and the transverse position. 2.如权利要求1所述的一种手术刀尖热源成像系统,其特征在于:所述手术刀尖位置的温度在100℃左右,以该温度的70%为界限点。2. A scalpel tip heat source imaging system according to claim 1, characterized in that: the temperature at the scalpel tip is around 100°C, with 70% of the temperature as the limit point. 3.如权利要求1所述的一种手术刀尖热源成像系统,其特征在于:所述手术刀尖捕捉部分以频率为50Hz对发热手术刀进行捕捉。3 . The imaging system for scalpel tip heat source according to claim 1 , wherein the scalpel tip capturing part captures the heating scalpel at a frequency of 50 Hz. 4 . 4.如权利要求1所述的一种手术刀尖热源成像系统,其特征在于,所述手术刀尖捕捉部分安装在在手术台右侧150cm位置。4. A scalpel tip heat source imaging system according to claim 1, wherein the scalpel tip capture part is installed at a position 150 cm to the right of the operating table. 5.如权利要求1所述的一种手术刀尖热源成像系统,其特征在于,所述利用图像处理技术定位手术刀中间点用到的图像处理技术包括但不限于:图像识别、红外、超声波。5. A scalpel tip heat source imaging system according to claim 1, wherein the image processing techniques used to locate the midpoint of the scalpel using image processing techniques include but are not limited to: image recognition, infrared, ultrasonic . 6.一种手术刀尖热源成像方法,其特征在于,实施步骤为:6. A scalpel tip heat source imaging method, characterized in that the implementation steps are: 第一步、以50HZ的刷新频率扫描热源成像,再根据已定阈值,判断手术刀尖位置,依照图像处理中的比对计算公式,确定其坐标(x,y,z);The first step is to scan the heat source image at a refresh rate of 50HZ, then judge the position of the scalpel tip according to the predetermined threshold, and determine its coordinates (x, y, z) according to the comparison calculation formula in image processing; 第二步、在已知坐标情况下,据其Y轴(纵向)坐标,将已进行图像处理的对应CT扫描图展示在显示系统中,并对扫描图进行增强;In the second step, in the case of known coordinates, according to its Y-axis (longitudinal) coordinates, the corresponding CT scan image that has been image-processed is displayed in the display system, and the scan image is enhanced; 第三步、据X(横向),Z(侧向)坐标在对应显示系统的图像中标示出来,为方便观察,图像可进行放大缩小。The third step is to mark out the X (horizontal) and Z (lateral) coordinates in the image corresponding to the display system. For the convenience of observation, the image can be zoomed in and out.
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