A precise method of marking pulmonary nodules based on body surface mesh and three-dimensional image reconstruction_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIU Yujian ¹ , YANG Sanhu ¹ , HUANG Lijun ¹ , JIANG Tao ¹ , YI Jiangpu ² , ZHANG Hao ¹ , LIU Xi ¹ ,  LI Xiaofei ¹ ,  WANG Lei ¹

1. Department of Thoracic Surgery, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, P.R.China;
2. Department of Ultrasound, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, P.R.China;

Corresponding author：

LI Xiaofei, Email: lxfchest@fmmu.edu.cn; WANG Lei, Email: tuodi1986@126.com

Keywords：

Small pulmonary nodules; body surface marking; thoracoscopic surgery; three-dimensional image reconstruction; treatment

DOI：

10.7507/1007-4848.202002089

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the safety and effectiveness of a precise marking method based on body surface mesh and three-dimensional (3D) image reconstruction.Methods We retrospectively analyzed the clinical data of 22 patients in our hospital from October 2018 to October 2019. There were 13 males and 9 females aged 58.5 (37-72) years. All patients underwent a precise marking of pulmonary nodules based on body surface mesh and 3D image reconstruction. Then, video-assisted thoracoscopic surgery (VATS) was performed to resect the nodules. The clinical data, including positioning success rate and operation time were analyzed.Results A total of 22 small pulmonary nodules were removed. The average diameter of small nodules was 12±3 mm, and the average distance from the visceral pleura was 17±6 mm. The localization success rate was 86.4%. The operation time was 110±43 min, and there was no surgery-related complication.Conclusion The method of marking pulmonary nodules based on body surface mesh and 3D image reconstruction is a safe and reliable technology, which reduces the risk of hemopneumothorax caused by CT-guided lung puncture.

Citation： LIU Yujian, YANG Sanhu, HUANG Lijun, JIANG Tao, YI Jiangpu, ZHANG Hao, LIU Xi, LI Xiaofei, WANG Lei. A precise method of marking pulmonary nodules based on body surface mesh and three-dimensional image reconstruction. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(10): 1168-1171. doi: 10.7507/1007-4848.202002089 Copy

1.	韩宝惠, 李凯, 周彩存, 等. 晚期非小细胞肺癌抗血管生成药物治疗中国专家共识(2019 版). 中国肺癌杂志, 2019, 22(7): 401-412.
2.	肖飞, 余其多, 张真榕, 等. 新型非实性肺小结节恶性概率预测模型的构建与验证. 中国肺癌杂志, 2019, 22(1): 26-33.
3.	Gu XM, Wang JY, Zhao J, <italic>et al</italic>. Segmentation and suppression of pulmonary vessels in low‐dose chest CT scans. Med Phys, 2019, 46(8): 3603-3614.
4.	华红伟, 倪裕丰, 王永杰, 等. 低剂量螺旋 CT 对肺癌高危人群早期筛查的临床研究. 实用癌症杂志, 2016, 31(4): 558-560, 563.
5.	Park CH, Han K, Hur J, <italic>et al</italic>. Comparative effectiveness and safety of preoperative lung localization for pulmonary nodules: a systematic review and meta-analysis. Chest, 2017, 151(2): 316-328.
6.	肺小结节术前辅助定位技术专家共识(2019 版)专家组. 肺小结节术前辅助定位技术专家共识(2019 版). 中国胸心血管外科临床杂志, 2019, 26(2): 109-113.
7.	李何子, 汪天虎. 肺结节的外科治疗策略. 重庆医学, 2019, 48(2): 181-185.
8.	Huang HZ, Wang GZ, Xu LC, <italic>et al</italic>. CT-guided Hookwire localization before video-assisted thoracoscopic surgery for solitary ground-glass opacity dominant pulmonary nodules: radiologic-pathologic analysis. Oncotarget, 2017, 8(64): 108118-108129.
9.	Rostambeigi N, Scanlon P, Flanagan S, <italic>et al</italic>. CT fluoroscopic-guided coil localization of lung nodules prior to video-assisted thoracoscopic surgical resection reduces complications compared to hook wire localization. J Vasc Interv Radiol, 2019, 30(3): 453-459.
10.	Yun GS. Comparison of hook wire versus coil localization for video‐assisted thoracoscopic surgery. Thorac Cancer, 2018, 9(3): 384-389.
11.	叶贱辉, 刘金生, 钟荣明, 等. 孤立性肺小结节术前 CT 引导下染色定位的临床应用. 临床医药实践, 2017, 26(4): 243-245.
12.	Zhou G, Chen XQ, Niu BD, <italic>et al</italic>. Intraoperative localization of small pulmonary nodules to assist surgical resection: A novel approach using a surgical navigation puncture robot system. Thorac Cancer, 2020, 11(1): 72-81.

1. 韩宝惠, 李凯, 周彩存, 等. 晚期非小细胞肺癌抗血管生成药物治疗中国专家共识(2019 版). 中国肺癌杂志, 2019, 22(7): 401-412.
2. 肖飞, 余其多, 张真榕, 等. 新型非实性肺小结节恶性概率预测模型的构建与验证. 中国肺癌杂志, 2019, 22(1): 26-33.
3. Gu XM, Wang JY, Zhao J, <italic>et al</italic>. Segmentation and suppression of pulmonary vessels in low‐dose chest CT scans. Med Phys, 2019, 46(8): 3603-3614.
4. 华红伟, 倪裕丰, 王永杰, 等. 低剂量螺旋 CT 对肺癌高危人群早期筛查的临床研究. 实用癌症杂志, 2016, 31(4): 558-560, 563.
5. Park CH, Han K, Hur J, <italic>et al</italic>. Comparative effectiveness and safety of preoperative lung localization for pulmonary nodules: a systematic review and meta-analysis. Chest, 2017, 151(2): 316-328.
6. 肺小结节术前辅助定位技术专家共识(2019 版)专家组. 肺小结节术前辅助定位技术专家共识(2019 版). 中国胸心血管外科临床杂志, 2019, 26(2): 109-113.
7. 李何子, 汪天虎. 肺结节的外科治疗策略. 重庆医学, 2019, 48(2): 181-185.
8. Huang HZ, Wang GZ, Xu LC, <italic>et al</italic>. CT-guided Hookwire localization before video-assisted thoracoscopic surgery for solitary ground-glass opacity dominant pulmonary nodules: radiologic-pathologic analysis. Oncotarget, 2017, 8(64): 108118-108129.
9. Rostambeigi N, Scanlon P, Flanagan S, <italic>et al</italic>. CT fluoroscopic-guided coil localization of lung nodules prior to video-assisted thoracoscopic surgical resection reduces complications compared to hook wire localization. J Vasc Interv Radiol, 2019, 30(3): 453-459.
10. Yun GS. Comparison of hook wire versus coil localization for video‐assisted thoracoscopic surgery. Thorac Cancer, 2018, 9(3): 384-389.
11. 叶贱辉, 刘金生, 钟荣明, 等. 孤立性肺小结节术前 CT 引导下染色定位的临床应用. 临床医药实践, 2017, 26(4): 243-245.
12. Zhou G, Chen XQ, Niu BD, <italic>et al</italic>. Intraoperative localization of small pulmonary nodules to assist surgical resection: A novel approach using a surgical navigation puncture robot system. Thorac Cancer, 2020, 11(1): 72-81.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

A precise method of marking pulmonary nodules based on body surface mesh and three-dimensional image reconstruction

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