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Developments of 3D Virtual Visualization and 3D Printing Models Based on MR Images for Supporting Uterine Removal Surgery

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Title

Developments of 3D Virtual Visualization and 3D Printing

Models Based on MR Images for Supporting Uterine Removal

Surgery( 内容と審査の要旨(Summary) )

Author(s)

SAYED AHMAD ZIKRI BIN SAYED ALUWEE

Report No.(Doctoral

Degree)

博士(再生医科学) 甲第1058号

Issue Date

2018-03-20

Type

博士論文

Version

none

URL

http://hdl.handle.net/20.500.12099/75268

※この資料の著作権は、各資料の著者・学協会・出版社等に帰属します。

(2)

 Ặྡ㸦ᮏ⡠㸧  Ꮫ ఩ ࡢ ✀ 㢮  Ꮫ఩ᤵ୚␒ྕ  Ꮫ఩ᤵ୚᪥௜  Ꮫ఩ᤵ୚せ௳  Ꮫ఩ㄽᩥ㢟┠  ᑂ ᰝ ጤ ဨ

SAYED AHMAD ZIKRI BIN SAYED ALUWEE㸦࣐࣮ࣞࢩ࢔㸧 ༤ ኈ㸦෌⏕་⛉Ꮫ㸧

⏥➨ ྕ

ᖹᡂ ᖺ ᭶ ᪥ Ꮫ఩つ๎➨㸲᮲➨㸯㡯ヱᙜ

Developments of 3D Virtual Visualization and 3D Printing Models Based on MR Images for Supporting Uterine Removal Surgery

㸦Ꮚᐑ᦬ฟᡭ⾡ᨭ᥼ࡢࡓࡵࡢ MR ⏬ീ࡟ᇶ࡙ࡃ㸱ḟඖ௬᝿⾲♧࡜㸱D ࣉࣜ ࣥࢱ࣮ࣔࢹࣝࡢ㛤Ⓨ㸧 㸦୺ᰝ㸧ᩍᤵ ฟཱྀ 㝯 㸦๪ᰝ㸧ᩍᤵ ᑠ಴ ┿἞ ᩍᤵ ⣖ࣀᐃಖ⮧ ㄽ ᩥ ෆ ᐜ ࡢ せ ᪨ ࠙⥴ゝ࣭┠ⓗࠚ Ꮚᐑ➽⭘ࡢᝈ⪅ᩘࡣከࡃ㸪Ⰻᛶ⭘⒆ࡸ⒴࡞࡝ࡢᏊᐑ⑓ኚࢆ἞⒪ࡍࡿࡓࡵ࡟㸪እ⛉ᡭ⾡ࡀࡼࡃ⾜ࢃ ࢀࡿࠋ⾡๓ィ⏬࡛ࡣ㸪ᝈ⪅ࡢゎ๗ᵓ㐀࠾ࡼࡧ⑓ኚ᝟ሗࢆ 05 ⏬ീ࠿ࡽ☜ㄆࡍࡿࡇ࡜ࡀᚲせ࡛࠶ࡿࠋ⏬ ീ࡟ࡼࡿ☜ㄆసᴗ࡟࠾࠸࡚㸪እ⛉་ࡀࢥࣥࣆ࣮ࣗࢱࡢ⏬㠃ୖ࡟⾲♧ࡉࢀࡿ኱㔞ࡢ㸰ḟඖ㸦'㸧᩿ᒙ ⏬ീࢆほᐹࡋ࡚㸪ᮏ᮶㸱ḟඖ࡛࠶ࡿேయ᝟ሗ㸦⑓ኚ㒊఩࡜ᝈ⪅ࡢ≉᭷࡞ゎ๗Ꮫⓗᵓ㐀㸧ࢆ₃ࢀ࡞ࡃ ㄆ㆑࣭ィ ࡍࡿࡇ࡜࡟ከࡃࡢ᫬㛫࡜ປຊࢆせࡍࡿࠋࡑࡢࡓࡵ࡟㸪ࢥࣥࣆ࣮ࣗࢱ࡟ࡼࡗ࡚ 05 ⏬ീ࠿ࡽ ᭷⏝࡞ᝈ⪅᝟ሗࢆ஦๓࡟ᢳฟࡋ㸪እ⛉་ࡀ┤ឤⓗ࡟☜ㄆ࡛ࡁࡿࢥࣥࣆ࣮ࣗࢱ࣭࣮ࣘࢨ࣮࢖ࣥࢱࣇ࢙ ࣮ࢫࡢ㛤Ⓨ㸪࠶ࡿ࠸ࡣ㧗⢭ᗘ࡞ᝈ⪅ᶍᆺࡢ〇సࡀ኱ࡁࡃᮇᚅࡉࢀ࡚࠸ࡿࠋᮏ◊✲ࡢ┠ⓗࡣ㸪Ꮚᐑࡢ እ⛉ᡭ⾡ィ⏬ࢆຠ⋡ⓗ࡟ࢧ࣏࣮ࢺࡍࡿᡭἲࡢᥦ᱌࡛࠶ࡿࠋලయⓗ࡟ࡣ㸪05 ⏬ീ࠿ࡽእ⛉ᡭ⾡࡟ᚲせ ࡞⑓ኚ࠾ࡼࡧゎ๗᝟ሗࡢᢳฟ㸪ᝈ⪅࡟ᅛ᭷࡞ゎ๗ᵓ㐀ࢆ⾲ࡍᐇᶍᆺࡢ⢭ᐦ࡞㐀ᙧ࡟㛵ࡍࡿᢏ⾡ࢆᥦ ᱌࣭㛤Ⓨࡋ㸪⮫ᗋ࡛ࡢᐇ౛ࢆ⏝࠸࡚ᥦ᱌ἲࡢ᭷ຠᛶࢆ☜ㄆࡍࡿࠋᮏ◊✲࡛ࡣ㸪እ⛉ᡭ⾡ࡢィ⏬࡟Ꮡ ᅾࡍࡿ୕ࡘࡢㄢ㢟㸸㸯㸧እ⛉་࡟ࡼࡿ 05 ⏬ീㄞᙳࡢຠ⋡ᛶࡢྥୖ㸪㸰㸧ࢥࣥࣆ࣮ࣗࢱ࡟౫Ꮡࡋ࡞࠸ ᝈ⪅ࡢᅛ᭷࡞ゎ๗ᵓ㐀ࡢཧ↷㸪㸱㸧⑓ኚࡢᗄఱᏛ࡞≉ᚩ࡜࿘㎶⤌⧊ࡲ࡛ࡢ㊥㞳ࡢឤぬࡢ⋓ᚓ࡟╔┠ ࡋ࡚㸪ゎỴἲࢆᥦ᱌ࡍࡿࠋ  ࠙ᑐ㇟࡜᪉ἲࠚ ᮏ◊✲࡛ࡣ㸪➨  ࡢㄢ㢟࡟ᑐࡋ࡚ࡣ㸪㧗ᗘ࡞⏬ീฎ⌮࡜  ḟඖࢢࣛࣇ࢕ࢵࢡࢫ࢖ࣥࢱ࣮ࣇ࢙࢖ࢫ ࢆ⤫ྜࡋ㸪05 ⏬ീ࡟࠾ࡅࡿゎ๗ᵓ㐀ࡢᢳฟฎ⌮࡜㸱ḟඖ⏬ീࡢྍど໬ࢆ⤫ྜࡋࡓࢥࣥࣆ࣮ࣗࢱࢩࢫ ࢸ࣒ࢆ㛤Ⓨࡋࡓ㸦➨㸰❶㸧ࠋ➨㸰ࡢㄢ㢟࡟ᑐࡋ࡚ࡣ㸪ᮏ◊✲ࡣ ' ࣉࣜࣥࢱ࣮ࢆά⏝ࡋ࡚⢭ᐦ࡞ᝈ⪅ ᶍᆺ㸦ࣔࢹࣝ࡜࿧ࡪ㸧ࢆ⏕ᡂࡋ㸪ᝈ⪅ࡢ⑓ኚ㒊࠾ࡼࡧᅛ᭷࡞ゎ๗ᵓ㐀ࢆᛅᐇ࡟෌⌧ࡍࡿ᪉ἲࢆᥦ᱌ ࡋࡓࠋ㏱᫂࠿ࡘேయ⤌⧊࡜ྠࡌ⛬ᗘࡢᰂ㌾࡞ᮦᩱࢆ⏝࠸࡚㸪ᝈ⪅ࡢᏊᐑ࿘㎶ᵓ㐀ࢆ⢭ᐦ࡟෌⌧ࡍࡿ ᢏ⾡ࢆᐇ⌧ࡋࡓ㸦➨㸱❶㸧ࠋ➨㸱ࡢㄢ㢟࡟ᑐࡋ࡚ࡣ㸪ࣔࢹࣝࡢ᭷⏝ᛶࢆእ⛉་࡜ᝈ⪅ࡢ୧᪉࠿ࡽ᳨ド ࡋࡓࠋᥦ᱌᪉ἲࢆ฼⏝࠸࡚㸪」ᩘࡢࣔࢹࣝࢆ⏕ᡂࡋࡓࠋᐇ㝿ࡢእ⛉ᡭ⾡࡟㐺⏝ࡋ࡚㸪ࣔࢹࣝࡢ᭷⏝ ᛶࢆホ౯ࡋࡓ㸦➨㸲❶㸧ࠋᮏ◊✲࡛ࡣ  ౛ࡢᝈ⪅㸦Ꮚᐑ➽⭘ࢆ᭷ࡍࡿ  ேࡢᝈ⪅㸪ṇᖖ࡞Ꮚᐑ࠾ࡼ ࡧ༸ᕢࡀࢇࢆ᭷ࡍࡿ  ேࡢᝈ⪅㸪⤌⧊Ꮫⓗ࡟ド᫂ࡉࢀࡓᏊᐑෆ⭷⒴ࢆ᭷ࡍࡿ  ேࡢᝈ⪅㸧ࢆᐇ㦂ࡢ ᑐ㇟࡜ࡋࡓࠋࣔࢹࣝࡢ⢭ᗘࢆホ౯ࡍࡿࡓࡵ࡟㸪ྛᝈ⪅ࡢ 05㸦7ZHLJKWHG㸧⏬ീ࠿ࡽ ᐃࡉࢀࡓゎ ๗ᵓ㐀࠾ࡼࡧ⑓ኚ࡞࡝ࡢᗄఱᏛⓗ᝟ሗ࡜㸪&7 ᧜ᙳ࡟ࡼࡗ࡚ ᐃࡋࡓࣔࢹࣝࡢ᝟ሗࢆẚ㍑ࡋࡓࠋࡲࡓ㸪

(3)

᦬ฟࡉࢀࡓᏊᐑࡢᶆᮏ࡜⏕ᡂࡉࢀࡓᶍᆺࢆ┤᥋㸪 ᐃ࣭ẚ㍑ࡋࡓࠋ᭱ᚋ࡟㸪ᮏ◊✲࡛ࡣ㸳౛ࡢᏊᐑ ᡭ⾡࡟ᑐࡋ࡚㸪⾡๓࡟ྛᝈ⪅ࡢࣔࢹࣝࢆసᡂࡋ㸪ᡭ⾡ィ⏬࠾ࡼࡧᝈ⪅ㄝ᫂࡟౑⏝ࡋࡓࠋࡑࡋ࡚㸪ࡇ ࢀࡽࡢ⤖ᯝ࡟ᇶ࡙࠸࡚ࣔࢹࣝࡢ᭷⏝ᛶࢆ⥲ྜⓗ࡟ホ౯ࡋࡓࠋ  ࠙⤖ᯝ࣭⪃ᐹࠚ ᮏ◊✲࡛㛤Ⓨࡋࡓࢩࢫࢸ࣒ࢆ⏝࠸ࡓ 05 ⏬ീࡢ㸱ḟඖྍど໬ࡣ㸪' ࢫࣛ࢖ࢫ⏬ീ࡟ࡼࡿᚑ᮶ࡢ 05 ⏬ീㄞᙳࡼࡾࡶ㧗࠸฼౽ᛶࢆ♧ࡍࡇ࡜ࢆ☜ㄆࡋࡓ㸦➨㸰❶㸧ࠋ⏕ᡂࡋࡓࣔࢹࣝࡣࢥࣥࣆ࣮ࣗࢱࡢ୰ࡢ ௬᝿✵㛫࡛⾲♧ࡉࢀࡿ '' ⏬ീࡼࡾ㸪ᝈ⪅ࡢゎ๗Ꮫⓗᵓ㐀ࡢᢕᥱ࡟᭷฼࡛࠶ࡿࡇ࡜ࢆ☜ㄆࡋࡓ㸦➨ 㸱❶㸧ࠋᝈ⪅ࡢ 05 ⏬ീୖ࡛ ᐃࡋࡓᏊᐑయ࡜⏕ᡂࡋࡓࣔࢹࣝࡢ⾲㠃࡟ࡣ㸪⣙sPP ࡢㄗᕪࡀぢࡽ ࢀࡓࡀ㸪ࡑࡢㄗᕪࡣᐇ㝿ࡢᡭ⾡ィ⏬࡟ၥ㢟࡛ࡣ࡞࠸ࠋ ࡘࡢእ⛉ᡭ⾡ࡢእ⛉་࡜ᝈ⪅࠿ࡽࡢホ౯࡛ ࡣ㸪⾡๓ィ⏬ࡢࡓࡵࡢ⏕ᡂࡋࡓࣔࢹࣝࡢ᭷⏝ᛶ࡜฼౽ᛶࡀᐇドࡉࢀࡓ㸦➨㸲❶㸧ࠋࡉࡽ࡟㸪ᮏ◊✲࡛ ⏕ᡂࡋࡓᏊᐑࣔࢹࣝ࡟ࡣపࢥࢫࢺࡢᮦᩱࡀ౑⏝ࡉࢀ㸪እ⛉ᡭ⾡ィ⏬࡬ࡢ኱つᶍ࡞ᛂ⏝ࡀᮇᚅ࡛ࡁࡿࠋ  ࠙⤖ㄽࠚ ᮏ◊✲࡛ࡣ㸪㧗ᗘ࡞ࢥࣥࣆ࣮ࣗࢱ࠾ࡼࡧ ' ࣉࣜࣥࢱ࣮ࡢ㐀ᙧᢏ⾡࡟ᇶ࡙࠸࡚㸪Ꮚᐑࡢእ⛉ᡭ⾡ࡢ ィ⏬ࢆᨭ᥼ࡍࡿࡓࡵࡢ࢔ࣉ࣮ࣟࢳࡀᥦ᱌ࡉࢀࡓࠋ ࡘࡢᏊᐑᡭ⾡࡟㐺⏝ࡋࡓ⤖ᯝ࠿ࡽ㸪⏕ᡂࡋࡓ ' ࣔࢹࣝࡀ⾡๓ィ⏬࡟᭷⏝࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓࠋࡲࡓ㸪་ᖌ࠿ࡽᝈ⪅࡬ࡢㄝ᫂࡟ࡶ᭷⏝࡛࠶ࡿࡇ࡜ ࡀ♧၀ࡉࢀࡓࠋࡇࢀࡽࡢ◊✲⤖ᯝࡀ♧ࡍࡼ࠺࡟㸪05 ⏬ീ࡟ᇶ࡙ࡃゎ๗ᵓ㐀ࡢ㸱ḟඖྍど໬࡜㧗ᗘ࡞ ' ࣉࣜࣥࢺᶍᆺࡢ⏕ᡂ࡜࠸࠺◊✲┠ⓗࡀ㐩ᡂࡉࢀ㸪Ꮚᐑᡭ⾡ࡢᨭ᥼࡬ࡢ᭷ຠᛶࡀ♧ࡉࢀࡓࠋ   ㄽ ᩥ ᑂ ᰝ ࡢ ⤖ ᯝ ࡢ せ ᪨

⏦ㄳ⪅ SAYED AHMAD ZIKRI BIN SAYED ALUWEE ࡣ㸪Ꮚᐑ➽⭘ᝈ⪅࡟࠾࠸࡚Ꮚᐑࡢ 05, ⏬ീ࠿ࡽࡢ㸱ḟඖྍど໬࡜㸱' ࣉࣜࣥࢱ࣮ࢆ⏝࠸ࡓ⢭ᐦ࡞⮚ჾᶍᆺࡢసᡂࡀᏊᐑ➽⭘ࡢ⾡๓ࡢゎ๗ Ꮫⓗᵓ㐀ࡢᢕᥱ࡟᭷⏝࡛࠶ࡿࡇ࡜ࢆ♧ࡋࡓࠋᮏ◊✲ࡢᡂᯝࡣ㸪Ꮚᐑ᦬㝖⾡࡞ࡽࡧ࡟Ꮚᐑ➽⭘᦬㝖⾡ ࢆᏳ඲࡟⾜࠺ࡓࡵࡢ⾡๓ࢥࣥࣆ࣮ࣗࢱᨭ᥼デ᩿ࢩࢫࢸ࣒ࡢ㐍Ṍ࡟ᑡ࡞࠿ࡽࡎᐤ୚ࡍࡿࡶࡢ࡜ㄆࡵࡿࠋ

㹙୺ㄽᩥබ⾲ㄅ㹛

1) Sayed Aluwee S.A.Z.B, Zhou X, Kato H, Makino H, Muramatsu C, Hara T, Matsuo M, Fujita H: Evaluation of pre-surgical models for uterine surgery by use of three-dimensional printing and mold casting, Radiological Physics and Technology, 10, 279-285. DOI: 10.1007/s12194-017-0397-2 (2017).

2) Sayed Aluwee S.A.Z.B, Ito H, Zhou X, Kato H, Makino H, Hara T, Matsuo M, Fujita H: Patient-specific model generation by using 3D printing and its application to surgical planning of uterine fibroid removal, IEICE Technical Report, 116, No.160, MI2016-35, 1-4 (2016).

3) Sayed Aluwee S.A.Z.B, Kato H, Zhou X, Hara T, Fujita H, Kanematsu M, Furui T, Yano R, Miyai N, Morishige K: Magnetic resonance imaging of uterine fibroids: a preliminary investigation into the usefulness of 3D-rendered images for surgical planning, SpringerPlus, 4, 384-392. DOI: 10.1186/s40064-015-1170-9 (2015).

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