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。Ặྡ㸦ᮏ⡠㸧 Ꮫ ࡢ ✀ 㢮 Ꮫᤵ␒ྕ Ꮫᤵ᪥ Ꮫᤵせ௳ Ꮫㄽᩥ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Ꮚᐑฟᡭ⾡ᨭࡢࡓࡵࡢ 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⒴࡞ࡢᏊᐑኚࢆ⒪ࡍࡿࡓࡵ㸪እ⛉ᡭ⾡ࡀࡼࡃ⾜ࢃ ࢀࡿࠋ⾡๓ィ⏬࡛ࡣ㸪ᝈ⪅ࡢゎ๗ᵓ㐀࠾ࡼࡧኚሗࢆ 05 ⏬ീࡽ☜ㄆࡍࡿࡇࡀᚲせ࡛࠶ࡿࠋ⏬ ീࡼࡿ☜ㄆసᴗ࠾࠸࡚㸪እ⛉་ࡀࢥࣥࣆ࣮ࣗࢱࡢ⏬㠃ୖ⾲♧ࡉࢀࡿ㔞ࡢ㸰ḟඖ㸦'㸧᩿ᒙ ⏬ീࢆほᐹࡋ࡚㸪ᮏ᮶㸱ḟඖ࡛࠶ࡿேయሗ㸦ኚ㒊ᝈ⪅ࡢ≉᭷࡞ゎ๗Ꮫⓗᵓ㐀㸧ࢆ₃ࢀ࡞ࡃ ㄆ㆑࣭ィ ࡍࡿࡇከࡃࡢ㛫ປຊࢆせࡍࡿࠋࡑࡢࡓࡵ㸪ࢥࣥࣆ࣮ࣗࢱࡼࡗ࡚ 05 ⏬ീࡽ ᭷⏝࡞ᝈ⪅ሗࢆ๓ᢳฟࡋ㸪እ⛉་ࡀ┤ឤⓗ☜ㄆ࡛ࡁࡿࢥࣥࣆ࣮ࣗࢱ࣭࣮ࣘࢨ࣮ࣥࢱࣇ࢙ ࣮ࢫࡢ㛤Ⓨ㸪࠶ࡿ࠸ࡣ㧗⢭ᗘ࡞ᝈ⪅ᶍᆺࡢ〇సࡀࡁࡃᮇᚅࡉࢀ࡚࠸ࡿࠋᮏ◊✲ࡢ┠ⓗࡣ㸪Ꮚᐑࡢ እ⛉ᡭ⾡ィ⏬ࢆຠ⋡ⓗࢧ࣏࣮ࢺࡍࡿᡭἲࡢᥦ࡛࠶ࡿࠋලయⓗࡣ㸪05 ⏬ീࡽእ⛉ᡭ⾡ᚲせ ࡞ኚ࠾ࡼࡧゎ๗ሗࡢᢳฟ㸪ᝈ⪅ᅛ᭷࡞ゎ๗ᵓ㐀ࢆ⾲ࡍᐇᶍᆺࡢ⢭ᐦ࡞㐀ᙧ㛵ࡍࡿᢏ⾡ࢆᥦ ࣭㛤Ⓨࡋ㸪⮫ᗋ࡛ࡢᐇࢆ⏝࠸࡚ᥦἲࡢ᭷ຠᛶࢆ☜ㄆࡍࡿࠋᮏ◊✲࡛ࡣ㸪እ⛉ᡭ⾡ࡢィ⏬Ꮡ ᅾࡍࡿ୕ࡘࡢㄢ㢟㸸㸯㸧እ⛉་ࡼࡿ 05 ⏬ീㄞᙳࡢຠ⋡ᛶࡢྥୖ㸪㸰㸧ࢥࣥࣆ࣮ࣗࢱ౫Ꮡࡋ࡞࠸ ᝈ⪅ࡢᅛ᭷࡞ゎ๗ᵓ㐀ࡢཧ↷㸪㸱㸧ኚࡢᗄఱᏛ࡞≉ᚩ࿘㎶⤌⧊ࡲ࡛ࡢ㊥㞳ࡢឤぬࡢ⋓ᚓ╔┠ ࡋ࡚㸪ゎỴἲࢆᥦࡍࡿࠋ ࠙ᑐ㇟᪉ἲࠚ ᮏ◊✲࡛ࡣ㸪➨ ࡢㄢ㢟ᑐࡋ࡚ࡣ㸪㧗ᗘ࡞⏬ീฎ⌮ ḟඖࢢࣛࣇࢵࢡࢫࣥࢱ࣮ࣇ࢙ࢫ 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㸦ࣔࢹࣝࡪ㸧ࢆ⏕ᡂࡋ㸪ᝈ⪅ࡢኚ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⪅ࡢ୧᪉ࡽ᳨ド ࡋࡓࠋᥦ᪉ἲࢆ⏝࠸࡚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࠾ࡼࡧኚ࡞ࡢᗄఱᏛⓗሗ㸪&7 ᙳࡼࡗ࡚ ᐃࡋࡓࣔࢹࣝࡢሗࢆẚ㍑ࡋࡓࠋࡲࡓ㸪
ฟࡉࢀࡓᏊᐑࡢᶆᮏ⏕ᡂࡉࢀࡓᶍᆺࢆ┤᥋㸪 ᐃ࣭ẚ㍑ࡋࡓࠋ᭱ᚋ㸪ᮏ◊✲࡛ࡣ㸳ࡢᏊᐑ ᡭ⾡ᑐࡋ࡚㸪⾡๓ྛᝈ⪅ࡢࣔࢹࣝࢆసᡂࡋ㸪ᡭ⾡ィ⏬࠾ࡼࡧᝈ⪅ㄝ᫂⏝ࡋࡓࠋࡑࡋ࡚㸪ࡇ ࢀࡽࡢ⤖ᯝᇶ࡙࠸࡚ࣔࢹࣝࡢ᭷⏝ᛶࢆ⥲ྜⓗホ౯ࡋࡓࠋ ࠙⤖ᯝ࣭⪃ᐹࠚ ᮏ◊✲࡛㛤Ⓨࡋࡓࢩࢫࢸ࣒ࢆ⏝࠸ࡓ 05 ⏬ീࡢ㸱ḟඖྍどࡣ㸪' ࢫࣛࢫ⏬ീࡼࡿᚑ᮶ࡢ 05 ⏬ീㄞᙳࡼࡾࡶ㧗࠸౽ᛶࢆ♧ࡍࡇࢆ☜ㄆࡋࡓ㸦➨㸰❶㸧ࠋ⏕ᡂࡋࡓࣔࢹࣝࡣࢥࣥࣆ࣮ࣗࢱࡢ୰ࡢ ௬✵㛫࡛⾲♧ࡉࢀࡿ '' ⏬ീࡼࡾ㸪ᝈ⪅ࡢゎ๗Ꮫⓗᵓ㐀ࡢᢕᥱ᭷࡛࠶ࡿࡇࢆ☜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᭷⏝ᛶ౽ᛶࡀᐇドࡉࢀࡓ㸦➨㸲❶㸧ࠋࡉࡽ㸪ᮏ◊✲࡛ ⏕ᡂࡋࡓᏊᐑࣔࢹࣝࡣపࢥࢫࢺࡢᮦᩱࡀ⏝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⏬ࢆᨭࡍࡿࡓࡵࡢࣉ࣮ࣟࢳࡀᥦࡉࢀࡓࠋ ࡘࡢᏊᐑᡭ⾡㐺⏝ࡋࡓ⤖ᯝࡽ㸪⏕ᡂࡋࡓ ' ࣔࢹࣝࡀ⾡๓ィ⏬᭷⏝࡛࠶ࡿࡇࡀ♧ࡉࢀࡓࠋࡲࡓ㸪་ᖌࡽᝈ⪅ࡢㄝ᫂ࡶ᭷⏝࡛࠶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ࡢᨭࡢ᭷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᭷⏝࡛࠶ࡿࡇࢆ♧ࡋࡓࠋᮏ◊✲ࡢᡂᯝࡣ㸪Ꮚᐑ㝖⾡࡞ࡽࡧᏊᐑ➽⭘㝖⾡ ࢆᏳ⾜࠺ࡓࡵࡢ⾡๓ࢥࣥࣆ࣮ࣗࢱᨭデ᩿ࢩࢫࢸ࣒ࡢ㐍Ṍᑡ࡞ࡽࡎᐤࡍࡿࡶࡢㄆࡵࡿࠋ
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).