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MSCT图像后处理技术在法医学中的应用与展望OA

Application and Prospects of MSCT Image Post-processing Technology in Forensic Medicine

中文摘要英文摘要

近年来,法医虚拟解剖技术快速发展,多层螺旋CT(multi-slice spiral CT,MSCT)已逐渐成为法医检验鉴定的重要辅助手段.与此同时,MSCT图像后处理技术在法医病理学、法医临床学和法医人类学等方面也得到广泛应用.MSCT图像后处理技术种类繁多,法医检验人员需要了解、掌握多种技术的优势与不足,从而更有针对性地选择处理方法,以达到理想的观察效果.实践表明,根据观测对象的不同,选择合适的后处理技术,能够更加全面、客观地显示目标图像,有助于减少漏诊及误诊,从而提高目标检出率与检准率.本文对现有的图像后处理技术进行概述,着重介绍多平面重建(multiplanar reformation,MPR)、容积再现(volume rendering,VR)、曲面重建(curved planar reformation,CPR)、表面阴影遮盖(shaded surface display,SSD)、最大密度投影(maximum intensity projection,MIP)等几种常用后处理技术的优缺点及目前的应用情况,为相关工作提供技术参考.

In recent years,with the rapid development of forensic virtual anatomy technology,MSCT(multi-slice computed tomography)has gradually become an important auxiliary means of forensic examination.Concurrently,MSCT image post-processing technology has also gained widespread application in forensic pathology,clinical forensic medicine,and forensic anthropology.Image post-processing technology can transform digital images into more understandable and valuable information that is easier to comprehend and apply.It can also enable the accurate measurement of the length,angle,volume,area,CT values,and other parameters of the target part,which provides technical support for the evolution of expertise from an empirical discipline based on subjective experience to digital medicine based on objective data.Because MSCT image post-processing technologies are diverse,forensic personnel need to understand their advantages and disadvantages.They should then choose the most suitable method to achieve the best results.Practice has shown that,depending on the different observation objectives,selecting the most appropriate post-processing technology can display the target image more comprehensively and objectively.This can help to reduce missed diagnoses and misdiagnoses,thereby improving the detection and accuracy rates.In this paper,the existing image post-processing techniques are summarized,and the advantages,disadvantages and current application situations of MPR(multi-planar reconstruction),VR(volume rendering),CPR(curved planar reconstruction),SSD(shaded surface display),and MIP(maximum intensity projection)are introduced to provide technical references for related work.In daily work,MPR and VR are most frequently used.MPR is highly authentic,VR has a high data utilization,and both most closely conform to visual effects.The other post-processing techniques also have their own advantages,and it is recommended to select and use them in combination according to the characteristics of the target part.Although image post-processing technology has many advantages,it also has some limitations.Its detection rate for soft tissue injuries and hemorrhages is slightly weak,so sometimes it needs to be combined with MRI examinations or autopsies.

谢杨;李朋瑞;董庆;朱胜银;李建军;杨超朋

北京铁路公安局石家庄公安处刑事技术支队,石家庄 050000北京铁路公安局石家庄公安处刑事技术支队,石家庄 050000济南市公安局物证鉴定处,济南 250000山东东昌司法鉴定中心,山东聊城 252000石家庄市公安局物证鉴定所,石家庄 050000公安部鉴定中心,北京 100038

社会科学

法医学法医影像学虚拟解剖MSCTCT图像后处理技术

forensic medicineforensic imagingvirtual anatomyMSCTCT image post-processing technology

《刑事技术》 2026 (1)

76-83,8

公安部刑事技术"双十计划"攻关项目中央级公益性科研院所基本科研业务费专项资金项目(2021JB001)河北省法医学重点实验室开放性课题(KF202102)

10.16467/j.1008-3650.2024.0097

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