Abstract:

Application of digital intelligent diagnostic and treatment technology in anatomical hepatectomy        FANG Chi-hua*, HU Hao-yu, LIU Yun-yi, et al. *No. 1 Department of Hepatobiliary Surgery, Zhujiang Hospital of Southern Medical University, Guangzhou 510280, China
Corresponding author: FANG Chi-hua, E-mail: fangch_dr@163.com
Abstract    Digital intelligent diagnostic and treatment technology refers to a novel technology which is based by associating digitalized and intelligent high-tech with modern science to form a multi-knowledge and multi-disciplinary domain; it includes three-dimensional visualization, 3D printing, molecular fluorescence imaging, mixed reality, photoacoustic imaging, artificial intelligence- radiomics and real-time multimodal image surgical navigation. It plays a significant role in precision diagnosis, preoperative planning and intraoperative navigation of diseases. The authors’ team, combining digital intelligent technology with the actual vascular distribution of patients, has been committed to the realization of individualized liver segmentation, volume calculation, simulation surgery, preoperative planning, mixed reality, tumor boundary definition and real-time image fusion for navigation in liver surgery. The research results were applied clinically, and achieved anatomical, functional, and radical hepatectomy for liver tumors.

Key words: digital intelligence, liver segmentation, live volume calculation, anatomical hepatectomy, functional hepatectomy, radical hepatectomy, navigation surgery

摘要：

数字智能化诊疗技术是以数字智能化高新技术和现代医学交叉结合为基础，涵盖多领域和多学科知识而形成的新型诊疗技术（包括三维可视化、3D打印、分子荧光成像、混合现实、光声成像、人工智能-影像组学和多模态图像实时手术导航等），为实现疾病的精确诊断、精准术前规划及术中导航等发挥了重要作用。南方医科大学珠江医院运用数字智能化技术，根据病人实际的血管分布进行研究，致力于个体化肝分段、体积计算、仿真手术、术前规划、混合现实、肿瘤边界界定和图像实时融合导航肝切除术等的研究，并运用于临床实践，最终实现了肝脏肿瘤解剖性、功能性、根治性肝切除术。

关键词: 数字智能化, 肝分段, 肝体积计算, 解剖性肝切除术, 功能性肝切除术, 根治性肝切除术, 导航手术