Detection of cephalopelvic disproportion using a virtual reality model: A feasibility study of three cases

被引：7

作者：

Ami, O. ^{[1
,2
,3
,4
]}

Chabrot, P. ^{[2
]}

Jardon, K. ^{[1
]}

Rocas, D. ^{[1
]}

Delmas, V. ^{[3
]}

Boyer, L. ^{[2
]}

Mage, G. ^{[1
]}

机构：

[1] Univ Auvergne Clermont 1, CHU Clermont Ferrand, Polyclin Hotel Dieu, Serv Gynecol Obstet & Med Reprod, F-63058 Clermont Ferrand 1, France

[2] Univ Auvergne Clermont 1, CHU Clermont Ferrand, Serv Radiol B, UFR Med,ERIM EA 3295, F-63000 Clermont Ferrand, France

[3] Univ Paris 05, UFR Biomed St Peres, Unite Rech Dev Imagerie & Anat, Urdia EA 4465, F-75006 Paris, France

[4] Univ Paris 11, Hop Antoine Beclere, AP HP, Serv Gynecol Obstet, F-92140 Clamart, France

来源：

JOURNAL DE RADIOLOGIE | 2011年 / 92卷 / 01期

关键词：

Cephalopelvic disproportion; Pelvimetry; Delivery; Computer simulation; MRI; IMAGING PELVIMETRY; DYSTOCIA; DELIVERY; LABOR;

D O I：

10.1016/j.jradio.2009.05.001

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Routine daily practice shows that successful vaginal delivery for women with suspected narrow pelvis or large fetus remains possible. We present a computer software for the detection of fetopelvic disproportion based on 3D vectorial reconstructions of the fetal head and maternal pelvis with simulation of head passage through the pelvis for collision detection. Three delivery simulations were generated from MR pelvimetry data in two patients, one with narrow pelvis and the other with macrosomic fetus. Based on the simulation, fetus size in both cases was appropriate for the pelvic size, but delivery simulation for the macrosomic fetus concluded that vaginal delivery was mechanically impossible. Further evaluation of this promising software on a larger patient population is necessary. (C) 2011 Elsevier Masson SAS and Editions francaises de radiologie. All rights reserved.

引用

页码：40 / 45

页数：6

共 14 条

[1]

*ACOG, 2003, OBSTET GYNECOL, V102, P1445

[2] Three-dimensional imaging of the postmortem fetus by MRI: Early experience [J].

Brookes, JAS ;

Deng, J ;

Wilkinson, ID ;

Lees, WR .

FETAL DIAGNOSIS AND THERAPY, 1999, 14 (03) :166-171

[3] Modeling the pregnant woman in driving position [J].

Delotte, Jerome ;

Behr, Michel ;

Baque, Patrick ;

Bourgeon, Andre ;

De Peretti, Fernand ;

Brunet, Christian .

SURGICAL AND RADIOLOGIC ANATOMY, 2006, 28 (04) :359-363

[4]

GUTIERREZ GR, 2007, GINECOL OBSTET MEX, V75, P533

[5]

Lapeer RJ, 2005, STUD HEALTH TECHNOL, V111, P284

[6] Computer-based laparoscopic and robotic surgical simulators: performance characteristics and perceptions of new users [J].

Lin, David W. ;

Romanelli, John R. ;

Kuhn, Jay N. ;

Thompson, Renee E. ;

Bush, Ron W. ;

Seymour, Neal E. .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2009, 23 (01) :209-214

[7]

Melchert F, 1995, J Obstet Gynaecol (Tokyo 1995), V21, P195

[8] Abnormalities of the first and second stages of labor [J].

Ness, A ;

Goldberg, J ;

Berghella, V .

OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA, 2005, 32 (02) :201-+

[9]

Obst T, 2004, ST HEAL T, V98, P281

[10] Is there a role for X-ray pelvimetry in the twenty-first century? [J].

Rozenberg, P. .

GYNECOLOGIE OBSTETRIQUE & FERTILITE, 2007, 35 (01) :6-12

← 1 2 →