Seung-Bock Lee

Surface Model of the Gastrointestinal Tract Constructed From the Visible Korean

Most currently available three‐dimensional surface models of human anatomic structures have been artistically created to reflect the anatomy being portrayed. We have recently undertaken, as part of our Visible Korean studies, to build objective surface models based on cross‐sectional images of actual human anatomy. Objective of the present study was to elaborate surface models of the GI tract and neighboring structures that are helpful to medical simulation. The GI tract from stomach to anal canal was outlined and reconstructed from sectioned images of the Visible Korean (acomputer database containing the digitized transverse sectional images of a 33‐year‐old Korean man). The outlining procedure was supported by computational filtering and interpolation using commercially available software. The GI tract was divided into several parts, and each of these parts was surface reconstructed and then united with neighboring parts to produce a surface model of the complete GI tract. Surface models of about 100 neighboring structures were also prepared. The surface models produced will hopefully facilitate the development of interactive simulations for a variety of virtual abdominal surgical procedures or other educational programs. In addition, it is hoped that the improved outlining and surface reconstruction techniques described will encourage other researchers to construct similar surface models based on images obtained from different subjects. Clin. Anat. 22:601–609, 2009.

Advanced surface reconstruction technique to build detailed surface models of the liver and neighboring structures from the Visible Korean Human.

Unlike volume models, surface models, which are empty three-dimensional images, have small file size, so that they can be displayed, rotated, and modified in a real time. For the reason, the surface models of liver and neighboring structures can be effectively applied to virtual hepatic segmentectomy, virtual laparoscopic cholecystectomy, and so on. The purpose of this research is to present surface models of detailed structures inside and outside the liver, which promote medical simulation systems. Forty-seven chosen structures were liver structures such as portal triad, hepatic vein, and neighboring structures such as the stomach, duodenum, muscles, bones, and skin. The structures were outlined in the serially sectioned images from the Visible Korean Human to prepare segmented images. From the segmented images, serial outlines of each structure were stacked; on the popular commercial software, advanced surface reconstruction technique was applied to build surface model of the structure. A surface model of the liver was divided into eight models of hepatic segments according to distribution of the portal vein. The surface models will be distributed to encourage researchers to develop the various kinds of medical simulation of the abdomen.

Three-dimensional surface models of detailed lumbosacral structures reconstructed from the Visible Korean.

Unlike volume models, surface models representing hollow, three-dimensional images have a small file size; allowing them to be displayed, rotated, and modified in real time. Therefore, surface models of lumbosacral structures can be effectively used for interactive simulation of, e.g., virtual lumbar puncture, virtual surgery of herniated lumbar discs, and virtual epidural anesthesia. In this paper, we present surface models of extensive lumbosacral structures which can be used in medical simulation systems. One-hundred and thirty-eight chosen structures included the spinal cord, lumbar and sacral nerves, vertebrae, intervertebral discs, ligaments, muscles, arteries, and skin. The structures were outlined in the sectioned images from the Visible Korean. From these outlined images, serial outlines of each structure were stacked. Adopting commercial software (3D-DOCTOR, Maya), an advanced surface reconstruction technique was applied to create a surface model of the structure. In the surface models, we observed the anatomical relationships of the lumbosacral structures (e.g., cauda equina and ligaments) in detail. Additionally, the portions of some spinal nerves that could not be outlined were drawn and added to the surface models. These constructed models will hopefully facilitate development of high quality medical simulation of the lumbosacral region.

Segmentation and surface reconstruction of a cadaver heart on Mimics software

The Visible Korean research team used Mimics software (Materialise, Leuven, Belgium) for the segmentation and subsequent surface reconstruction of heart structures using information obtained from sectioned images of a cadaver. Twenty-six heart components were outlined in advance on Photoshop (Adobe Systems, San Jose, CA, USA). By use of the Mimics, the outlined images were then browsed along with the vertical planes as well as the 3-dimensional surface models, which were immediately built by piling the images. Erroneous delineation was readily detected and revised until satisfactory heart models were acquired. The surface models and the selected sectioned images in horizontal, coronal, and sagittal planes were inputted into a PDF file, where any combinations of reconstructed constituents could be displayed and rotated by the user. Mimics software accelerated the segmentation and surface reconstruction of heart anatomical structures. Similar benefits hopefully result from various serial images of other organs. The PDF file, and plane and stereoscopic image data are being distributed to others, and should prove valuable for medical students and clinicians.

Development of Ontology for the Diseases of Spine

KISTI is carrying out an e-Spine project for spinal diseases to prepare for the aged society, so called NAP.

Development of ontology and 3d software for the diseases of spine

KISTI is carrying out an e-Spine project for spinal diseases to prepare for the aged society, so-called NAP. The purpose of the study is to build a spine ontology that represents the anatomical structure and disease information which is compatible with simulation model of KISTI. The final use of the ontology includes diagnosis of diseases and setting treatment directions by the clinicians. The ontology was represented using 3D software. Twenty diseases were selected to be represented after discussions with a spine specialist. Several ontology studies were reviewed, reference books were selected for each disease and were organized in MS Excel. All the contents were then reviewed by the specialists. Altova Semantic Works and Protege were used to code spine ontology with OWL Full model. Links to the images from KISTI and sample images of diseases were included in the ontology. The OWL ontology was also reviewedby the specialists again with Protege. We represented unidirectional ontology from anatomical structure to disease, images, and treatment. The ontology was human understandable. It would be useful for the education of medical students or residents studying diseases of spine. But in order for the computer to understand the ontology, a new model with OWL DL or Lite is needed.

Browsing Software of the Head Sectioned Images for the Android Mobile Device

The purpose of this research was to enable anyone to learn the sectional anatomy of the head anywhere, anytime by presenting software to browse sectioned images on a Google Android mobile device. Among the 2,343 sectioned images at 0.1 mm intervals, 234 sectioned images at 1 mm intervals were chosen. The corresponding 234 segmented images containing 236 head struc tures were selected. The software of the mobile version was programmed and debugged in the Java programming language. The folders of t sectioned images and segmented images and the txt file of the segmentation data were arranged in the source code of the softwar e. T software was distributed free of charge at the homepage (neuroanatomy.kr) and Google Play Store. After installing the software, the sectioned images and corresponding segmented images could be browsed by touching and swiping the screen. In the medical categor y of the Google Play Store, the software earned a good reputation. The software of the Android mobile version was usable regardless of the time and place. The software is under the authors’ non-commercial policy. Other investigators may modify the mobile software to browse their own images. The mobile version of the software will aid medical students and doctors in learning sectional anatomy .

Implementation of Information Retrieval Service for Korean Spine Database with Degenerative Spinal Disease

Many people are interested in medical information because they want to take care of their health by themselves. Thus, some institutions provide medical term search services to help their understanding about difficult medical terms. However, those services are suffered from the low quality of search results because simple keyword search technologies are applied to medical term databases and Web sites. To prevent unnecessary spinal surgery and to support scientific diagnosis of spinal diseases and systematic prediction of treatment effects, we have been developing e-spine, which is a computerized simulation model of human spines. In this paper, as a background data for realizing e-spine, we have collected spine data from 77 cadavers and 298 patients with normal spine or degenerative spinal diseases. The spine data consists of 2D images such as CT, MRI, or X-ray, 3D shapes, geometry data and property data. Especially, we propose our database and the bioinformatics linked data based spine information retrieval service that provides more user-friendly services and very precise results. To provide abundant medical knowledge, our service provides search results of MeSH, OMIM, UniProt, GeneOntology and DBpedia. Also, the search results of PubMed are displayed to provide the related papers and books. As a result, our database will offer great value and utility in the diagnosis, treatment, and rehabilitation of patients suffering from spinal diseases.