Practical Step-by-step SYNAPSE VINCENT Rendering of Three-dimensional Graphics in Horseshoe Kidney with Bilateral Varicoceles.

Autor:	Kojo K; Department of Urology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.; Center for IVF and Infertility, International University of Health and Welfare Hospital, Nasushiobara, Japan.; Tsukuba Clinical Research & Development Organization, University of Tsukuba, Tsukuba, Japan., Kim J; Department of Medical Education, Institute of Medicine, University of Tsukuba, Tsukuba, Japan., Saida T; Department of Radiology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan., Ohta T; Department of Radiology, International University of Health, and Welfare Hospital, Nasushiobara, Japan., Sano K; Department of Urology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan., Kandori S; Department of Urology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan., Hoshi A; Department of Urology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan., Negoro H; Department of Urology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan., Nishiyama H; Department of Urology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Jazyk:	angličtina
Zdroj:	JMA journal [JMA J] 2024 Oct 15; Vol. 7 (4), pp. 471-486. Date of Electronic Publication: 2024 Aug 09.
DOI:	10.31662/jmaj.2024-0058
Abstrakt:	Medical illustration serves as a cornerstone for understanding intricate anatomical anomalies, with three-dimensional (3D) rendering emerging as a pioneering tool for emphasizing basic medical concepts and clinical practices. In Japan, the SYNAPSE VINCENT software package (SVSP; Fujifilm Medical Co., Ltd., Tokyo, Japan), internationally known as "SYNAPSE 3D," is a widely embraced solution for 3D rendering. However, despite its prevalence, resources elucidating its practical usage and offering insightful tips are scarce. In this review, we focus on the use of SVSP for 3D rendering of complex anatomical anomalies, particularly in the field of urology. We demonstrate a step-by-step process of 3D rendering. 3D rendering was performed in a sample case of a patient with horseshoe kidney and coexisting bilateral varicoceles through inputting of multiphase contrast-enhanced CT images into the application, followed by segmentation of the renal parenchyma, image registration, and segmentation of the arterial and venous systems as well as the upper urinary tract. Manual adjustments were made using the "Mask edit" and "Diameter setting" tools to ensure accuracy, particularly in cases of significant anomalies. Then, color-coded structures appeared, including the renal parenchyma, arterial and venous systems, and upper urinary tract, which provided a comprehensive visualization of the anatomical anomalies. This review highlights the effectiveness of the SVSP in visualizing complex anatomical abnormalities and detailing the practical rendering process, which could promote wider adoption of the application among urologists despite the challenges associated with the software. Competing Interests: None (Copyright © Japan Medical Association.)
Databáze:	MEDLINE
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