CN112535532B - Radial artery lumen thickness degree selection system and method - Google Patents
Radial artery lumen thickness degree selection system and method Download PDFInfo
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- 210000002321 radial artery Anatomy 0.000 title claims abstract description 103
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- 238000012285 ultrasound imaging Methods 0.000 claims abstract description 20
- 238000013500 data storage Methods 0.000 claims abstract description 10
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- 238000011156 evaluation Methods 0.000 claims description 10
- 238000003384 imaging method Methods 0.000 claims description 7
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
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- A61B2034/102—Modelling of surgical devices, implants or prosthesis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/101—Computer-aided simulation of surgical operations
- A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/107—Visualisation of planned trajectories or target regions
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Abstract
The invention relates to a system for selecting the thickness of a radial artery lumen, which comprises: the color ultrasound imaging instrument is used for performing color ultrasound imaging operation on a heart part of a patient to be subjected to a heart bypass surgery to obtain a heart color ultrasound image; the data storage device is used for establishing an image database to store each heart color Doppler ultrasound image respectively corresponding to each patient to be subjected to the heart bypass surgery; and the user input interface is used for receiving the heart color Doppler ultrasound image of the patient to be subjected to the heart bypass surgery input by the staff as the image to be processed. The invention also relates to a method for selecting the thickness degree of the radial artery lumen. The system and the method for selecting the thickness of the radial artery lumen are reasonable in design and convenient to operate. Since the thickness degree of the corresponding lumen of the radial artery can be customized according to the size of the heart of the patient before the heart bypass surgery is performed, the lumen of the radial artery on the body of the patient can be intercepted based on the thickness degree for the heart bypass.
Description
Technical Field
The invention relates to the field of radial artery application, in particular to a system and a method for selecting the thickness degree of a radial artery lumen.
Background
The radial artery is one of the terminal branches of the brachial artery and is slightly smaller than the ulnar artery. The radial artery was about 21.2cm long with an outside diameter of about 0.3cm at the beginning. After the brachial artery is divided, the patient goes downwards and outwards, passes through between the brachioradialis muscle and the circumflex muscle, then is positioned between the flexor carpi radialis and the brachioradialis muscle, and enters the nasopharynx fossa of the pars plana after the lower end of the radius obliquely passes through the tendon deep surface of the extensor hallucis longus and the extensor hallucis brevis to the back of the hand, passes through the gap of the 1 st metacarpal bone and enters the deep part of the palm, and is divided out of the main artery of the thumb, and then is anastomosed with the deep branch of the ulnar artery to form the deep arch of the palm. The radial artery is shallow between the lower end of the radius and the flexor carpi radialis tendon, and is an ideal site for palpating the pulse and performing a puncture. The radial artery has a constant two-vein tracing. Drawing a straight line from 2.5cm below the center of the antecubital fossa to the inner side of the styloid process of the radius, and taking the straight line as the body surface projection of the radial artery.
The radial artery branches as follows: (1) the radial return artery, starting from the upper segment of the radial artery, goes outward and upward and is anastomosed with the radial collateral artery, and (2) several muscular branches distributed in the extensor group of the forearm. (3) The branch of the carpometacarpal branch, which originates from the lower edge of the anterior gyral surae muscle and runs to the ulnar side, coincides with the artery with the same name originating from the ulnar artery at the deep side of the flexor tendon and joins the lateral carpal meshwork. (4) The superficial branch of the palm, which originates before the radial artery turns to the back of the hand, descends into the palm and is distributed behind the thenar muscle and anastomoses with the superficial branch of the ulnar artery to form the superficial arch of the palm. (5) The dorsal branch of the wrist, which emerges after the radial artery turns into the dorsal region of the hand, joins the dorsal carpal meshwork. (6) The metacarpal artery, which emerges before the radial artery penetrates the first interosseous dorsal muscle. The finger is divided into three branches, which are downward distributed on the two side edges of the back of the thumb and the radial edge of the back side of the index finger. (7) The major thumb artery, which originates from the radial artery after the transfer into the palm, descends through the deep side of the oblique head of the adductor muscles of the thumb to the vicinity of the metacarpal joint of the thumb and divides into two branches, which are distributed at the two lateral edges of the palm surface of the thumb. The major artery of the thumb is often connected with the superficial arch of the palm by a larger anastomotic branch, thereby forming another artery arch besides the superficial and deep arches of the palm. (8) The radial artery of the index finger, which usually originates from the major artery of the thumb, runs along and is distributed along the radial side of the index finger.
Disclosure of Invention
In order to solve the related technical problems in the prior art, the invention provides a system and a method for selecting the thickness of a radial artery lumen, which can customize the thickness of the corresponding radial artery lumen according to the size of the heart of a patient before a heart bypass surgery is performed, so as to intercept the radial artery lumen on the body of the patient for heart bypass based on the thickness.
Therefore, the invention needs to have the following key invention points:
(1) When a radial artery is adopted to carry out heart bypass, calculating the thickness degree of a lumen of the radial artery required by the bypass according to the size of the heart of a patient, and providing reference data for an intercepting position of the lumen of the radial artery;
(2) And performing matching operation of the reference human heart contour on the heart color Doppler ultrasound image, and taking the region with the largest area in the matched image regions as a target region only comprising the heart target for subsequent analysis of the heart volume size.
According to an aspect of the present invention, there is provided a radial artery lumen thickness selection system, the system comprising:
the color ultrasound imaging instrument is used for performing color ultrasound imaging operation on a heart part of a patient to be subjected to a heart bypass surgery so as to obtain and output a corresponding heart color ultrasound image;
the data storage device is connected with the color Doppler ultrasound imaging instrument and used for establishing an image database to store each heart color Doppler ultrasound image corresponding to each patient to be subjected to the heart bypass surgery;
the user input interface is used for receiving a heart color Doppler ultrasound image of a patient to be subjected to a heart bypass operation, which is input by a worker according to the operation of the worker, and taking the heart color Doppler ultrasound image as an image to be processed;
the contour recognition device is connected with the user input interface and is used for performing matching operation of a reference human heart contour on the image to be processed and taking the area with the largest area in each matched image area as a target area only comprising a heart target;
the volume evaluation mechanism is connected with the contour recognition equipment and is used for evaluating the heart entity volume of the patient to be subjected to the heart bypass surgery input by a worker based on the received area of the target area;
the thickness selection mechanism is connected with the volume evaluation mechanism and is used for calculating the thickness degree of the lumen of the radial artery required by bridging based on the received heart entity volume;
the field display mechanism is connected with the thickness selection mechanism and is used for receiving and displaying the thickness degree of the lumen of the radial artery required by bridging;
wherein calculating a thickness degree of a lumen of a radial artery required for bypass based on the received heart solid volume includes: the larger the received heart entity volume is, the thicker the lumen of the radial artery required for the obtained bypass is calculated;
wherein evaluating a staff-input cardiac entity volume of the patient about to undergo the cardiac bypass surgery based on the received area of the target region comprises: the staff member inputs the heart solid volume of the patient to be subjected to the heart bypass surgery in proportion to the received area of the target region.
According to another aspect of the present invention, there is also provided a radial artery lumen thickness selection method, the method including:
using a color ultrasound imaging instrument for performing color ultrasound imaging operation on a heart part of a patient to be subjected to a heart bypass surgery to obtain and output a corresponding heart color ultrasound image;
the data storage equipment is connected with the color Doppler ultrasound imaging instrument and used for establishing an image database to store various heart color Doppler ultrasound images respectively corresponding to various patients to be subjected to the heart bypass surgery;
using a user input interface for receiving a heart color Doppler ultrasound image of a patient to be subjected to a heart bypass operation, which is input by a worker according to the operation of the worker, as an image to be processed;
using a contour recognition device connected with the user input interface and used for performing matching operation of a reference human heart contour on the image to be processed and taking the region with the largest area in each matched image region as a target region only comprising a heart target;
using a volume evaluation mechanism, connected with the contour recognition device, for evaluating a physical volume of the heart of the patient about to undergo the cardiac bypass surgery, input by a staff member, based on the received area of the target region;
using a thickness selection mechanism connected with the volume evaluation mechanism and used for calculating the thickness degree of the lumen of the radial artery required by the bypass based on the received heart entity volume;
the using site display mechanism is connected with the thickness selection mechanism and is used for receiving and displaying the thickness degree of the lumen of the radial artery required by bridging;
wherein calculating a thickness degree of a lumen of a radial artery required for bypass based on the received cardiac entity volume includes: the larger the received heart entity volume is, the thicker the lumen of the radial artery required for the obtained bypass is calculated;
wherein evaluating a physical volume of the heart of the patient about to undergo the cardiac bypass surgery input by a staff member based on the received area of the target region comprises: the staff member inputs the heart solid volume of the patient to be subjected to the heart bypass surgery in proportion to the received area of the target region.
The system and the method for selecting the thickness degree of the radial artery lumen are reasonable in design and convenient to operate. Since the thickness degree of the lumen of the corresponding radial artery can be customized according to the heart size of the patient before the heart bypass surgery is performed, the lumen of the radial artery on the body of the patient can be intercepted based on the thickness degree for the heart bypass.
Detailed Description
Embodiments of the radial artery lumen thickness selection system and method of the present invention will be described in detail below.
The heart bypass operation is also called coronary artery bypass transplantation, and refers to an operation of establishing a passage between the proximal end and the distal end of the coronary artery stenosis to allow blood to bypass the stenosis to reach the distal end when one or more coronary arteries are narrowed or blocked due to atherosclerosis to cause insufficient blood supply. The distal end of the narrowed coronary artery is connected to the aorta by taking the patient's own blood vessels such as the great saphenous vein, the internal mammary artery, the right gastroenteric artery, the radial artery, the inferior epigastric artery, etc., and allowing blood to bypass the narrowed portion to reach the ischemic site. The heart bypass operation is the most effective method for treating the coronary heart disease, can improve the blood supply of cardiac muscle, and achieves the purposes of relieving angina pectoris symptoms, improving the cardiac function, improving the life quality and prolonging the life.
However, the thickness degree of the lumen of the radial artery can not be customized according to the heart volume of the patient before the heart bypass operation is performed, so as to intercept the lumen of the radial artery on the body of the patient for the heart bypass based on the thickness degree.
In order to overcome the defects, the invention builds a system and a method for selecting the thickness of the radial artery lumen, and can effectively solve the corresponding technical problems.
A radial artery lumen thickness selection system shown according to an embodiment of the present invention includes:
the color ultrasound imaging instrument is used for performing color ultrasound imaging operation on a heart part of a patient to be subjected to a heart bypass operation so as to obtain and output a corresponding heart color ultrasound image;
the data storage device is connected with the color Doppler ultrasound imaging instrument and is used for establishing an image database to store each heart color Doppler ultrasound image corresponding to each patient to be subjected to the heart bypass operation;
the user input interface is used for receiving a heart color Doppler ultrasound image of a patient to be subjected to a heart bypass operation, which is input by a worker according to the operation of the worker, and taking the heart color Doppler ultrasound image as an image to be processed;
the contour recognition device is connected with the user input interface and used for performing matching operation of a reference human heart contour on the image to be processed and taking the region with the largest area in each matched image region as a target region only comprising a heart target;
the volume evaluation mechanism is connected with the contour recognition equipment and is used for evaluating the heart entity volume of the patient to be subjected to the heart bypass surgery input by a worker based on the received area of the target area;
the thickness selection mechanism is connected with the volume evaluation mechanism and is used for calculating the thickness degree of the lumen of the radial artery required by bridging based on the received heart entity volume;
the field display mechanism is connected with the thickness selection mechanism and is used for receiving and displaying the thickness degree of the lumen of the radial artery required by bridging;
wherein calculating a thickness degree of a lumen of a radial artery required for bypass based on the received cardiac entity volume includes: the larger the received heart entity volume is, the thicker the lumen of the radial artery required for the obtained bypass is calculated;
wherein evaluating a physical volume of the heart of the patient about to undergo the cardiac bypass surgery input by a staff member based on the received area of the target region comprises: the staff member inputs the heart solid volume of the patient to be subjected to the heart bypass surgery in proportion to the received area of the target region.
Next, a detailed structure of the radial artery lumen thickness selection system of the present invention will be further described.
The system for selecting the thickness of the radial artery lumen can further comprise:
and the X-ray scanning mechanism is used for performing X-ray scanning on the area where the radial artery of the patient to be subjected to the cardiac bypass surgery is input by a staff member so as to obtain an imaging image of the radial artery.
The system for selecting the thickness of the radial artery lumen can further comprise:
and the radiographic injection mechanism is used for injecting a contrast medium into the radial artery of the patient to be subjected to the heart bypass operation, which is input by the staff, before the X-ray scanning mechanism performs X-ray scanning on the area where the radial artery of the patient to be subjected to the heart bypass operation is located, which is input by the staff, so as to obtain a radial artery imaging image.
In the system for selecting the thickness of the lumen of the radial artery:
the radiography injection mechanism is connected with the X-ray scanning mechanism and used for starting X-ray scanning operation executed on the area where the radial artery of the patient to be subjected to the heart bypass operation is input by the staff when the radial artery of the patient to be subjected to the heart bypass operation input by the staff for injecting the radiography agent reaches a preset time length.
In the radial artery lumen thickness selection system:
the data storage device is a FLASH storage chip, is also connected with the contour identification device and is used for storing the reference human heart contour;
wherein the user input interface is a keypad array or a touch screen integrated on the field display mechanism.
The radial artery lumen thickness degree selection method shown according to the embodiment of the invention comprises the following steps:
using a color ultrasound imaging instrument for performing color ultrasound imaging operation on a heart part of a patient to be subjected to a heart bypass surgery to obtain and output a corresponding heart color ultrasound image;
using a data storage device connected with the color Doppler ultrasound imaging instrument and used for establishing an image database to store each heart color Doppler ultrasound image corresponding to each patient to be subjected to the heart bypass surgery;
using a user input interface for receiving a heart color Doppler ultrasound image of a patient to be subjected to a heart bypass operation, which is input by a worker according to the operation of the worker, as an image to be processed;
using a contour recognition device connected with the user input interface and used for performing matching operation of a reference human heart contour on the image to be processed and taking the area with the maximum area in each matched image area as a target area only comprising a heart target;
using a volume assessment mechanism connected with the contour recognition device for assessing a physical volume of the heart of the patient about to undergo the cardiac bypass surgery, based on the received area of the target region, inputted by a staff;
using a thickness selection mechanism connected with the volume evaluation mechanism for calculating the thickness degree of the lumen of the radial artery required for bridging based on the received heart solid volume;
the using site display mechanism is connected with the thickness selection mechanism and is used for receiving and displaying the thickness degree of the lumen of the radial artery required by bridging;
wherein calculating a thickness degree of a lumen of a radial artery required for bypass based on the received heart solid volume includes: the larger the received heart entity volume is, the thicker the lumen of the radial artery required for the obtained bypass is calculated;
wherein evaluating a physical volume of the heart of the patient about to undergo the cardiac bypass surgery input by a staff member based on the received area of the target region comprises: the staff member inputs the heart solid volume of the patient to be subjected to the heart bypass surgery in proportion to the received area of the target region.
Next, the detailed steps of the method for selecting the thickness of the lumen of the radial artery according to the present invention will be further described.
The method for selecting the thickness of the radial artery lumen may further include:
an X-ray scanning mechanism is used for carrying out X-ray scanning on the area where the radial artery of the patient to be subjected to the heart bypass operation is input by a staff member so as to obtain an imaging image of the radial artery.
The method for selecting the thickness of the radial artery lumen can further comprise the following steps:
and a radiographic injection mechanism is used for injecting contrast medium into the radial artery of the patient to be subjected to the heart bypass surgery input by the staff before the X-ray scanning mechanism performs X-ray scanning on the area where the radial artery of the patient to be subjected to the heart bypass surgery input by the staff is located to obtain a radial artery imaging image.
The radial artery lumen thickness degree selection method comprises the following steps:
the radiography injection mechanism is connected with the X-ray scanning mechanism and used for starting X-ray scanning operation executed on the area where the radial artery of the patient to be subjected to the heart bypass operation is input by the staff when the radial artery of the patient to be subjected to the heart bypass operation input by the staff for injecting the radiography agent reaches a preset time length.
The radial artery lumen thickness degree selection method comprises the following steps:
the data storage device is a FLASH storage chip, is also connected with the contour identification device and is used for storing the reference human heart contour;
wherein the user input interface is a keypad array or a touch screen integrated on the field display mechanism.
In addition, FLASH memory chips are nonvolatile memories, and can erase and reprogram blocks of memory cells called blocks. The write operation of any FLASH device can only be performed in empty or erased cells, so in most cases, the erase must be performed before the write operation can be performed. While it is simple for a NAND device to perform an erase operation, NOR requires that all bits in the target block be written to 0 before an erase can be performed.
Since erasing NOR devices is performed in blocks of 64 to 128KB, the time for performing one write/erase operation is 5s, whereas erasing NAND devices is performed in blocks of 8 to 32KB, and it takes only 4ms at most to perform the same operation.
The difference in block size when performing erasures further broadens the performance gap between NOR and nand, statistics show that for a given set of write operations (especially when updating small files) more erase operations must be performed in NOR-based cells.
Finally, it should be noted that the functional devices in the embodiments of the present invention may be integrated into one processing device, or each device may exist alone physically, or two or more devices may be integrated into one device.
The functions, if implemented in the form of software-enabled devices and sold or used as a stand-alone product, may be stored in a computer-readable storage medium. Based on such understanding, the technical solution of the present invention may be embodied in the form of a software product, which is stored in a storage medium and includes instructions for causing a computer device (which may be a personal computer, a server, or a network device) to execute all or part of the steps of the method according to the embodiments of the present invention. And the aforementioned storage medium includes: a U-disk, a removable hard disk, a Read-Only Memory (ROM), a Random Access Memory (RAM), a magnetic disk or an optical disk, and other various media capable of storing program codes.
The above description is only for the specific embodiments of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art can easily conceive of the changes or substitutions within the technical scope of the present invention, and all the changes or substitutions should be covered within the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.
Claims (7)
1. A radial artery lumen thickness selection system, the system comprising:
the color ultrasound imaging instrument is used for performing color ultrasound imaging operation on a heart part of a patient to be subjected to a heart bypass surgery so as to obtain and output a corresponding heart color ultrasound image;
the data storage device is connected with the color Doppler ultrasound imaging instrument and used for establishing an image database to store each heart color Doppler ultrasound image corresponding to each patient to be subjected to the heart bypass surgery;
the user input interface is used for receiving a heart color Doppler ultrasound image of a patient to be subjected to a heart bypass operation, which is input by a worker according to the operation of the worker, and taking the heart color Doppler ultrasound image as an image to be processed;
the contour recognition device is connected with the user input interface and used for performing matching operation of a reference human heart contour on the image to be processed and taking the region with the largest area in each matched image region as a target region only comprising a heart target;
the volume evaluation mechanism is connected with the contour recognition device and is used for evaluating the heart entity volume of the patient to be subjected to the heart bypass surgery input by a worker based on the received area of the target region;
the thickness selection mechanism is connected with the volume evaluation mechanism and is used for calculating the thickness degree of the lumen of the radial artery required by bridging based on the received heart entity volume;
the field display mechanism is connected with the thickness selection mechanism and is used for receiving and displaying the thickness degree of the lumen of the radial artery required by bridging;
wherein calculating a thickness degree of a lumen of a radial artery required for bypass based on the received cardiac entity volume includes: the larger the received heart entity volume is, the thicker the lumen of the radial artery required for the obtained bypass is calculated;
wherein evaluating a physical volume of the heart of the patient about to undergo the cardiac bypass surgery input by a staff member based on the received area of the target region comprises: the staff member inputs the heart solid volume of the patient to be subjected to the heart bypass surgery in proportion to the received area of the target region.
2. The radial artery lumen thickness selection system of claim 1, further comprising:
and the X-ray scanning mechanism is used for performing X-ray scanning on the area where the radial artery of the patient to be subjected to the heart bypass surgery is input by a staff member so as to obtain a radial artery imaging image.
3. The radial artery lumen thickness selection system of claim 2, further comprising:
and the radiographic injection mechanism is used for injecting contrast medium into the radial artery of the patient to be subjected to the heart bypass surgery, which is input by the staff, before the X-ray scanning mechanism performs X-ray scanning on the area where the radial artery of the patient to be subjected to the heart bypass surgery is located, which is input by the staff, so as to obtain an imaging image of the radial artery.
4. The radial artery lumen thickness selection system of claim 3, wherein:
the radiography injection mechanism is connected with the X-ray scanning mechanism and used for starting X-ray scanning operation executed on the area where the radial artery of the patient to be subjected to the heart bypass operation is input by the staff when the radial artery of the patient to be subjected to the heart bypass operation input by the staff for injecting the radiography agent reaches a preset time length.
5. The radial artery lumen thickness selection system of claim 4, wherein:
the data storage device is a FLASH storage chip, is also connected with the contour identification device and is used for storing the reference human heart contour;
wherein the user input interface is a keypad array or a touch screen integrated on the on-site display mechanism.
6. A method for selecting a thickness of a lumen of a radial artery, the method comprising:
using a color ultrasound imaging instrument for performing color ultrasound imaging operation on a heart part of a patient to be subjected to a heart bypass surgery to obtain and output a corresponding heart color ultrasound image;
the data storage equipment is connected with the color Doppler ultrasound imaging instrument and used for establishing an image database to store various heart color Doppler ultrasound images respectively corresponding to various patients to be subjected to the heart bypass surgery;
using a user input interface for receiving a heart color Doppler ultrasound image of a patient to be subjected to a heart bypass operation, which is input by a worker according to the operation of the worker, as an image to be processed;
using a contour recognition device connected with the user input interface and used for performing matching operation of a reference human heart contour on the image to be processed and taking the area with the maximum area in each matched image area as a target area only comprising a heart target;
using a volume assessment mechanism connected with the contour recognition device for assessing a physical volume of the heart of the patient about to undergo the cardiac bypass surgery, based on the received area of the target region, inputted by a staff;
using a thickness selection mechanism connected with the volume evaluation mechanism for calculating the thickness degree of the lumen of the radial artery required for bridging based on the received heart solid volume;
the use site display mechanism is connected with the thickness selection mechanism and is used for receiving and displaying the thickness degree of the lumen of the radial artery required by bridging;
wherein calculating a thickness degree of a lumen of a radial artery required for bypass based on the received heart solid volume includes: the larger the received heart entity volume is, the thicker the lumen of the radial artery required for the obtained bypass is calculated;
wherein evaluating a physical volume of the heart of the patient about to undergo the cardiac bypass surgery input by a staff member based on the received area of the target region comprises: the staff member inputs the heart solid volume of the patient to be subjected to the heart bypass surgery in proportion to the received area of the target region.
7. The method for selecting a thickness of a lumen of a radial artery according to claim 6, wherein the method further comprises:
an X-ray scanning mechanism is used for carrying out X-ray scanning on the area where the radial artery of the patient to be subjected to the heart bypass surgery is input by staff to obtain an imaging image of the radial artery.
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