3D Airway Reconstruction Using Visible Human Data Set and Human Casts with Comparison to Morphometric Data

Realistic airway geometry is required for accurate biomechanical modeling, particle deposition predictions and ultimately risk assessment and inhaled drug delivery protocols. Morphometric studies to date provide data for specific anatomical locations or for more generational average data for the entire lung. In an attempt to provide a realistic geometry representative of a typical human, the National Institute of Health (NIH) Visible Human (VH)® female data set was reconstructed and compared to available morphometric data from the literature. The reconstructed NIH VH female airway model extended from just distal to the larynx down through the fifth generation of bronchial passageways. Casting and scanning techniques were used to create the upper airway geometries so that the model could be used realistically for oral exposure. Each reconstruction stage was examined to show the loss of data during segmentation, decimation, and smoothing processes. The resulting dimensions of the complete female model were consistent with morphometric data from the literature, indicating that the model is a reasonable representation of an adult female that could be used for biomechanical modeling. Anat Rec, 2009. © 2009 Wiley‐Liss, Inc.

[1]  R. Robinson,et al.  Experimental and Numerical Smoke Carcinogen Deposition in a Multi-Generation Human Replica Tracheobronchial Model , 2006, Annals of Biomedical Engineering.

[2]  W. S. Monkhouse,et al.  GRAY'S ANATOMY , 1947 .

[3]  Masayuki Itoh,et al.  Inhaled particle deposition in unsteady-state respiratory flow at a numerically constructed model of the human larynx. , 2006, Journal of aerosol medicine : the official journal of the International Society for Aerosols in Medicine.

[4]  E. Effmann,et al.  CT Assessment of the Adult Intrathoracic Cross Section of the Trachea , 1984, Journal of computer assisted tomography.

[5]  H. Kauczor,et al.  Computed tomography-based tracheobronchial image reconstruction allows selection of the individually appropriate double-lumen tube size. , 1999, Journal of cardiothoracic and vascular anesthesia.

[6]  J. Udupa,et al.  Computational fluid dynamics modeling of the upper airway of children with obstructive sleep apnea syndrome in steady flow. , 2006, Journal of biomechanics.

[7]  D E Olson,et al.  Models of the human bronchial tree. , 1971, Journal of applied physiology.

[8]  William E. Lorensen,et al.  Decimation of triangle meshes , 1992, SIGGRAPH.

[9]  E. A. Cooper Lasyrgeal Biomechanics. By Fink R. and Demarest R. J. Published by Harvard University Press, Cambridge. Pp. 134; illustrated; indexed. Price £21.00. , 1981 .

[10]  Li Fan,et al.  Reconstruction of airway tree based on topology and morphological operations , 2000, Medical Imaging.

[11]  Y. Cheng,et al.  Measurements of airway dimensions and calculation of mass transfer characteristics of the human oral passage. , 1997, Journal of biomechanical engineering.

[12]  Ian Shrubb,et al.  Studies of the human oropharyngeal airspaces using magnetic resonance imaging IV--the oropharyngeal retention effect for four inhalation delivery systems. , 2007, Journal of aerosol medicine : the official journal of the International Society for Aerosols in Medicine.

[13]  M. Fischler,et al.  Measurement of left mainstem bronchus using multiplane CT reconstructions and relationship between patient characteristics or tracheal diameters and left bronchial diameters. , 2006, Chest.

[14]  M J Ackerman,et al.  The Visible Human Project: a resource for education. , 1999, Academic medicine : journal of the Association of American Medical Colleges.

[15]  V. Spitzer,et al.  The visible human male: a technical report. , 1996, Journal of the American Medical Informatics Association : JAMIA.

[16]  Warren H. Finlay,et al.  The effect of unsteady flow rate increase on in vitro mouth-throat deposition of inhaled boluses , 2006 .

[17]  K. Kurdziel,et al.  Condensational Growth May Contribute to the Enhanced Deposition of Cigarette Smoke Particles in the Upper Respiratory Tract , 2008 .

[18]  Hideo Yokota,et al.  Three-dimensional visualization and morphometry of small airways from microfocal X-ray computed tomography. , 2003, Journal of biomechanics.

[19]  Françoise J. Prêteux,et al.  Three-dimensional reconstruction of the bronchial tree in volumetric computerized tomography: application to computerized tomography bronchography , 2006, J. Electronic Imaging.

[20]  Eric A. Hoffman,et al.  Quantitative 3D reconstruction of airway and pulmonary vascular trees using HRCT , 1993, Electronic Imaging.

[21]  Victoria Vesna,et al.  The Visible Human Project: Informatic bodies and posthuman medicine , 2000, AI & SOCIETY.

[22]  Armin Ernst,et al.  Multiplanar and three-dimensional imaging of the central airways with multidetector CT. , 2002, AJR. American journal of roentgenology.

[23]  Bean T. Chen,et al.  Particle Deposition in a Cast of Human Oral Airways , 1999 .

[24]  N. T. Griscom,et al.  Dimensions of the growing trachea related to age and gender. , 1986, AJR. American journal of roentgenology.

[25]  D. Aykac,et al.  Segmentation and analysis of the human airway tree from three-dimensional X-ray CT images , 2003, IEEE Transactions on Medical Imaging.

[26]  Richard H Crawford,et al.  Replication of human tracheobronchial hollow airway models using a selective laser sintering rapid prototyping technique. , 2002, AIHA journal : a journal for the science of occupational and environmental health and safety.

[27]  A. Alwan,et al.  A contribution to simulating a three-dimensional larynx model using the finite element method. , 2003, The Journal of the Acoustical Society of America.

[28]  C. Rosse Color Atlas of Anatomy , 1999 .

[29]  K. Horsfield,et al.  Morphology of the bronchial tree in man. , 1968, Journal of applied physiology.

[30]  E. Hoffman,et al.  Characteristics of the turbulent laryngeal jet and its effect on airflow in the human intra-thoracic airways , 2007, Respiratory Physiology & Neurobiology.

[31]  Jorge Márquez Flores,et al.  Segmentation, reconstruction and visualization of the pulmonary artery and the pulmonary vein from anatomical images of the visible human project , 2005, Sixth Mexican International Conference on Computer Science (ENC'05).

[32]  R. Phalen,et al.  Postnatal enlargement of human tracheobronchial airways and implications for particle deposition , 1985, The Anatomical record.

[33]  Frederick Russell Haselton TRANSPORT AND DEPOSITION OF HYGROSCOPIC AEROSOLS IN MODELS OF THE HUMAN BRONCHIAL TREE , 1981 .

[34]  H. Yeh Use of a heat transfer analogy for a mathematical model of respiratory tract deposition , 1974 .

[35]  Michael J. Ackerman,et al.  Technical Milestone: The visible Human Male: A Technical Report , 1996, J. Am. Medical Informatics Assoc..

[36]  J. F. Nunn,et al.  Handbook of Physiology. Section 3: Respiration , 1966 .

[37]  C. Waldby The Visible Human Project : Informatic Bodies and Posthuman Medicine , 2000 .

[38]  Yu Zhang,et al.  In vivo-in vitro comparison of deposition in three mouth-throat models with Qvar and Turbuhaler inhalers. , 2007, Journal of aerosol medicine : the official journal of the International Society for Aerosols in Medicine.

[39]  Geoffrey McLennan,et al.  Three-dimensional visual truth of the normal airway tree for use as a quantitative comparison to micro-CT reconstructions , 2005, SPIE Medical Imaging.

[40]  S. Mehta,et al.  The cross-sectional shape and circumference of the human trachea. , 1984, Annals of the Royal College of Surgeons of England.

[41]  L. A. Engel,et al.  Respiratory movements of the vocal cords. , 1983, Journal of applied physiology: respiratory, environmental and exercise physiology.