Research: Revisiting diaphragmatic hernia of Joseon period Korean mummy by three-dimensional liver and heart segmentation and model reconstruction

Anat Cell Biol

. 2022 Aug 11.

 doi: 10.5115/acb.22.092. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/35948525/

Revisiting diaphragmatic hernia of Joseon period Korean mummy by three-dimensional liver and heart segmentation and model reconstruction

Ensung Koh 1Da Yeong Lee 2Dongsoo Yoo 3Myeung Ju Kim 4In Sun Lee 5Jong Ha Hong 6Sang Joon Park 7Jieun Kim 1Soon Chul Cha 8Hyejin Lee 9Chang Seok Oh 10Dong Hoon Shin 1 11

Affiliations expand

Abstract

A three-dimensional (3D) segmentation and model reconstruction is a specialized tool to reveal spatial interrelationship between multiple internal organs by generating images without overlapping structures. This technique can also be applicable to mummy studies, but related reports have so far been very rare. In this study, we applied 3D segmentation and model reconstruction to computed tomography images of a Korean mummy with congenital diaphragmatic hernia. As originally revealed by the autopsy in 2013, the current 3D reconstruction reveals that the mummy’s heart is shifted to the left due to the liver pushing up to thoracic cavity thorough diaphragmatic hernial defect. We can generate 3D images by calling up the data exclusively from mummy’s target organs, thus minimizing the confusion of diagnosis that could be caused by overlapping organs.

Keywords: Computed tomography; Congenital diaphragmatic hernia; Image reconstruction; Joseon dynasty; Korea.

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