CT 3D Reconstruction Technology and AI Recognition Technology in the Application of Rib Fibrous Dysplasia: A Case Report
DOI:
https://doi.org/10.18502/dmj.v8i2.19008Keywords:
fibrosarcoma, computed tomography, artificial intelligence, surgical procedure, thoracic neoplasmAbstract
Background: Primary rib tumors are relatively rare and more difficult to diagnose compared to other tumors, leading to a higher risk of misdiagnosis.
Case: The patient was a 23-year-old male who presented with intermittent right-sided chest pain for six months. Six months prior, he developed right chest wall pain without an obvious cause, characterized by dull pain and occasional stabbing sensations, often accompanied by coughing and white mucus production, but no fever, night sweats, nausea, or vomiting. Symptoms would resolve on their own after about a week. CT 3D reconstruction technology and AI recognition suggested a rib tumor, requiring surgical removal. The surgery was successful, and the patient recovered well with no recurrence.
Conclusion: Primary rib tumors are rare. Using CT 3D reconstruction and AI recognition technology can improve preoperative diagnosis and assist in surgical planning.
References
[1] Minervini F, Sergi CM, Scarci M, Kestenholz PB, Valentini L, Boschetti L, et al. Benign tumors of the chest wall. J Thorac Dis. 2024 Jan;16(1):722–736. DOI: https://doi.org/10.21037/jtd-23-464
[2] Hochberg LA. Primary tumors of the rib. AMA Arch Surg. 1953 Oct;67(4):566–594. DOI: https://doi.org/10.1001/archsurg.1953.01260040575011
[3] Vogt-Moykopf I, Krumhaar D. Management of primary rib tumors. Surg Gynecol Obstet. 1967 Dec;125(6):1239–1245.
[4] Feller L, Wood NH, Khammissa RA, Lemmer J, Raubenheimer EJ: The nature of fibrous dysplasia. Head Face Med 2009, 5(1):22. DOI: https://doi.org/10.1186/1746-160X-5-22
[5] Waltermann A, Westhoff B. Fibröse Dysplasie [Fibrous dysplasia]. Orthopadie (Heidelb). 2024;53(10):805–816. DOI: https://doi.org/10.1007/s00132-024-04548-w
[6] Fourie J, Suleman F, Lockhat Z, Kollapen K. Fibrous dysplasia: A tale of two syndromes. SA J Radiol. 2024 May;28(1):2877. DOI: https://doi.org/10.4102/sajr.v28i1.2877
[7] Goldbach AR, Kumaran M, Donuru A, McClure K, Dass C, Hota P. The spectrum of rib neoplasms in adults: a practical approach and multimodal imaging review. AJR Am J Roentgenol. 2020 Jul;215(1):165– 177. DOI: https://doi.org/10.2214/AJR.19.21554
[8] Aydoğdu K, Findik G, Agackiran Y, Kaya S, Karaoglanoglu N, Tastepe I. Primary tumors of the ribs; experience with 78 patients. Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):251–254. DOI: https://doi.org/10.1510/icvts.2008.193292
[9] Kim HY, Shim JH, Heo CY. A rare skeletal disorder, fibrous dysplasia: A review of its pathogenesis and therapeutic prospects. Int J Mol Sci. 2023 Oct;24(21):15591. DOI: https://doi.org/10.3390/ijms242115591
[10] Ahmad Z, Zubair I. Fibrous dysplasia of rib presenting as a cystic mass in the lung. Oxf Med Case Rep. 2015 Feb;2015(2):196–199. DOI: https://doi.org/10.1093/omcr/omv006
[11] Burke AB, Collins MT, Boyce AM. Fibrous dysplasia of bone: craniofacial and dental implications. Oral Dis. 2017 Sep;23(6):697–708. DOI: https://doi.org/10.1111/odi.12563
[12] Wang L, Yan X, Zhao J, Chen C, Chen C, Chen J, et al. Expert consensus on resection of chest wall tumors and chest wall reconstruction. Transl Lung Cancer Res. 2021 Nov;10(11):4057–4083. DOI: https://doi.org/10.21037/tlcr-21-935
[13] Shah NR, Weadock WJ, Williams KM, Moreci R, Stoll T, Joshi A, et al. Use of modern three-dimensional imaging models to guide surgical planning for local control of pediatric extracranial solid tumors. Pediatr Blood Cancer. 2024 May;71(5):e30933. DOI: https://doi.org/10.1002/pbc.30933
[14] Seol YJ, Park SH, Kim YJ, Park YT, Lee HY, Kim KG. The development of an automatic rib sequence labeling system on axial computed tomography images with 3-dimensional region growing. Sensors (Basel). 2022 Jun;22(12):4530. DOI: https://doi.org/10.3390/s22124530
[15] Blum A, Gillet R, Rauch A, Urbaneja A, Biouichi H, Dodin G, et al. 3D reconstructions, 4D imaging and postprocessing with CT in musculoskeletal disorders: past, present and future. Diagn Interv Imaging. 2020 Nov;101(11):693–705. DOI: https://doi.org/10.1016/j.diii.2020.09.008
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Zhengzuo Sheng, Jinghua Fan, Siyu Chen, Yushan Liu, Su Chen, Ruiheng Ding

This work is licensed under a Creative Commons Attribution 4.0 International License.