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Anat Cell Biol

Published online August 11, 2022

https://doi.org/10.5115/acb.22.092

Copyright © Korean Association of ANATOMISTS.

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

Ensung Koh1 , Da Yeong Lee2 , Dongsoo Yoo3 , Myeung Ju Kim4 , In Sun Lee5 , Jong Ha Hong6 , Sang Joon Park7 , Jieun Kim1 , Soon Chul Cha8 , Hyejin Lee9 , Chang Seok Oh10 , Dong Hoon Shin1,11

1Department of Anatomy and Cell Biology, Seoul National University College of Medicine, Seoul, 2Data Science Division, MEDICALIP Co. Ltd., Seoul, 3Department of Radiology, Dankook University College of Medicine, Cheonan, 4Department of Anatomy, Dankook University College of Medicine, Cheonan, 5Department of Radiology, Sungkyunkwan University School of Medicine, Seoul, 6Institute of Korean Archaeology and Ancient History, Kyung Hee University, Seoul, 7Department of Radiology, Seoul National University College of Medicine, Seoul, 8Seorabeol Institute of Cultural Heritage, Gyeongju, 9Department of Forensic Medicine, Seoul National University College of Medicine, Seoul, 10Department of Mortuary Science, College of Bio-Convergence, Eulji University, Seongnam, 11Institute of Forensic and Anthropological Science, Seoul National University College of Medicine, Seoul, Korea

Correspondence to:Dong Hoon Shin
Institute of Forensic and Anthropological Science, Seoul National University College of Medicine, Seoul 03080, Korea
E-mail: cuteminjae@gmail.com

Received: May 2, 2022; Accepted: May 27, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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, Korea, Joseon dynasty

Supplementary

Supplementary File