Mobile Computed Tomography : Three Year Clinical Experience in Korea
Journal of Korean Neurosurgical Society
;
: 39-42, 2013.
Article
in English
| WPRIM
| ID: wpr-205975
ABSTRACT
OBJECTIVE:
Obtaining real-time image is essential for neurosurgeons to minimize invasion of normal brain tissue and to prompt diagnosis of intracranial event. The aim of this study was to report our three-year experience with a mobile computed tomography (mCT) for intraoperative and bedside scanning.METHODS:
A total of 357 mCT (297 patients) scans from January 2009 to December 2011 in single institution were reviewed. After excluding post-operative routine follow-up, 202 mCT were included for analysis. Their medical records such as diagnosis, clinical application, impact on decision making, times, image quality and radiologic findings were assessed.RESULTS:
Two-hundred-two mCT scans were performed in the operation room (n=192, 95%) or intensive care unit (ICU) (n=10, 5%). Regarding intraoperative images, extent of resection of tumor (n=55, 27.2%), degree of hematoma removal (n=42, 20.8%), confirmation of catheter placement (n=91, 45.0%) and monitoring unexpected complications (n=4, 2.0%) were evaluated. A total of 14 additional procedures were introduced after confirmation of residual tumor (n=7, 50%), hematoma (n=2, 14.3%), malpositioned catheter (n=3, 21.4%) and newly developed intracranial events (n=2, 14.3%). Every image was obtained within 15 minutes and image quality was sufficient for interpretation.CONCLUSION:
mCT is feasible for prompt intraoperative and ICU monitoring with enhanced diagnostic certainty, safety and efficiency.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Brain
/
Medical Records
/
Follow-Up Studies
/
Neoplasm, Residual
/
Decision Making
/
Catheters
/
Hematoma
/
Intensive Care Units
/
Korea
Type of study:
Observational study
/
Prognostic study
Country/Region as subject:
Asia
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2013
Type:
Article
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