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Three-dimensional CT volume rendering technique - orthopedist's "second imagination"

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Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Bone fractures in children's traumas are enormous problem not only from psychological point of view but in these cases the diagnostic issue is much more relevant. The correct diagnosis leads to proper treatment and reduces the risk of adverse effects. For this reason, plain radiography is not the only step in diagnostic procedure and is often combined with Computed Tomography (CT) and sometimes with Magnetic Resonance (MR). The aim of the study was to assess a contribution of three dimensional volume rendering (3D VRT) images on the diagnosis and the possible qualification to the surgical treatment. The study was performed on 21 patients (12 boys, 9 girls) hospitalized at Pediatric Surgery Department in Sosnowiec from January 2007 to April 2008. All of the patients underwent plain radiography as the first diagnostic step and had CT as an additional imaging procedure. A total number of fractures were 28 vs. 32, respectively diagnosed on X-ray and CT scans. The necessity of surgical reposition was present in 8 patients. Spiral CT and its postprocessing technique 3D VRT play major role in musculoskeletal trauma. They bring particular importance in fracture detailed estimating and any multiorgan injuries. However, the need of performing CT should be limited to uncertain cases and before operation planning because of higher radiation dose.
Rocznik
Tom
Strony
251--255
Opis fizyczny
Bibliogr. 10 poz., rys., tab.
Twórcy
autor
  • Vth year student of Silesian Medical University. 40-752 Katowice, ul. Medyków 18
Bibliografia
  • [1] ALBURGER P. D., WEIDNER P. L., BETZ R. R.: Supracondylar fractures of the humerus in children. J Pediatr Orthop. 1992;12:16-19
  • [2] FAYAD LM, JOHNSON P, FISHMAN EK. Multidetector CT of musculoskeletal disease in the pediatric patient: Principles, techniques, and clinical applications. Radiographics. 2005;25:603-618
  • [3] FRUSH DP, DONNELLY LF, ROSEN NS. Computed tomography and radiation risks: what pediatric health care providers should know. Pediatrics 2003; 112:951–957
  • [4] GUICE KS, CASSIDY LD, OLDHAM KT. Traumatic injury and children: a national assessment. J Trauma. Dec 2007;63(6 Suppl):S68-80; discussion S81-6.
  • [5] HESHAM M. HUSSAIN, CRAIG E. BARNES. Pediatric Skeletal Trauma-Plain Film to MRI. Applied Radiology 2007; 36(8):24-33
  • [6] MACKAY M, VINCENTEN J. Child Safety Report Card 2007-Poland. Amsterdam:European Child Safety Alliance, Eurosafe;2007
  • [7] MAGID D, MICHELSON JD, NEY DR, FISHMAN EK. Adult ankle fractures: comparison of plain films and interactive two- and three-dimensional CT scans. AJR 1990; 154:1017-1023
  • [8] ÖMER E. et al. Three-dimensional volume rendering imaging in detection of bone fractures. Eur J Gen Med 2004; 1(4): 48-52
  • [9] PRETORIUS ES, FISHMAN EK. Volume-rendered three-dimensional spiral CT: musculoskeletal applications. Radiographics 1999; 19:1143–1160
  • [10] SARTORIS DJ, RESNICK D. Diagnostic imaging approach to calcaneal fractures. J Foot Surg 1987;26:524-529
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-PWA4-0006-0035
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