Complications of Tracheal and Thoracic Surgery: The Role of Multisection Helical CT and Computerized Reformations
Autor: | Eli Konen, Y Itzchak, I Greenberg, N Reichert, Tiberiu Shulimzon, Alon Yellin, Michael Wolf, M Paley, Judith Rozenman |
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Rok vydání: | 2003 |
Předmět: |
Adult
Male Thorax medicine.medical_specialty Adolescent Rotation medicine.medical_treatment Bronchi Constriction Pathologic Endarterectomy Pulmonary Artery Pneumonectomy Postoperative Complications medicine.artery Angioplasty medicine Humans Radiology Nuclear Medicine and imaging Multislice Lung Aged business.industry Anastomosis Surgical General Medicine Middle Aged Pleural Diseases Thoracic Surgical Procedures Trachea Cardiothoracic surgery Coronal plane Pulmonary artery Female Stents Bronchial Fistula Radiology Tomography business Tomography Spiral Computed Lung Transplantation |
Zdroj: | Clinical Radiology. 58:341-350 |
ISSN: | 0009-9260 |
DOI: | 10.1016/s0009-9260(03)00057-6 |
Popis: | Helical computed tomography (CT) has an important role in the evaluation of a wide range of congenital and acquired thoracic abnormalities. The development of advanced computerized reformations enables the generation of bronchographic and bronchoscopic images of the tracheobronchial tree, as well as angiographic images of pulmonary arteries and veins. Additionally, it provides coronal and sagittal reconstruction imaging of parenchymal abnormalities. This information is obtained by a 20–30 s procedure on a typical single channel system, which makes helical CT an optimal technique for the evaluation of patients undergoing major upper airways and thoracic interventions. The recent introduction of multisection CT scanners allows faster imaging of patients with thinner collimation, thus improving spatial resolution along the longitudinal (z) axis of the patient along with reduction of motion artefacts [1] . This article demonstrates the use of dual and quad-section helical CT in the postoperative evaluation of patients undergoing laryngo-tracheal and thoracic interventions, including laryngoplasty, tracheal endoscopic laser ablation, lobectomy, pneumonectomy, lung transplantation, sleeve resection, pulmonary angioplasty, and pulmonary artery thromboendarterectomy. Emphasis is given to the additive value of using computerized reformations over axial images, especially for delineation of complex postoperative anatomical details in the tracheobronchial tree and pulmonary vasculature. |
Databáze: | OpenAIRE |
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