Three dimensional rotational angiography in surgical planning of aneurysm clipping

VASA ◽  
2011 ◽  
Vol 40 (5) ◽  
pp. 375-380 ◽  
Author(s):  
Petridis ◽  
Doukas ◽  
Niu ◽  
Barth ◽  
Maslehaty ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Preoperative Planning ◽  
Three Dimensional ◽  
Aneurysm Rupture ◽  
3D Images ◽  
Aneurysm Clipping ◽  
3D Angiography ◽  
Subarachnoid Bleeding ◽  
Aneurysm Wall ◽  
Anterior Circle

Background: Three-dimensional (3D) angiography is increasingly used in the diagnostics of brain aneurysms. Aim of the present study was to evaluate the accuracy of 3D angiograms with respect to its value for preoperative planning of aneurysm clipping. Patients and methods: The 3D angiograms of 42 patients with subarachnoid bleeding caused by aneurysm rupture of the anterior circle of Willis and the intradural carotid have been compared to intraoperative photographs of the aneurysms. Results: Neighbouring vessels, aneurysm anatomy, arteries originating from the aneurysm wall were accurately shown decreasing the surgical risk of aneurysm clipping. Conclusions: The 3D images enabled a perfect preoperative planning through the operation by illuminating the aneurysm anatomy, neck localisation and shape and relation of the aneurysm to neighbouring vessels. Operative approach, use of an accurate clip and avoidance of clipping arteries close to the aneurysm have become predictable and safer by the use of 3D angiography.

Three Dimensional Imaging and Surgical Planning

1995 ◽  
Vol 112 (5) ◽  
pp. P169-P169
Author(s):  
Vincent N. Carrasco ◽  
Suresh K. Mukherji ◽  
Harold C. Pillsbury
Keyword(s):  
Mr Imaging ◽  
Image Fusion ◽  
Surgical Planning ◽  
Preoperative Planning ◽  
Three Dimensional ◽  
Educational Objectives ◽  
Three Dimensional Imaging ◽  
Multimodality Image ◽  
Multimodality Image Fusion

Educational objectives: To discuss the value of CT and MR imaging for preoperative surgical planning and to discuss computerized three-dimensional imaging, multimodality image fusion, and appreciate their role in surgical preoperative planning.

Three-Dimensional CT Reconstruction in Midfacial Surgery

1988 ◽  
Vol 98 (1) ◽  
pp. 48-52 ◽  
Author(s):  
Lawrence J. Marentette ◽  
Robert H. Maisel
Keyword(s):  
Surgical Planning ◽  
Preoperative Planning ◽  
Tomographic Reconstruction ◽  
Three Dimensional ◽  
Autogenous Bone ◽  
Two Dimensional ◽  
Ct Reconstruction ◽  
Skeletal Deformity ◽  
Dimensional Image ◽  
Two Dimensional Image

Correct preoperative planning is an essential aspect of any surgical procedure and it is equally important when midfacial reconstruction is contemplated. Conventional methods include standard radiographic views, plain tomography, photography, and computerized tomography. All of these methods produce a two-dimensional image of the patient. Three-dimensional computerized tomographic reconstruction allows the surgeon to visualize the entire facial skeletal deformity. The three-dimensional image produced also allows comparison of the deformity to surrounding normal structures, and thus makes the correction of facial asymmetries more precise. This new modality is particularly useful in the preoperative planning for patients with zygomaticomaxillary defects that result from either trauma or maxillectomy. Illustrative examples of patients in whom autogenous bone graft zygomaticomaxillary reconstruction was performed, after trauma and subsequent to subtotal maxillectomy, are presented. The amount and exact placement of the grafts was determined preoperatively from the analysis of the three-dimensional CT reconstruction, and the surgical planning was thereby simplified.

Bone reconstruction surgery of complex craniomaxillofacial deformities using additive manufacturing customized implants - a case report

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
André Luiz Luiz Jardini ◽  
Éder Sócrates Sócrates Najar Lopes ◽  
Laís Pellizzer Gabriel ◽  
Davi Calderoni ◽  
Rubens Maciel Filho ◽  
...  
Keyword(s):  
Additive Manufacturing ◽  
Design Methodology ◽  
Surgical Planning ◽  
Preoperative Planning ◽  
Three Dimensional ◽  
Complete Healing ◽  
Content Type ◽  
Aesthetic Results ◽  
Craniomaxillofacial Trauma ◽  
Medical Planning

Purpose This study aims to assess the design, manufacturing and surgical implantation of three-dimensional (3D) customized implants, including surgical preoperative planning, surgery and postoperative results, for cranioplasty along with zygomatic and orbital floor implants using additive manufacturing (AM) technics for a 23-year-old female who suffered from severe craniomaxillofacial trauma. Design/methodology/approach The skull biomodel was produced in polyamide while implants were made of a Ti-6Al-4V alloy by AM. Findings The method enabled perfectly fitting implants and anatomical conformance with the craniomaxillofacial defect, providing complete healing for the patient. Surgical planning using a customized 3D polyamide biomodel was effective. This proved to be a powerful tool for medical planning and manufacturing of customized implants, as complete healing and good craniofacial aesthetic results were observed. Originality/value Satisfactory surgical procedures, regarding surgery time reduction and good craniofacial aesthetic results, were achieved. Furthermore, the 3D titanium customized implants represented a favorable alternate for the repair of craniomaxillofacial defects.

scholarly journals Three-dimensional evaluations of preoperative planning reproducibility for the osteosynthesis of distal radius fractures

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yuichi Yoshii ◽  
Takeshi Ogawa ◽  
Atsuo Shigi ◽  
Kunihiro Oka ◽  
Tsuyoshi Murase ◽  
...  
Keyword(s):  
Distal Radius ◽  
Reference Point ◽  
Preoperative Planning ◽  
Three Dimensional ◽  
Reference Points ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
3D Images ◽  
Radial Inclination ◽  
Preoperative Plan

Abstract Background Three-dimensional preoperative planning was applied for the osteosynthesis of distal radius fractures. The objective of this study was to evaluate the reproducibility of three-dimensional preoperative planning for the osteosynthesis of distal radius fractures with three-dimensional reference points. Methods Sixty-three wrists of 63 distal radius fracture patients who underwent osteosynthesis with three-dimensional preoperative planning were evaluated. After taking preoperative CT scans of the injured wrists, 3D images of the distal radius were created. Fracture reduction, implants choices, and placements simulation were performed based on the 3D images. One month after the surgery, postoperative CT images were taken. The reproducibility was evaluated with preoperative plan and postoperative 3D images. The images were compared with the three-dimensional coordinates of radial styloid process, volar and dorsal edges of sigmoid notch, and the barycentric coordinates of the three reference points. The reproducibility of the preoperative plan was evaluated by the distance of the coordinates between the plan and postoperative images for the reference points. The reproducibility of radial inclination and volar tilt on three-dimensional images were evaluated by intra-class correlation coefficient (ICC). Results The distances between the preoperative plan and the postoperative reduction for each reference point were (1) 2.1±1.3 mm, (2) 1.9±1.2 mm, and (3) 1.9±1.2 mm, respectively. The distance between the preoperative plan and postoperative reduction for the barycentric coordinate was 1.3±0.8 mm. ICCs were 0.54 and 0.54 for the volar tilt and radial inclination, respectively (P<0.01). Conclusions Three-dimensional preoperative planning for the osteosynthesis of distal radius fracture was reproducible with an error of about 2 mm for each reference point and the correlations of reduction shapes were moderate. The analysis method and reference points may be helpful to understand the accuracy of reductions for the three-dimensional preoperative planning in the osteosynthesis of distal radius fractures. Trial registration Registered as NCT02909647 at ClinicalTrials.gov

Three-dimensional CT angiography for surgical planning in congenital hand malformations: a case series presentation

2020 ◽  
Vol 45 (10) ◽  
pp. 1017-1022
Author(s):  
Evi M. Morandi ◽  
Michael Rieger ◽  
Eva-Maria Baur ◽  
Hildegunde Piza-Katzer
Keyword(s):  
Ct Angiography ◽  
Surgical Planning ◽  
Preoperative Planning ◽  
Three Dimensional ◽  
Case Series ◽  
Ct Images ◽  
Level Of Evidence ◽  
Computer Tomographic ◽  
Operative Planning

Between January 2000 and December 2019, three-dimensional computer tomographic (CT) angiography was used in a total of 140 hands (116 patients, mean age 6.8 years) with congenital hand malformation to assess the vascular and bony structures. Analysis showed overall satisfactory three-dimensional CT images for operative planning, including detailed abnormal vascular patterns and bony malformations. Among the 116 patients, six patients with typical findings of a few malformations are reported in detail. Pitfalls in interpretation of the images and the use of three-dimensional CT angiography in surgical planning are discussed. We conclude that three-dimensional CT angiography is useful for preoperative planning of complex congenital hand malformations. Level of evidence: IV

scholarly journals The Use of Surgical Splints in Orthognathic Surgery: A Bibliometric Study

2021 ◽  
Author(s):  
Francisco Samuel Rodrigues Carvalho ◽  
Déborah Isis de Oliveira Barbosa ◽  
Iara Furtado Torquato ◽  
André Mattos Britto de Souza ◽  
Roberta Dalcico ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Surgical Planning ◽  
Selection Process ◽  
Three Dimensional ◽  
Bibliometric Study ◽  
Exclusion Criteria ◽  
3D Images ◽  
Technological Advances ◽  
Technological Resource ◽  
Selection Of

Abstract Introduction Orthognathic surgeries require the use of surgical splints (SS) to stabilize the occlusion and the segments fixed with plates and screws. Technological advances in the field of computing and the possibility of generating three-dimensional (3D) images have brought different possibilities for making SS, which has generated greater predictability and customization of surgical plans. The bibliometric study can have a qualitative character through the scope of articles in a certain area of knowledge. It is a selection process that can track a topic or scientific production. Methods The present study aimed to carry out a bibliometric literature review, in order to assess the evolution of the use of SS and the different planning protocols in orthognathic surgery. The Scopus database was used, with the terms “splint” and “orthognathic surgery.” Results A total of 331 articles were found. These were exported to Rayyan for application of the inclusion and exclusion criteria and selection of articles. A total of 76 references were selected and exported to the VOSviewer application for the analysis of bibliometric data. Conclusions Orthognathic surgery was initially not associated with any computerized technological resource; however, it underwent updates between the years 2010 to 2012. These advances allowed surgical planning to become faster, cheaper, and more accurate.

Measurements in 3D images

1991 ◽  
Vol 49 ◽  
pp. 408-409
Author(s):  
John C. Russ
Keyword(s):  
Three Dimensional ◽  
Image Plane ◽  
X Rays ◽  
Traditional Use ◽  
3D Images ◽  
Confocal Scanning Laser Microscope ◽  
Hard Materials ◽  
Depth Direction ◽  
Confocal Scanning ◽  
Confocal Scanning Laser

Three-dimensional (3D) images consisting of arrays of voxels can now be routinely obtained from several different types of microscopes. These include both the transmission and emission modes of the confocal scanning laser microscope (but not its most common reflection mode), the secondary ion mass spectrometer, and computed tomography using electrons, X-rays or other signals. Compared to the traditional use of serial sectioning (which includes sequential polishing of hard materials), these newer techniques eliminate difficulties of alignment of slices, and maintain uniform resolution in the depth direction. However, the resolution in the z-direction may be different from that within each image plane, which makes the voxels non-cubic and creates some difficulties for subsequent analysis.

scholarly journals High-Resolution Vessel Wall Magnetic Resonance Imaging of Small Unruptured Intracranial Aneurysms

2021 ◽  
Vol 10 (2) ◽  
pp. 225
Author(s):  
Łukasz Zwarzany ◽  
Ernest Tyburski ◽  
Wojciech Poncyljusz
Keyword(s):  
Magnetic Resonance Imaging ◽  
Risk Factors ◽  
Magnetic Resonance ◽  
High Resolution ◽  
Vessel Wall ◽  
Intracranial Aneurysms ◽  
Aneurysm Rupture ◽  
Resonance Imaging ◽  
Aneurysm Wall ◽  
Conventional Risk Factors

Background: We decided to investigate whether aneurysm wall enhancement (AWE) on high-resolution vessel wall magnetic resonance imaging (HR VW-MRI) coexists with the conventional risk factors for aneurysm rupture. Methods: We performed HR VW-MRI in 46 patients with 64 unruptured small intracranial aneurysms. Patient demographics and clinical characteristics were recorded. The PHASES score was calculated for each aneurysm. Results: Of the 64 aneurysms, 15 (23.4%) showed wall enhancement on post-contrast HR VW-MRI. Aneurysms with wall enhancement had significantly larger size (p = 0.001), higher dome-to-neck ratio (p = 0.024), and a more irregular shape (p = 0.003) than aneurysms without wall enhancement. The proportion of aneurysms with wall enhancement was significantly higher in older patients (p = 0.011), and those with a history of prior aneurysmal SAH. The mean PHASES score was significantly higher in aneurysms with wall enhancement (p < 0.000). The multivariate logistic regression analysis revealed that aneurysm irregularity and the PHASES score are independently associated with the presence of AWE. Conclusions: Aneurysm wall enhancement on HR VW-MRI coexists with the conventional risk factors for aneurysm rupture.

scholarly journals Do 3D Face Images Capture Cues of Strength, Weight, and Height Better than 2D Face Images do?

2021 ◽  
Vol 7 (3) ◽  
pp. 209-219
Author(s):  
Iris J Holzleitner ◽  
Alex L Jones ◽  
Kieran J O’Shea ◽  
Rachel Cassar ◽  
Vanessa Fasolt ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Physical Characteristics ◽  
Two Dimensional ◽  
3D Images ◽  
3D Face ◽  
Face Images ◽  
Similar Accuracy ◽  
2D And 3D ◽  
2D Images ◽  
Better Than

Abstract Objectives A large literature exists investigating the extent to which physical characteristics (e.g., strength, weight, and height) can be accurately assessed from face images. While most of these studies have employed two-dimensional (2D) face images as stimuli, some recent studies have used three-dimensional (3D) face images because they may contain cues not visible in 2D face images. As equipment required for 3D face images is considerably more expensive than that required for 2D face images, we here investigated how perceptual ratings of physical characteristics from 2D and 3D face images compare. Methods We tested whether 3D face images capture cues of strength, weight, and height better than 2D face images do by directly comparing the accuracy of strength, weight, and height ratings of 182 2D and 3D face images taken simultaneously. Strength, height and weight were rated by 66, 59 and 52 raters respectively, who viewed both 2D and 3D images. Results In line with previous studies, we found that weight and height can be judged somewhat accurately from faces; contrary to previous research, we found that people were relatively inaccurate at assessing strength. We found no evidence that physical characteristics could be judged more accurately from 3D than 2D images. Conclusion Our results suggest physical characteristics are perceived with similar accuracy from 2D and 3D face images. They also suggest that the substantial costs associated with collecting 3D face scans may not be justified for research on the accuracy of facial judgments of physical characteristics.

scholarly journals Immersive 3D virtual reality imaging in planning minimally invasive and complex adult cardiac surgery

2020 ◽  
Vol 1 (1) ◽  
pp. 62-70
Author(s):  
Amir H Sadeghi ◽  
Wouter Bakhuis ◽  
Frank Van Schaagen ◽  
Frans B S Oei ◽  
Jos A Bekkers ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Virtual Reality ◽  
Cardiac Surgery ◽  
Heart Surgery ◽  
Preoperative Planning ◽  
Operating Time ◽  
Three Dimensional ◽  
Cardiothoracic Surgery ◽  
Planning Tool ◽  
Computed Tomography Images

Abstract Aims Increased complexity in cardiac surgery over the last decades necessitates more precise preoperative planning to minimize operating time, to limit the risk of complications during surgery and to aim for the best possible patient outcome. Novel, more realistic, and more immersive techniques, such as three-dimensional (3D) virtual reality (VR) could potentially contribute to the preoperative planning phase. This study shows our initial experience on the implementation of immersive VR technology as a complementary research-based imaging tool for preoperative planning in cardiothoracic surgery. In addition, essentials to set up and implement a VR platform are described. Methods Six patients who underwent cardiac surgery at the Erasmus Medical Center, Rotterdam, The Netherlands, between March 2020 and August 2020, were included, based on request by the surgeon and availability of computed tomography images. After 3D VR rendering and 3D segmentation of specific structures, the reconstruction was analysed via a head mount display. All participating surgeons (n = 5) filled out a questionnaire to evaluate the use of VR as preoperative planning tool for surgery. Conclusion Our study demonstrates that immersive 3D VR visualization of anatomy might be beneficial as a supplementary preoperative planning tool for cardiothoracic surgery, and further research on this topic may be considered to implement this innovative tool in daily clinical practice. Lay summary Over the past decades, surgery on the heart and vessels is becoming more and more complex, necessitating more precise and accurate preoperative planning. Nowadays, operative planning is feasible on flat, two-dimensional computer screens, however, requiring a lot of spatial and three-dimensional (3D) thinking of the surgeon. Since immersive 3D virtual reality (VR) is an upcoming imaging technique with promising results in other fields of surgery, we aimed in this study to explore the additional value of this technique in heart surgery. Our surgeons planned six different heart operations by visualizing computed tomography scans with a dedicated VR headset, enabling them to visualize the patient’s anatomy in an immersive and 3D environment. The outcomes of this preliminary study are positive, with a much more reality-like simulation for the surgeon. In such, VR could potentially be beneficial as a preoperative planning tool for complex heart surgery.

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