A LARGE NEURINOMA ORIGINATING FROM THE ANTERIOR INTEROSSEOUS NERVE

Hand Surgery ◽  
2012 ◽  
Vol 17 (03) ◽  
pp. 375-377
Author(s):  
Tomoo Inukai ◽  
Kenzo Uchida ◽  
Hisatoshi Baba
Keyword(s):  
Magnetic Resonance ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Interesting Case ◽  
3D Ct ◽  
Mr Images ◽  
Anterior Interosseous Artery ◽  
Anterior Interosseous Nerve ◽  
3D Ct Angiography ◽  
Interosseous Artery

We report an interesting case of a neurinoma originating from the anterior interosseous nerve. Magnetic resonance (MR) images showed an egg-shaped, well-circumscribed mass on the volar side of the forearm. On the enhanced three-dimensional computer tomography (3D-CT), it was clearly demonstrated that the tumour had arterial feeding from the anterior interosseous artery. The enhanced 3D-CT angiography was useful in the pre-operative diagnosis and surgical planning of peripheral neurinomas.

Determining the Optimal Fluoroscopic View during Aneurysmal Embolization with Rotation DSA

1997 ◽  
Vol 3 (2_suppl) ◽  
pp. 37-40
Author(s):  
M. Bundo ◽  
M. Negoro ◽  
K. Fukasaku ◽  
S. Miyachi ◽  
J. Yoshida
Keyword(s):  
Endovascular Treatment ◽  
Cerebral Aneurysm ◽  
Ct Angiography ◽  
Three Dimensional ◽  
Parent Artery ◽  
3D Ct ◽  
3D Ct Angiography

To prevent coil protrusion into the parent artery, the fluoroscopic view during coil packing is quite important. However it is not always easy to find out the optimal fluoroscopic view. We applied a rotation DSA to predict the optimal fluoroscopic view for the endovascular treatment of 4 cases with a cerebral aneurysm. Since the trajectory of the C-arm is restricted within 60 degrees only around the patient's head and the number of DSA shots are limited rather than conventional DSA, we employed three dimensional CT angiography (3D-CT angiography) to focus the range of C-arm rotation. Rotation DSA proved quite useful to determine the optimal fluoroscopic view, when combined with pre-estimation by 3D-CT angiography.

Clinical Diagnosis and Treatment Value of CT Three-Dimensional Imaging of Gynecological Pelvic Blood Vessels

2021 ◽  
Vol 11 (6) ◽  
pp. 1743-1752
Author(s):  
Li Qiao ◽  
Changxiao Li ◽  
Qinde Yu ◽  
Li Ma
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Clinical Diagnosis ◽  
Young Women ◽  
Three Dimensional ◽  
Iliac Vein ◽  
Vascular Imaging ◽  
Diagnosis And Treatment ◽  
3D Ct ◽  
External Iliac Vein

For diseases of the abdominal and pelvic system, especially those of the blood duct system, the main examination methods of the transmission system are color Doppler ultrasound, enhanced CT angiography and digital subtraction angiography (DSA). Among them, DSA is the gold standard of angiography, but it is an invasive examination, which is complicated, time-consuming and laborious, and the skill of intubation is very high. Enhanced 3D-CT blood tube imaging has been gradually used in clinic because of its advantages such as fast imaging speed and wide imaging range. It has good vascular imaging conditions and satisfactory vascular imaging results in all parts of the human body, but this examination is radioactive and is not beneficial to young women of childbearing age, children and frail patients. The purpose of this paper is to further illustrate the value of magnetic resonance angiography (CTA) in displaying pelvic vessels by comparing the three-dimensional model of magnetic resonance angiography (CTA) and magnetic resonance angiography (MRA) in healthy young women. The results showed that for the venous system, CTA usually showed only the internal and external iliac vein, but not for the uterine vein and other branches of the internal and external iliac vein, and almost no imaging for the anterior sacral vein. CE-MRA can not only display 1-4 grade arteries to the same extent, but also show more branches of superior and inferior gluteal arteries, and show more abundant veins, especially presacral veins. For cases such as gynecological pelvic floor surgery, it is necessary to know the vascular network of presacral region before operation. In a word, for clinical diagnosis and treatment value, the 3D-CT imaging is the first choice.

Open Source Applications for Image Visualization and Processing in Neuroimaging Training

2015 ◽  
pp. 1319-1332
Author(s):  
Juan A. Juanes ◽  
Pablo Ruisoto ◽  
Alberto Prats-Galino ◽  
Andrés Framiñán
Keyword(s):  
Magnetic Resonance ◽  
Medical Imaging ◽  
Open Source ◽  
Medical Images ◽  
Three Dimensional ◽  
Mr Images ◽  
Image Visualization ◽  
3D Slicer ◽  
Volumetric Reconstruction ◽  
Key Features

The aim of this paper is to demonstrate the major role and potential of three of the most powerful open source computerized tools for the advanced processing of medical images, in the study of neuroanatomy. DICOM images were acquired with radiodiagnostic equipment using 1.5 Tesla Magnetic Resonance (MR) images. Images were further processed using the following applications: first, OsiriXTM version 4.0 32 bits for OS; Second, 3D Slicer version 4.3; and finally, MRIcron, version 6. Advanced neuroimaging processing requires two key features: segmentation and three-dimensional or volumetric reconstruction. Examples of identification and reconstruction of some of the most complex neuroimaging elements such vascular ones and tractographies are included in this paper. The three selected applications represent some of the most versatile technologies within the field of medical imaging.

Three-dimensional computerized tomography angiography in patients with hyperacute intracerebral hemorrhage

1999 ◽  
Vol 91 (3) ◽  
pp. 424-431 ◽  
Author(s):  
Yasuo Murai ◽  
Ryo Takagi ◽  
Yukio Ikeda ◽  
Yasuhiro Yamamoto ◽  
Akira Teramoto
Keyword(s):  
Intracerebral Hemorrhage ◽  
Ct Angiography ◽  
Computerized Tomography ◽  
Three Dimensional ◽  
Ct Scanning ◽  
3D Ct ◽  
Content Type ◽  
Hematoma Enlargement ◽  
3D Ct Angiography ◽  
Fine Print

Object. The authors confirm the usefulness of extravasation detected on three-dimensional computerized tomography (3D-CT) angiography in the diagnosis of continued hemorrhage and establishment of its cause in patients with acute intracerebral hemorrhage (ICH).Methods. Thirty-one patients with acute ICH in whom noncontrast and 3D-CT angiography had been performed within 12 hours of the onset of hemorrhage and in whom conventional cerebral angiographic studies were obtained during the chronic stage were prospectively studied. Noncontrast CT scanning was repeated within 24 hours of the onset of ICH to evaluate hematoma enlargement.Findings indicating extravasation on 3D-CT angiography, including any abnormal area of high density on helical CT scanning, were observed in five patients; three of these demonstrated hematoma enlargement on follow-up CT studies. Thus, specificity was 60% (three correct predictions among five positives) and sensitivity was 100% (19 correct predictions among 19 negatives). Evidence of extravasation on 3D-CT angiography indicates that there is persistent hemorrhage and correlates with enlargement of the hematoma.Regarding the cause of hemorrhage, five cerebral aneurysms were visualized in four patients, and two diagnoses of moyamoya disease and one of unilateral moyamoya phenomenon were made with the aid of 3D-CT angiography. Emergency surgery was performed without conventional angiography in one patient who had an aneurysm, and it was clipped successfully.Conclusions. Overall, 3D-CT angiography was found to be valuable in the diagnosis of the cause of hemorrhage and in the detection of persistent hemorrhage in patients with acute ICH.

scholarly journals Three-dimensional magnetic resonance reconstruction images before and after surgical therapy of spontaneous canine brain tumors

2007 ◽  
Vol 37 (4) ◽  
pp. 1174-1177
Author(s):  
Julio Carlos Canola ◽  
Fabrício Singaretti de Oliveira
Keyword(s):  
Brain Tumor ◽  
Magnetic Resonance ◽  
Surgical Planning ◽  
Tumor Volume ◽  
Three Dimensional ◽  
Treatment Monitoring ◽  
Magnetic Resonance Images ◽  
Intracranial Tumor ◽  
Anatomical Structures ◽  
Before And After

Specific software was used for reconstruction of spontaneous intracranial tumor volume from magnetic resonance images (MRI) in three dogs. Histopathologically confirmed meningioma, cystic meningioma, and choroid plexus tumors were evaluated before and after surgery. The software allowed the whole-volume segmentation of the skin, brain, tumor, edema, and cyst. Manipulation of the three-dimensional images (3D) allowed visualization of all anatomical structures, aided clinical understanding, surgical planning, and treatment monitoring.

scholarly journals Magnetic resonance image evaluation of pallidotomy lesions: a volumetric and shape analysis

1997 ◽  
Vol 2 (3) ◽  
pp. E5 ◽  
Author(s):  
Jeffrey M. Burns ◽  
Steve Wilkinson ◽  
John Overman ◽  
Jennifer Kieltyka ◽  
Thorsten Lundsgaarde ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Globus Pallidus ◽  
Magnetic Resonance Image ◽  
Three Dimensional ◽  
Volumetric Analysis ◽  
Lesion Volume ◽  
Slice Thickness ◽  
Mr Images ◽  
Ellipsoid Volume ◽  
Volume Estimates

Determination of acute pallidotomy-produced lesion volumes, pre- and postpallidotomy globus pallidus (GP) volumes, and assessment of lesion shape using magnetic resonance (MR) imaging-based computerized segmentation (contouring) and three-dimensional rendering was made in 19 patients. Magnetic resonance image slice thickness (1.5 mm or 6 mm) was not found to be a significant factor influencing contour-based pallidotomy lesion volume estimates. Previously reported lesion volumes produced by pallidotomy have often been estimated using the ellipsoid volume formula. Using 1.5-mm-thick MR sections, contour-based pallidotomy-produced lesion volumes were significantly different from those volumes estimated by the ellipsoid formula. Globus pallidus volumes, estimated by contouring T2-weighted MR images, were bilaterally similar (2.4 ± 0.37 ml [right]; 2.2 ± 0.45 ml [left]). Postoperative GP volumes were found on the contralateral, unlesioned side to be 2 ± 0.45 ml and on the lesioned side to be 1.25 ± 0.45 ml. Using the contralateral, unlesioned side as a reference volume, approximately 39 ± 14% of the GP was visibly affected on the lesioned side. Seventeen of 18 patients had a favorable outcome with reduced dyskinesias and "off" time with improvement in parkinsonian symptoms. Analysis of computerized three-dimensional rendering of pallidotomy-produced lesions based on MR images showed no relationship between lesioning technique and resulting lesion shape. Important factors in the volumetric analysis of pallidotomy lesions are identified and allow reasonable assessment of the pallidotomy lesion volume and shape and the extent of the affected GP.

Three-dimensional computerized tomography angiography—guided surgery of acutely ruptured cerebral anuerysms

2001 ◽  
Vol 94 (5) ◽  
pp. 718-727 ◽  
Author(s):  
Masato Matsumoto ◽  
Masanori Sato ◽  
Masayuki Nakano ◽  
Yuji Endo ◽  
Youichi Watanabe ◽  
...  
Keyword(s):  
Ct Angiography ◽  
Computerized Tomography ◽  
Three Dimensional ◽  
Artery Aneurysm ◽  
3D Ct ◽  
Conventional Angiography ◽  
Content Type ◽  
Ruptured Aneurysms ◽  
3D Ct Angiography ◽  
Fine Print

Object. The aim of this study was to assess whether aneurysm surgery can be performed in patients with ruptured cerebral aneurysms by using three-dimensional computerized tomography (3D-CT) angiography alone, without conventional catheter angiography. Methods. In a previous study, 60 patients with subarachnoid hemorrhage (SAH) from ruptured aneurysms were prospectively evaluated using both 3D-CT and conventional angiography, which resulted in a 100% accuracy for 3D-CT angiography in the diagnosis of ruptured aneurysms, and a 96% accuracy in the identification of associated unruptured aneurysms. The results led the authors to consider replacing conventional angiography with 3D-CT angiography for use in diagnosing ruptured aneurysms, and to perform surgery aided by 3D-CT angiography alone without conventional angiography. Based on the results, 100 consecutive patients with SAH who had undergone surgery in the acute stage based on 3D-CT angiography findings have been studied since December 1996. One hundred ruptured aneurysms, including 41 associated unruptured lesions, were detected using 3D-CT angiography. In seven of 100 ruptured aneurysms, which included four dissecting vertebral artery aneurysms, two basilar artery (BA) tip aneurysms, and one BA—superior cerebellar artery aneurysm, 3D-CT angiography was followed by conventional angiography to acquire diagnostic confirmation or information about the vein of Labbé, which was needed to guide the surgical approach for BA tip aneurysms. All of the ruptured aneurysms were confirmed at surgery and treated successfully. Ninety-three patients who underwent operation with the aid of 3D-CT angiography only had no complications related to the lack of information gathered by conventional angiography. The 3D-CT angiography studies provided the authors with the aneurysm location as well as surgically important information on the configuration of its sac and neck, the presence of calcification in the aneurysm wall, and its relationship to the adjacent vessels and bone structures. Conclusions The authors believe that 3D-CT angiography can replace conventional angiography in the diagnosis of ruptured aneurysms and that surgery can be performed in almost all acutely ruptured aneurysms by using only 3D-CT angiography without conventional angiography.

Localization of stimulating electrodes in patients with Parkinson disease by using a three-dimensional atlas—magnetic resonance imaging coregistration method

2003 ◽  
Vol 99 (1) ◽  
pp. 89-99 ◽  
Author(s):  
Jérôme Yelnik ◽  
Philippe Damier ◽  
Sophie Demeret ◽  
David Gervais ◽  
Eric Bardinet ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Mr Imaging ◽  
Parkinson Disease ◽  
Three Dimensional ◽  
Zona Incerta ◽  
Mr Images ◽  
Content Type ◽  
Anatomical Localization ◽  
Stimulating Electrodes ◽  
Fine Print

Object. The aim of this study was to correlate the clinical improvement in patients with Parkinson disease (PD) treated using deep brain stimulation (DBS) of the subthalamic nucleus (STN) with the precise anatomical localization of stimulating electrodes. Methods. Localization was determined by superimposing figures from an anatomical atlas with postoperative magnetic resonance (MR) images obtained in each patient. This approach was validated by an analysis of experimental and clinical MR images of the electrode, and the development of a three-dimensional (3D) atlas—MR imaging coregistration method. The PD motor score was assessed through two contacts for each of two electrodes implanted in 10 patients: the “therapeutic contact” and the “distant contact” (that is, the next but one to the therapeutic contact). Seventeen therapeutic contacts were located within or on the border of the STN, most of which were associated with significant improvement of the four PD symptoms tested. Therapeutic contacts located in other structures (zona incerta, lenticular fasciculus, or midbrain reticular formation) were also linked to a significant positive effect. Stimulation applied through distant contacts located in the STN improved symptoms of PD, whereas that delivered through distant contacts in the remaining structures had variable effects ranging from worsening of symptoms to their improvement. Conclusions. The authors have demonstrated that 3D atlas—MR imaging coregistration is a reliable method for the precise localization of DBS electrodes on postoperative MR images. In addition, they have confirmed that although the STN is the main target during DBS treatment for PD, stimulation of surrounding regions, particularly the zona incerta or the lenticular fasciculus, can also improve symptoms of PD.

Clinical applications of three-dimensional magnetic resonance image analysis

1996 ◽  
Vol 86 (1) ◽  
pp. 33-37 ◽  
Author(s):  
GR Bauer ◽  
HJ Hillstrom ◽  
JK Udupa ◽  
BE Hirsch
Keyword(s):  
Magnetic Resonance ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Magnetic Resonance Images ◽  
Application Development ◽  
Dimensional Reconstruction ◽  
Foot Function ◽  
Broad Clinical Application

A methodology for measuring the kinematic parameters of joints in vivo has been refined using the technique of computerized three-dimensional reconstruction from magnetic resonance images. A research protocol has been developed to establish a classification of normal and pathologic foot function that will have broad clinical application. Development of algorithms for a computer-directed program that can predict resultant kinematics and joint morphometry for a given osteotomy or osseous remodeling procedure will assist the surgeon in preoperative surgical planning.

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