scholarly journals Evaluation of the Accuracy of Mobile Cone-Beam Computed Tomography after Spinal Instrumentation Surgery

2021 ◽  
Author(s):  
Ki Seong Eom ◽  
Eun Sung Park ◽  
Dae Won Kim ◽  
Jong Tae Park ◽  
Kwon-Ha Yoon
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Spinal Instrumentation ◽  
Cone Beam

Setup accuracy of spine radiosurgery using cone beam computed tomography image guidance in patients with spinal implants

2010 ◽  
Vol 12 (4) ◽  
pp. 413-420 ◽  
Author(s):  
Peter C. Gerszten ◽  
Edward A. Monaco ◽  
Mubina Quader ◽  
Josef Novotny ◽  
Jong Oh Kim ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Image Guidance ◽  
Spinal Instrumentation ◽  
Target Volume ◽  
Cone Beam ◽  
Spinal Implants ◽  
Cbct Image ◽  
Spine Radiosurgery ◽  
Patient Setup

Object Cone beam computed tomography (CBCT) image guidance technology has been adopted for use in spine radiosurgery. There is concern regarding the ability to safely and accurately perform spine radiosurgery without the use of implanted fiducials for image guidance in postsurgical cases in which titanium instrumentation and/or methylmethacrylate (MMA) has been implanted. In this study the authors prospectively evaluated the accuracy of the patient setup for spine radiosurgery by using CBCT image guidance in the context of orthopedic hardware at the site of disease. Methods The positioning deviations of 31 single-fraction spine radiosurgery treatments in patients with spinal implants were prospectively evaluated using the Elekta Synergy S 6-MV linear accelerator with a beam modulator and CBCT image guidance combined with a robotic couch that allows positioning correction in 3 translational and 3 rotational directions. To measure patient movement, 3 quality-assurance CBCT studies were performed and recorded: before, halfway through, and after radiosurgical treatment. The positioning data and fused images of planning CTs and CBCTs from the treatments were analyzed to determine intrafractional patient movements. From each of 3 CBCTs, 3 translational and 3 rotational coordinates were obtained. Results The prescribed dose to the gross tumor volume for the cohort was 12–18 Gy (mean 14 Gy) utilizing 9–14 coplanar intensity-modulated radiation therapy (IMRT) beams (mean 10 beams). At the halfway point of the radiosurgery, the translational variations and standard deviations were 0.6 ± 0.6, 0.4 ± 0.4, and 0.5 ± 0.5 mm in the lateral (X), longitudinal (Y), and anteroposterior (Z) directions, respectively. The magnitude of the 3D vector (X,Y,Z) was 1.1 ± 0.7 mm. Similarly, the variations immediately after treatment were 0.5 ± 0.3, 0.4 ± 0.4, and 0.5 ± 0.6 mm along the X, Y, and Z directions, respectively. The 3D vector was 1.0 ± 0.6 mm. The mean rotational angles were 0.3 ± 0.4, 0.5 ± 0.6, and 0.3 ± 0.4° along yaw, roll, and pitch, respectively, at the halfway point and 0.3 ± 0.4, 0.6 ± 0.6, and 0.4 ± 0.5° immediately after treatment. Conclusions Cone beam CT image guidance used for patient setup for spine radiosurgery was highly accurate despite the presence of spinal instrumentation and/or MMA at the level of the target volume. The presence of such spinal implants does not preclude safe treatment via spine radiosurgery in these patients.

scholarly journals Safety and accuracy of spinal instrumentation surgery in a hybrid operating room with an intraoperative cone-beam computed tomography

2018 ◽  
Vol 42 (2) ◽  
pp. 417-426 ◽  
Author(s):  
Christian A. Bohoun ◽  
Kentaro Naito ◽  
Toru Yamagata ◽  
Samantha Tamrakar ◽  
Kenji Ohata ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Operating Room ◽  
Cone Beam Computed Tomography ◽  
Spinal Instrumentation ◽  
Cone Beam ◽  
Hybrid Operating Room

Value of cone beam computed tomography to evaluate complication of intracranial haemorrhage in endovascular treatment (evt): a case report

2019 ◽  
Vol 1 (1) ◽  
pp. 16-18 ◽  
Author(s):  
Norafida Bahari ◽  
Nik Azuan Nik Ismail ◽  
Jegan Thanabalan ◽  
Ahmad Sobri Muda
Keyword(s):  
Computed Tomography ◽  
Arteriovenous Malformation ◽  
Endovascular Treatment ◽  
Cone Beam Computed Tomography ◽  
Diagnostic Value ◽  
Cone Beam ◽  
Brain Arteriovenous Malformation ◽  
Embolic Materials

In this article, we evaluate the effectiveness of Cone Beam Computed Tomography, through a case study, in assessing the complication of intracranial bleeding during an endovascular treatment of brain arteriovenous malformation when compared to Multislice-Detector Computed Tomography performed immediately after the procedure. The image quality of Cone Beam Computed Tomography has enough diagnostic value in differentiating between haemorrhage, embolic materials and the arteriovenous malformation nidus to facilitate physicians to decide for further management of the patient.

Value of cone beam computed tomography to evaluate complication of intracranial haemorrhage in endovascular treatment (evt): a case report.

2019 ◽  
pp. 16-18
Author(s):  
Norafida Bahari ◽  
NikAzuan Nik Ismail ◽  
Jegan Thanabalan ◽  
Ahmad Sobri Muda
Keyword(s):  
Computed Tomography ◽  
Arteriovenous Malformation ◽  
Endovascular Treatment ◽  
Cone Beam Computed Tomography ◽  
Diagnostic Value ◽  
Cone Beam ◽  
Brain Arteriovenous Malformation ◽  
Embolic Materials

In this article, we evaluate the effectiveness of Cone Beam Computed Tomography, through a case study, in assessing the complication of intracranial bleeding during an endovascular treatment of brain arteriovenous malformation when compared to Multislice-Detector Computed Tomography performed immediately after the procedure. The image quality of Cone Beam Computed Tomography has enough diagnostic value in differentiating between haemorrhage, embolic materials and the arteriovenous malformation nidus to facilitate physicians to decide for further management of the patient.

A retrospective pilot study of correlation of first maxillary premolar root trunk length with age and gender: a cone beam computed tomography study

2020 ◽  
Vol 69 (1) ◽  
Author(s):  
Andrea Pilloni ◽  
Lorenza Montanaro ◽  
Fabiola Dell'olmo ◽  
Alberto Fonzar ◽  
Francesco Cairo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Pilot Study ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Age And Gender ◽  
Trunk Length ◽  
And Gender
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