Progress in Medical Physics (한국의학물리학회지:의학물리)

Korean Society of Medical Physics (한국의학물리학회)
권호 표지

Subcutaneous Injection Contrast Media Extravasation: 3D CT Appearance

전산화단층검사에서 조영제의 피하 정맥 혈관외유출 환자의 3D영상

  • Kweon Dae Cheol (Department of Diagnostic Radiology, Seoul National University Hospital) ;
  • Kim Tae Hyung (Department of Radiology, Asan Medical Center) ;
  • Yang Sung Hwan (Department of Prosthetics & Orthotics, Korean National College of Rehabilitation and Welfare) ;
  • Yoo Beong Gyu (Department of Radiotechnology, Wonkwang Health Science College) ;
  • Kim Myeong Goo (Department of Diagnostic Radiology, Seoul National University Hospital) ;
  • Park Peom (Department of Industrial and Information Systems Engineering, Ajou University)
  • 권대철 (서울대학교병원 진단방사선과) ;
  • 김태형 (서울아산병원 방사선과) ;
  • 양성환 (한국재활복지대학 의료보장구과) ;
  • 유병규 (원광보건대학 방사선과) ;
  • 김명구 (서울대학교병원 진단방사선과) ;
  • 박범 (아주대학교 산업정보시스템공학과)
  • Published : 2005.03.01
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Abstract

We report a case of an accidental extravasation of contrast material. A large-volume extravasation occurred in an adult during spiral contrast-enhanced CT. The amount of contrast material extravasated was 47 ml. The patient had a swelling of the dorsum right hand. The extravasation injury site was determined by CT scanning. The extavasation case was examined using five separate display techniques: axial, multi planar reformation (MPR), maximum intensity projection (MIP), volume rendering, and shaded-surfaced display (SSD). This paper introduces extravasation with the CT and the three-dimensional appearance.

전산화단층검사에서 조영제를 자동주입기를 이용해 주입하여 검사하는 경우에 혈관 외 유출된 성인환자를 대상으로 하였다. 환자의 혈관외유출 사고의 조영제 양은 47 ml로 오른쪽 손목 부위가 부종을 동반하였다. 혈관외유출된 손상부위를 axial 스캔하여 MPR (multi-planar reformation), MIP (maximum intensity protection), volume rendering, SSD (shaded-surface display) 기법으로 구성하였다. 이러한 3D 영상은 조영제의 혈관외유출 환자의 예방 및 사후 조치에 적절한 치료계획의 방법으로 기대된다.

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