Journal of Korean Neurosurgical Society

  • 제53권1호
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  • Pages.39-42
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Mobile Computed Tomography : Three Year Clinical Experience in Korea

  • Jeon, Jin Sue (Department of Neurosurgery, Seoul National University Hospital) ;
  • Lee, Sang Hyung (Department of Neurosurgery, SMG-Seoul National University Boramae Medical Center) ;
  • Son, Young-Je (Department of Neurosurgery, SMG-Seoul National University Boramae Medical Center) ;
  • Yang, Hee-Jin (Department of Neurosurgery, SMG-Seoul National University Boramae Medical Center) ;
  • Chung, Young Seob (Department of Neurosurgery, SMG-Seoul National University Boramae Medical Center) ;
  • Jung, Hee-Won (Department of Neurosurgery, Seoul National University Hospital)
  • 투고 : 2012.08.13
  • 심사 : 2013.01.15
  • 발행 : 2013.01.28
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초록

Objective : Obtaining real-time image is essential for neurosurgeons to minimize invasion of normal brain tissue and to prompt diagnosis of intracranial event. The aim of this study was to report our three-year experience with a mobile computed tomography (mCT) for intraoperative and bedside scanning. Methods : A total of 357 mCT (297 patients) scans from January 2009 to December 2011 in single institution were reviewed. After excluding postoperative routine follow-up, 202 mCT were included for analysis. Their medical records such as diagnosis, clinical application, impact on decision making, times, image quality and radiologic findings were assessed. Results : Two-hundred-two mCT scans were performed in the operation room (n=192, 95%) or intensive care unit (ICU) (n=10, 5%). Regarding intraoperative images, extent of resection of tumor (n=55, 27.2%), degree of hematoma removal (n=42, 20.8%), confirmation of catheter placement (n=91, 45.0%) and monitoring unexpected complications (n=4, 2.0%) were evaluated. A total of 14 additional procedures were introduced after confirmation of residual tumor (n=7, 50%), hematoma (n=2, 14.3%), malpositioned catheter (n=3, 21.4%) and newly developed intracranial events (n=2, 14.3%). Every image was obtained within 15 minutes and image quality was sufficient for interpretation. Conclusion : mCT is feasible for prompt intraoperative and ICU monitoring with enhanced diagnostic certainty, safety and efficiency.

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참고문헌

  1. Abdoh MG, Bekaert O, Hodel J, Diarra SM, Le Guerinel C, Nseir R, et al. : Accuracy of external ventricular drainage catheter placement. Acta Neurochir (Wien) 154 : 153-159, 2012 https://doi.org/10.1007/s00701-011-1136-9
  2. Gumprecht H, Lumenta CB : Intraoperative imaging using a mobile computed tomography scanner. Minim Invasive Neurosurg 46 : 317-322, 2003 https://doi.org/10.1055/s-2003-812496
  3. Hosoda T, Takeuchi H, Hashimoto N, Kitai R, Arishima H, Kodera T, et al. : Usefulness of intraoperative computed tomography in surgery for low-grade gliomas : a comparative study between two series without and with intraoperative computed tomography. Neurol Med Chir (Tokyo) 51 : 490-495, 2011 https://doi.org/10.2176/nmc.51.490
  4. Jackman AH, Palmer JN, Chiu AG, Kennedy DW : Use of intraoperative CT scanning in endoscopic sinus surgery : a preliminary report. Am J Rhinol 22 : 170-174, 2008 https://doi.org/10.2500/ajr.2008.22.3153
  5. Kim JW, Lee SH, Son YJ, Yang HJ, Chung YS, Jung HW : Mobile computed tomography : early experience in Korea. J Korean Neurosurg Soc 48 : 31-36, 2010 https://doi.org/10.3340/jkns.2010.48.1.31
  6. Korinek AM, Golmard JL, Elcheick A, Bismuth R, van Effenterre R, Coriat P, et al. : Risk factors for neurosurgical site infections after craniotomy : a critical reappraisal of antibiotic prophylaxis on 4,578 patients. Br J Neurosurg 19 : 155-162, 2005 https://doi.org/10.1080/02688690500145639
  7. Masaryk T, Kolonick R, Painter T, Weinreb DB : The economic and clinical benefits of portable head/neck CT imaging in the intensive care unit. Radiol Manage 30 : 50-54, 2008
  8. Nakao N, Nakai K, Itakura T : Updating of neuronavigation based on images intraoperatively acquired with a mobile computerized tomographic scanner : technical note. Minim Invasive Neurosurg 46 : 117-120, 2003 https://doi.org/10.1055/s-2003-39344
  9. Saladino A, White JB, Wijdicks EF, Lanzino G : Malplacement of ventricular catheters by neurosurgeons : a single institution experience. Neurocrit Care 10 : 248-252, 2009 https://doi.org/10.1007/s12028-008-9154-z
  10. Shrimpton PC, Hillier MC, Lewis MA, Dunn M : National survey of doses from CT in the UK : 2003. Br J Radiol 79 : 968-980, 2006 https://doi.org/10.1259/bjr/93277434
  11. Smith I, Fleming S, Cernaianu A : Mishaps during transport from the intensive care unit. Crit Care Med 18 : 278-281, 1990 https://doi.org/10.1097/00003246-199003000-00006
  12. Stieve M, Schwab B, Haupt C, Bisdas S, Heermann R, Lenarz T : Intraoperative computed tomography in otorhinolaryngology. Acta Otolaryngol 126 : 82-87, 2006 https://doi.org/10.1080/00016480510040119
  13. Uhl E, Zausinger S, Morhard D, Heigl T, Scheder B, Rachinger W, et al. : Intraoperative computed tomography with integrated navigation system in a multidisciplinary operating suite. Neurosurgery 64 : 231-239; discussion 239-240, 2009 https://doi.org/10.1227/01.NEU.0000338068.44060.EA
  14. Willems PW, van der Sprenkel JW, Tulleken CA, Viergever MA, Taphoorn MJ : Neuronavigation and surgery of intracerebral tumours. J Neurol 253 : 1123-1136, 2006 https://doi.org/10.1007/s00415-006-0158-3

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  3. Brain Imaging Using Mobile CT: Current Status and Future Prospects vol.26, pp.1, 2013, https://doi.org/10.1111/jon.12319