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Preoperative Images (preoperative + image)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

COMPARISON OF THE HEIGHT OF PAPILLARY TUMOR IN INTRADUCTAL PAPILLARY MUCINOUS NEOPLASM OF THE PANCREAS BETWEEN MEASURED PREOPERATIVE IMAGES AND RESECTED MATERIAL

DIGESTIVE ENDOSCOPY, Issue 2006
Kiyohito Tanaka
The height of the mural nodules and papillary tumors in main pancreatic duct or dilated branch duct is the most important factor for diagnosis of intraductal papillary mucinous neoplasm (IPMN). In this study, the authors compared the height of the papillary lesions and mural nodules between the height of resected tissues and the height detected by the preoperative imaging tools (endoscopic ultrasonography [EUS] and intraductal ultrasonography [IDUS]) in 38 patients with IPMN. In 21 out of 23 cases of adenoma, and in cases with the non-invasive cancer, the difference of the height of operative and preoperative analysis measured by EUS and IDUS was within 1,2 mm. EUS and IDUS are useful for diagnosis of degree of malignancy in IPMN. [source]

Canal shapes produced sequentially during instrumentation with Quantec SC rotary nickel,titanium instruments: a study in simulated canals

INTERNATIONAL ENDODONTIC JOURNAL, Issue 2 2001
I. T. Griffiths
Abstract Aim The aim of this study was to determine the shaping ability of Quantec SC nickel,titanium rotary instruments in simulated root canals. Methodology Forty simulated canals consisting of four different shapes in terms of angle and position of curvature were prepared with Quantec SC instruments. Sequential still images were taken of the canals using a video camera attached to a computer with image analysis software. Images were taken preoperatively, and then after instrument 7 (Size 25, 0.05 taper), instrument 8 (size 25, 0.06 taper), and instrument 10 (size 45, 0.02 taper) were taken to length. Each sequential postoperative image was superimposed individually over the preoperative image in order to highlight the amount and position of material removed during preparation. Results Overall, the mean preparation time to size 10 was 3.6 min with 12 mm canals taking on average less time than 8 mm canals. There was a highly significant difference between the canal types (P < 0.0001). No instruments fractured within the canal or deformed, although one instrument separated from the latch grip. All canals remained patent. Following preparation to size 10, 19 canals (48%) retained their length, eight (20%) lost length, and 13 (32%) gained length; the magnitude of the change in length was always 0.5 mm or below. Following preparation to size 7 instruments all canals showed aberrant shapes. Excess removal of material along the outer aspect of the curve between the beginning of the curve and the end-point (outer widening) was found in 26 canals (65%) after instrument 7. At the same stage of preparation six canals (15%) had zips, three (8%) had ledges and five (13%) had perforations. Following preparation to size 10, 27 (68%) canals were perforated. Conclusions Under the conditions of the study, Quantec SC instruments consistently produced aberrations when canals were enlarged to size 7 (size 25, 0.05 taper) or above. Care should be exercised when using these instruments in real teeth. [source]

Determining the operative line of resection for image-guided emphysema surgery using a laser scanner and non-rigid registration

THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, Issue 2 2010
Jong-Ha Lee
Abstract Background Although many diseases such as emphysema are diagnosed with preoperative imaging modalities, this information is rarely utilized in the operating room. A method that relates the preoperative images to the non-rigid organ in physical space would aid a surgeon to determine the line of resection. Methods We used a three-dimensional (3D) laser scanner to obtain intraoperative images of the lung and overlayed it with preoperative CT images, using a non-rigid image registration method. Results The non-overlapping registration error of the system was 1.91 ± 0.28% without organ deformation and 2.69 ± 0.28% with 9% organ deformation. When 83% of the organ was visible, the registration error was 2.99 ± 0.42%. Conclusion A novel image overlay system using a 3D laser scanner and a non-rigid registration method was implemented and its accuracy evaluated. By using the proposed system, we successfully related the preoperative images with an open organ in the operating room. Copyright © 2010 John Wiley & Sons, Ltd. [source]

Liver Graft Regeneration in Right Lobe Adult Living Donor Liver Transplantation

AMERICAN JOURNAL OF TRANSPLANTATION, Issue 6 2009
Y.-F. Cheng
Optimal portal flow is one of the essentials in adequate liver function, graft regeneration and outcome of the graft after right lobe adult living donor liver transplantation (ALDLT). The relations among factors that cause sufficient liver graft regeneration are still unclear. The aim of this study is to evaluate the potential predisposing factors that encourage liver graft regeneration after ALDLT. The study population consisted of right lobe ALDLT recipients from Chang Gung Memorial Hospital-Kaohsiung Medical Center, Taiwan. The records, preoperative images, postoperative Doppler ultrasound evaluation and computed tomography studies performed 6 months after transplant were reviewed. The volume of the graft 6 months after transplant divided by the standard liver volume was calculated as the regeneration ratio. The predisposing risk factors were compiled from statistical analyses and included age, recipient body weight, native liver disease, spleen size before transplant, patency of the hepatic venous graft, graft weight-to-recipient weight ratio (GRWR), posttransplant portal flow, vascular and biliary complications and rejection. One hundred forty-five recipients were enrolled in this study. The liver graft regeneration ratio was 91.2 ± 12.6% (range, 58,151). The size of the spleen (p = 0.00015), total portal flow and GRWR (p = 0.005) were linearly correlated with the regeneration rate. Patency of the hepatic venous tributary reconstructed was positively correlated to graft regeneration and was statistically significant (p = 0.017). Splenic artery ligation was advantageous to promote liver regeneration in specific cases but splenectomy did not show any positive advantage. Spleen size is a major factor contributing to portal flow and may directly trigger regeneration after transplant. Control of sufficient portal flow and adequate hepatic outflow are important factors in graft regeneration. [source]