| Alterations in Surgical Plan Based on Intraoperative Portable Head Computed Tomography Imaging. | |
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MedLine Citation:
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PMID: 21477092 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Intraoperative imaging offers potential for utility in many clinical scenarios. Portable computed tomography (CT) offers a versatile potential alternative when immediate imaging may alter the surgical plan and magnetic resonance imaging is not practical. METHODS: The medical records from the University or New Mexico were reviewed for portable head CT scans done in the operating room since the scanner has been available. Operative reports and imaging studies were reviewed to determine changes in surgical decision after the CT scan. FINDINGS: The portable head CT scanner was used in 50 cases from May 2007 through March 2010. Average operative time overall was 121 minutes and for reservoir placement was 54 minutes. Procedures included reservoir placement (28%), tumor resection (24%), cerebrospinal fluid shunting (24%), vascular lesion resection (8%), trauma craniotomy (6%), abscess drainage (4%), stereotactic biopsy (4%), and open reduction internal fixation of facial fractures (2%). Findings on the CT scan lead to alterations in the surgical plan 16 times (32%). CONCLUSION: In select cases, intraoperative portable head CT leads to changes in the surgical plan in 32% of cases. This potentially prevents a return to the operating room and offers a cost-effective alternative to fixed intraoperative imaging facilities. |
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Authors:
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Andrew P Carlson; Jeremy Phelps; Howard Yonas |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-7 |
Journal Detail:
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Title: Journal of neuroimaging : official journal of the American Society of Neuroimaging Volume: - ISSN: 1552-6569 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9102705 Medline TA: J Neuroimaging Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 by the American Society of Neuroimaging. |
Affiliation:
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Department of Neurosurgery, University of New Mexico, Albuquerque, NM. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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