Literature DB >> 9632189

A mobile computed tomographic scanner with intraoperative and intensive care unit applications.

W E Butler1, C M Piaggio, C Constantinou, L Niklason, R G Gonzalez, G R Cosgrove, N T Zervas.   

Abstract

INTRODUCTION: A mobile computed tomographic scanner has been developed in which the scan plane is selected by means of gantry translation, rather than by translation of the patient table. This permits computed tomographic scanning in situ of any patient who is positioned on a radiolucent surface that fits within the inner diameter of the gantry. We report the design of and initial experience with this scanner as used with adapters for intraoperative and bedside computed tomography (CT).
METHODS: The scanner is equipped with wheels, draws power from wall outlets (120 V, 20 A) in combination with batteries, and has a translating gantry. Preclinical studies of image quality were performed with phantoms. An operating table adapter was built for use with a radiolucent cranial fixation device. A bedside adapter was built that holds the head and shoulders of a patient in the intensive care unit.
RESULTS: The preclinical phantom studies showed satisfactory image spatial resolution (0.8 mm) and low-contrast resolution signal-to-noise relative standard deviation (0.37%). Experience to date with 12 patients has confirmed the feasibility of intraoperative CT on demand. Experience to date with 26 patients has confirmed the feasibility of routine bedside CT in the intensive care unit.
CONCLUSION: With these adaptations, mobile CT may increase the efficiency of intraoperative scanning by making it available to multiple operating rooms without committing it to any room for an entire operation and may increase the efficiency and safety of CT of critically ill patients who currently need to leave the intensive care unit to travel to a fixed CT installation and back.

Entities:  

Mesh:

Year:  1998        PMID: 9632189     DOI: 10.1097/00006123-199806000-00064

Source DB:  PubMed          Journal:  Neurosurgery        ISSN: 0148-396X            Impact factor:   4.654


  21 in total

1.  Head computed tomography scanning during pediatric neurocritical care: diagnostic yield and the utility of portable studies.

Authors:  Kerri L LaRovere; Molly S Brett; Robert C Tasker; Keith J Strauss; Jeffrey P Burns
Journal:  Neurocrit Care       Date:  2012-04       Impact factor: 3.210

2.  Design and evaluation of an optically-tracked single-CCD laser range scanner.

Authors:  Thomas S Pheiffer; Amber L Simpson; Brian Lennon; Reid C Thompson; Michael I Miga
Journal:  Med Phys       Date:  2012-02       Impact factor: 4.071

3.  Early clinical experience with a dedicated portable computed tomography scanner in a biplane neuroangiography suite: assessment of feasibility and utility in neurointerventional practice.

Authors:  S Mangla; J C Chaloopka; D C Huddle
Journal:  Interv Neuroradiol       Date:  2001-05-15       Impact factor: 1.610

4.  A fast and efficient method to compensate for brain shift for tumor resection therapies measured between preoperative and postoperative tomograms.

Authors:  Prashanth Dumpuri; Reid C Thompson; Aize Cao; Siyi Ding; Ishita Garg; Benoit M Dawant; Michael I Miga
Journal:  IEEE Trans Biomed Eng       Date:  2010-02-17       Impact factor: 4.538

5.  Incidence of complications in intrahospital transport of critically ill patients--experience in an Austrian university hospital.

Authors:  Daniel Lahner; Ajsa Nikolic; Peter Marhofer; Herbert Koinig; Peter Germann; Christian Weinstabl; Claus G Krenn
Journal:  Wien Klin Wochenschr       Date:  2007       Impact factor: 1.704

6.  An atlas-based method to compensate for brain shift: preliminary results.

Authors:  Prashanth Dumpuri; Reid C Thompson; Benoit M Dawant; A Cao; Michael I Miga
Journal:  Med Image Anal       Date:  2007-03-01       Impact factor: 8.545

7.  Intraoperative brain shift compensation: accounting for dural septa.

Authors:  Ishita Chen; Aaron M Coffey; Siyi Ding; Prashanth Dumpuri; Benoit M Dawant; Reid C Thompson; Michael I Miga
Journal:  IEEE Trans Biomed Eng       Date:  2010-11-22       Impact factor: 4.538

8.  Toward a preoperative planning tool for brain tumor resection therapies.

Authors:  Aaron M Coffey; Michael I Miga; Ishita Chen; Reid C Thompson
Journal:  Int J Comput Assist Radiol Surg       Date:  2012-05-25       Impact factor: 2.924

9.  Persistent and automatic intraoperative 3D digitization of surfaces under dynamic magnifications of an operating microscope.

Authors:  Ankur N Kumar; Michael I Miga; Thomas S Pheiffer; Lola B Chambless; Reid C Thompson; Benoit M Dawant
Journal:  Med Image Anal       Date:  2014-08-07       Impact factor: 8.545

Review 10.  Recommendations for the intra-hospital transport of critically ill patients.

Authors:  Benoît Fanara; Cyril Manzon; Olivier Barbot; Thibaut Desmettre; Gilles Capellier
Journal:  Crit Care       Date:  2010-05-14       Impact factor: 9.097

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