Mobile Computed Tomography : Three Year Clinical Experience in Korea.
10.3340/jkns.2013.53.1.39
- Author:
Jin Sue JEON
1
;
Sang Hyung LEE
;
Young Je SON
;
Hee Jin YANG
;
Young Seob CHUNG
;
Hee Won JUNG
Author Information
1. Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Computed tomography;
Intensive care unit
- MeSH:
Brain;
Catheters;
Decision Making;
Follow-Up Studies;
Hematoma;
Intensive Care Units;
Korea;
Medical Records;
Neoplasm, Residual
- From:Journal of Korean Neurosurgical Society
2013;53(1):39-42
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 post-operative 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.
