Izvorni znanstveni članak
Virtual Bronchoscopy and 3D Spiral CT Reconstructions in the Management of Patient with Bronchial Cancer – Our Experience with Syngo 3D Postprocessing Software
Višeslav Ćuk
Stanko Belina
Rajko Fureš
Damir Buković
Daniel Lovrić
Ivana Šešo
Sažetak
Multislice helical CT generated virtual bronchoscopy (VB) represents one of the most recent developments in three-dimensional
computer aided visualisation techniques. VB allows non-invasive and relatively accurate 3D evaluation of
tracheobronchal tree. We performed virtual bronchoscopy and in-space 3D volume analysis on CT-data set acquired from
sixty-four-year old male with bronchial cancer in order to demonstrate advantages and disadvantages of these methods
in diagnostics and preoperative management of metastatic bronchial cancer. Siemens Somatom Emotion 16 helical CT
scanner was used for data acquisition. Data post-processing was done with 3D Syngo 2006G software package from
Siemens medical systems. CT scanning of the thorax was performed in heavy smoker with an expansive T4N1M1 malignant
process in a superior lobe of the right lung accompanied with large metastatic lesion attached on the right lateral
chest wall. Metastatic lesions were also found in vertebral column. In-space 3D analysis followed with virtual bronchoscopy
had revealed obstruction of apical branch of superior lobe segmental bronchus. External compression done by tumor
to the superior segmental and right main bronchus was found. We concluded that multi-slice CT in connection with VB
became a possible non-invasive alternative to bronchoscopy, if tissue samples are not required.
Ključne riječi
virtual bronchoscopy; high resolution computer tomography; bronchal cancer; CT image postprocessing
Hrčak ID:
27288
URI
Datum izdavanja:
4.1.2007.
Posjeta: 3.643 *