Three-dimensional CT imaging and virtual endoscopy for the placement of self-expandable stents in oesophageal and tracheobronchial neoplastic stenoses

We examined the value of multislice computed tomography (CT) with three-dimensional (3D) reconstruction of the images as a pre-treatment examination in order to plan endoluminal stenting in 14 patients with large tumours involving the oesophagus and/or the tracheobronchial tree. The measurement of t...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2003-01, Vol.23 (1), p.106-108
Main Authors: Di Simone, M.P., Mattioli, S., D'Ovidio, F., Bassi, F.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Bronchial Neoplasms - surgery
Computed tomography
Endoscopy
Esophageal carcinoma
Esophageal Neoplasms - surgery
Female
Humans
Image processing
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Palliation
Palliative Care - methods
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Respiratory system
Self-expandable stent
Stents
Tomography, X-Ray Computed - methods
Tracheal Neoplasms - surgery
Virtual endoscopy
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Summary:We examined the value of multislice computed tomography (CT) with three-dimensional (3D) reconstruction of the images as a pre-treatment examination in order to plan endoluminal stenting in 14 patients with large tumours involving the oesophagus and/or the tracheobronchial tree. The measurement of the stenosis obtained during 3D reconstruction of the CT images corresponded to that obtained by endoscopy and to the prosthesis chosen in all cases, with the exception of one patient undergoing double stenting due to inadequate gaseous distension of the oesophageal lumen. 3D CT may add information with respect to axial imaging, and be helpful to better plan and perform stenting of the oesophagus and airways without burdening the preoperative work-up.
ISSN:1010-7940
1873-734X
DOI:10.1016/S1010-7940(02)00620-6