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J Korean Neurosurg Soc. 2013 Jan;53(1):39-42. doi: 10.3340/jkns.2013.53.1.39. Epub 2013 Jan 31.

Mobile computed tomography : three year clinical experience in Korea.

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  • 1Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea.

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.

KEYWORDS:

Computed tomography; Intensive care unit

PMID:
23440939
[PubMed]
PMCID:
PMC3579080
Free PMC Article
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