Abstract
Muti-row-detector CT (MDCT) is the primary modality for evaluation of both congenital and acquired chest wall disorders. Imaging data from MDCT examinations provide anatomical detail and delineate relationships between adjacent structures. Three-dimensional reconstructions from the raw data can be used to enhance visualization of complex three-dimensional (3D) anatomy and for volumetric quantification to aid in surgical planning. This chapter illustrates the technical and practical considerations of utilizing MDCT in the evaluation of chest wall lesions, tumors, infections, and trauma and highlights MDCT advances in surgical planning, including 4D imaging and three-dimensional modeling and printing.
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1 Electronic Supplementary Material
Movie 1
Volume rendered movie showing the trajectory of the bullet (MOV 1786 kb)
Movie 2
Patient post resection of a sternal sarcoma unable to be weaned off the ventilator. 4D CT of the chest shows abnormal mobility of the chest wall (MOV 1182 kb)
Movie 3
Volume rendered 4D movie showing ballooning of the right upper lobes and abnormal movement of the chest wall. Patient has upper lobe predominant emphysema and the removal of the sternum resulted in overexpansion of the emphysematous lobes with increase in residual volume. 4D imaging helped in patient management in this case, the left lower lobe collapse, which was related to a mucous plug, was removed and the positional and ventilator maneuvers were able to correct the residual volume. In future 3D printing of a sternal implant may be an alternative solution. (MOV 530 kb)
Movie 4
3D volume rendered images showing a left apical Pancoast tumor (black) and relationship to adjacent structures (MOV 46855 kb)
Movie 5
3D volume rendered image of the patient post resection of the Pancoast tumor with reconstruction of chest wall with goretex (MOV 46852 kb)
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Ripley, B.A., Kelil, T., Colson, Y.L., Gill, R.R. (2016). MDCT of the Chest Wall. In: Schoepf, U., Meinel, F. (eds) Multidetector-Row CT of the Thorax. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-319-30355-0_24
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DOI: https://doi.org/10.1007/978-3-319-30355-0_24
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