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[泌尿外科动态CT。在新开发的泌尿外科介入手术台上进行的泌尿外科横断面成像]

[The urological Dyna-CT. Urological cross-sectional imaging on a newly developed urological intervention table].

作者信息

Michel M S, Ritter M, Schönberg S, Häcker A, Weisser G

机构信息

Klinik für Urologie, Universitätsmedizin Mannheim, Karl-Ruprechts-Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim.

出版信息

Urologe A. 2012 Jun;51(6):857-61. doi: 10.1007/s00120-012-2837-2.

DOI:10.1007/s00120-012-2837-2
PMID:22476741
Abstract

BACKGROUND

The development of a new urological intervention table now enables the application of an Artis zee ceiling Dyna-CT (Siemens, Erlangen, Germany) for interventional cross-sectional imaging and 3-D reconstruction of the urinary tract in the prone and supine positions (urological Dyna-CT).

MATERIALS AND METHODS

We tested the feasibility of the urological Dyna-CT with the newly developed urological intervention table. The system was moved five times to enable 3-D reconstruction of the urinary tract of a test person in the prone and in supine positions.

RESULTS

Handling of the free floating table is easily possible during the intervention. We found no limitation of imaging system movement in any position of the test person.

CONCLUSION

Apart from standard urological imaging such as fluoroscopy, intravenous pyelography or plain abdominal X-ray the urological Dyna-CT enables further imaging of the urinary tract. Fluoroscopy sequences can be stored as videos, and 3-D reconstructions of the urinary tract are possible with permanent patient access for any intervention. Extensive tests led to the technical approval of the system in urology.

摘要

背景

新型泌尿外科介入检查台的开发,使得应用Artis zee天花板式动态CT(西门子公司,德国埃尔朗根)在俯卧位和仰卧位对尿路进行介入性横断面成像及三维重建(泌尿外科动态CT)成为可能。

材料与方法

我们使用新开发的泌尿外科介入检查台测试了泌尿外科动态CT的可行性。该系统移动了五次,以便对一名受试者的尿路在俯卧位和仰卧位进行三维重建。

结果

在介入过程中,轻松操作自由移动的检查台是可行的。我们发现在受试者的任何体位下,成像系统的移动均无限制。

结论

除了诸如荧光透视、静脉肾盂造影或腹部平片等标准泌尿外科成像外,泌尿外科动态CT还能对尿路进行进一步成像。荧光透视序列可以存储为视频,并且能够对尿路进行三维重建,在任何介入操作过程中患者均可随时进行查看。广泛的测试使该系统在泌尿外科获得了技术认可。

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新开发的用于泌尿动态CT的泌尿外科方案将腔内泌尿外科患者的辐射暴露降低到低于低剂量标准CT扫描的水平。
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World J Urol. 2013 Oct;31(5):1291-5. doi: 10.1007/s00345-012-0917-y. Epub 2012 Aug 3.
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Optimizing imaging quality in endourology with the Uro Dyna-CT: contrast agent dilution matters.在泌尿科内镜检查中使用 Uro Dyna-CT 优化成像质量:造影剂稀释很重要。
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