From the Department of Radiology (V.P., M.H., Y.W.L., A.J.D., M.S.) and Hanjörg Wyss Department of Plastic Surgery (N.M.P., J.R.D.S., E.D.R.), New York University Langone Health, 550 First Ave, New York, NY 10016; Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Md (C.W.S., A.S.M.); and Department of Radiology, MedStar Health, Baltimore, Md (A.S.M.).
Radiographics. 2019 Jul-Aug;39(4):1098-1107. doi: 10.1148/rg.2019180167. Epub 2019 May 24.
Facial transplant (FT) is a viable option for patients with severe craniomaxillofacial deformities. Transplant imaging requires coordination between radiologists and surgeons and an understanding of the merits and limitations of imaging modalities. Digital subtraction angiography and CT angiography are critical to mapping vascular anatomy, while volume-rendered CT allows evaluation of osseous defects and landmarks used for surgical cutting guides. This article highlights the components of successful FT imaging at two institutions and in two index cases. A deliberate stepwise approach to performance and interpretation of preoperative FT imaging, which consists of the modalities and protocols described here, is essential to seamless integration of the multidisciplinary FT team. RSNA, 2019 See discussion on this article by Lincoln .
面部移植 (FT) 是治疗严重颅面畸形患者的可行选择。移植成像需要放射科医生和外科医生之间的协调,并需要了解成像方式的优缺点。数字减影血管造影和 CT 血管造影对于绘制血管解剖结构至关重要,而容积再现 CT 则可用于评估骨缺损和用于手术切割导板的标志。本文重点介绍了两家机构的两个索引病例中成功进行 FT 成像的各个组成部分。精心设计的、分步骤的术前 FT 成像性能和解读方法,包括本文所述的方式和方案,对于多学科 FT 团队的无缝整合至关重要。RSNA,2019 参见 Lincoln 对本文的讨论