Luessenhop A J, Schellinger D
J Neurosurg. 1987 Aug;67(2):291-2. doi: 10.3171/jns.1987.67.2.0291.
A case is described in which incorrect preliminary programming of a computerized tomography (CT) machine caused transposition of the left- and right-side indicators in a CT scan, which led to craniotomy on the normal side. The possible mechanism for this is incorrect pre-scan programming of the CT scanner with respect to patient positioning in the scanner gantry. This error, although unlikely, is still possible with the present generation of CT scanners.
本文描述了一个病例,其中计算机断层扫描(CT)机的初步编程错误导致CT扫描中左右侧指示标记颠倒,进而导致在正常一侧进行了开颅手术。其可能的机制是CT扫描仪在扫描前针对患者在扫描机架中的定位进行了错误编程。这种错误虽然不太可能发生,但在当代CT扫描仪中仍然有可能出现。