삼차원 영상 구성에 의한 나선식 전산화단층혈관조영술의 유용성 : 양측성 윌름종양 수술에서의 경험
The Usefulness of Three-Dimensional Reconstruction Imaging using Spiral CT: an Experience In the Bilateral Wilms' Tumor Surgery
소속 상세정보
정병창/Byong Chang Jung
이승배/윤상진/오승준/이안기/김인원/최황/Seung Bae Lee/Sang Jin Yoon/Seung June Oh/Ahn Kie Lee/In One Kim/Hwang Choi
KMID : 0358319990400030394
Abstract
최근 임상 의학에도 컴퓨터를 이용한 첨단 기술의 적응으로 진단과 치료에 많은 도움을
주교 있다. 이 중 방사선과 영역에 있어 컴퓨터에 의한 화상의 재구성을 통한 삼차원 전산
화단층촬영(computerized tomography; CT)혈관조영술은 기존의 혈관조영술과 비교해 볼 때
많은 장점이 있다고 알려져 있다. 최근 저자들은 양측성 월름종양 환자에서 술전 삼차원
CT혈관조영술을 실시하여 신실질 보존 수술에 도움을 준 예를 경험하였기에 증례와 함께
보고한다.
Conventional angiography has been used to identify detailed vascular anatomy for
surgery in which parenchymal salvage should be necessary. Recently, we experienced a
case in which 3-dimensional CT was very helpful in salvaging the part of the kidney.
A 2 year-old girl was diagnosed as bilateral Wilms' tumor. Conventional CT scan
showed right huge mass and left upper pole mass of the kidney. The patient was
planned to have neoadjuvant chemotherapy. Spiral CT scan with three-dimensional
reconstruction was performed after 3-month chemotherapy and detailed anatomical
information regarding vessels, tumor mass and normal parenchyma was obtained. Based
on these anatomical information, right radical nephrectomy and left partial nephrectomy
was successfully performed. Surgical findings was quite similar to that obtained by
preoperative 3- dimensional CT images.
Three-dimensional reconstruction of spiral CT imaging is considered to be useful in
the evaluation of surgical anatomy in kidney-saving surgery preoperatively.
키워드
Spiral CT; 3-dimensional imaging; Bilateral Wilms' tumor;
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