CT imaging of facial trauma : role of different types of reconstruction : part I : bones

2011
journal article
article
dc.abstract.enBackground: Injury to the facial skeleton and the adjoining soft tissues is a frequently occurring condition. The main aim of this work was to assess the value of multiplanar and three-dimensional (3D) reconstruction computed tomography (CT) images obtained by using multi-detector row technology in spiral data acquisition in patients with facial skeleton injury. The authors attempted to answer the following questions: Are there particular mechanisms and types of injuries or locations of fractures which can be diagnosed significantly more effectively by conducting additional multiplanar image reconstructions? Do 3D image reconstructions contribute to the diagnostic process, to what extent? Compared to other imaging techniques, is the spiral CT data acquisition a more convenient for the patient and a faster investigation method of diagnosing post-injury lesions involving the facial skeleton? Material/Methods: Sixty-seven patients diagnosed with injury to the facial skeleton were referred for emergent CT scanning. Each patient underwent a CT scan with the use of a GE HiSpeed Qx/i scanner. The scans were conducted with the use of spiral data acquisition technique in the transverse plane. The following secondary image reconstructions were conducted for each patient: a twodimensional (2D) multiplanar reconstruction (MPR), maximum intensity projection (MIP), and 3D volume rendering (VR). Post-injury lesions of the facial skeleton were assessed and the presence of any loose displaced bone fragments was taken into consideration. Results: As far as fracture imaging is concerned, the 2D image reconstruction and volume rendering proved to be the most effective in the majority of locations. 3D image reconstructions proved the most sensitive in most cases of loose displaced bone fragments, except for fine structures such as the ethmoid bone and the inferior orbital wall. Conclusions: 1. Multiplanar computer reconstructions increase the effectiveness of visualisation of fractures, especially in the case of fractures in the inferior orbital wall. 2. 3D reconstructions are a good complementary technique allowing to locate loose bone fragments precisely and to assess the degree of displacement. 3. Spiral CT data acquisition increases patient’s convenience due to shorter time required for examination, and allows to conduct reconstructions of satisfactory value.pl
dc.contributor.authorMyga-Porosiło, Jolantapl
dc.contributor.authorSkrzelewski, Stanisławpl
dc.contributor.authorSraga, Wojciechpl
dc.contributor.authorBorowiak, Hannapl
dc.contributor.authorJackowska, Zuzannapl
dc.contributor.authorKluczewska, Ewapl
dc.date.accession2018-08-27pl
dc.date.accessioned2018-08-27T11:41:34Z
dc.date.available2018-08-27T11:41:34Z
dc.date.issued2011pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 51pl
dc.description.number1pl
dc.description.physical41-51pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume76pl
dc.identifier.articleid881408pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/56467
dc.identifier.weblinkhttp://archiwum.polradiol.com/abstract/index/idArt/881408pl
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enfacial bone injuriespl
dc.subject.enblowout fracturepl
dc.subject.encomputed tomographypl
dc.subject.enCTpl
dc.subtypeArticlepl
dc.titleCT imaging of facial trauma : role of different types of reconstruction : part I : bonespl
dc.title.alternativeBadanie TK w urazach części twarzowej czaszki : znaczenie różnych typów rekonstrukcji : część I : elementy kostnepl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background: Injury to the facial skeleton and the adjoining soft tissues is a frequently occurring condition. The main aim of this work was to assess the value of multiplanar and three-dimensional (3D) reconstruction computed tomography (CT) images obtained by using multi-detector row technology in spiral data acquisition in patients with facial skeleton injury. The authors attempted to answer the following questions: Are there particular mechanisms and types of injuries or locations of fractures which can be diagnosed significantly more effectively by conducting additional multiplanar image reconstructions? Do 3D image reconstructions contribute to the diagnostic process, to what extent? Compared to other imaging techniques, is the spiral CT data acquisition a more convenient for the patient and a faster investigation method of diagnosing post-injury lesions involving the facial skeleton? Material/Methods: Sixty-seven patients diagnosed with injury to the facial skeleton were referred for emergent CT scanning. Each patient underwent a CT scan with the use of a GE HiSpeed Qx/i scanner. The scans were conducted with the use of spiral data acquisition technique in the transverse plane. The following secondary image reconstructions were conducted for each patient: a twodimensional (2D) multiplanar reconstruction (MPR), maximum intensity projection (MIP), and 3D volume rendering (VR). Post-injury lesions of the facial skeleton were assessed and the presence of any loose displaced bone fragments was taken into consideration. Results: As far as fracture imaging is concerned, the 2D image reconstruction and volume rendering proved to be the most effective in the majority of locations. 3D image reconstructions proved the most sensitive in most cases of loose displaced bone fragments, except for fine structures such as the ethmoid bone and the inferior orbital wall. Conclusions: 1. Multiplanar computer reconstructions increase the effectiveness of visualisation of fractures, especially in the case of fractures in the inferior orbital wall. 2. 3D reconstructions are a good complementary technique allowing to locate loose bone fragments precisely and to assess the degree of displacement. 3. Spiral CT data acquisition increases patient’s convenience due to shorter time required for examination, and allows to conduct reconstructions of satisfactory value.
dc.contributor.authorpl
Myga-Porosiło, Jolanta
dc.contributor.authorpl
Skrzelewski, Stanisław
dc.contributor.authorpl
Sraga, Wojciech
dc.contributor.authorpl
Borowiak, Hanna
dc.contributor.authorpl
Jackowska, Zuzanna
dc.contributor.authorpl
Kluczewska, Ewa
dc.date.accessionpl
2018-08-27
dc.date.accessioned
2018-08-27T11:41:34Z
dc.date.available
2018-08-27T11:41:34Z
dc.date.issuedpl
2011
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 51
dc.description.numberpl
1
dc.description.physicalpl
41-51
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
76
dc.identifier.articleidpl
881408
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/56467
dc.identifier.weblinkpl
http://archiwum.polradiol.com/abstract/index/idArt/881408
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
facial bone injuries
dc.subject.enpl
blowout fracture
dc.subject.enpl
computed tomography
dc.subject.enpl
CT
dc.subtypepl
Article
dc.titlepl
CT imaging of facial trauma : role of different types of reconstruction : part I : bones
dc.title.alternativepl
Badanie TK w urazach części twarzowej czaszki : znaczenie różnych typów rekonstrukcji : część I : elementy kostne
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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