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Preoperative Planning and Sizing for Aortic Endovascular Procedures

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Thoraco-Abdominal Aorta

Abstract

Accurate planning and sizing is key to the success of endovascular treatment of aortic disease. Since 2006 we have been using an open-source software named OsiriX running on a standard Apple laptop computer to visualize and analyze the DICOM (digital imaging and communications in medicine) files of patients scheduled for aortic repair. The tools available with OsiriX allow users not only to perform the necessary measurements (diameters, lengths) but also to obtain more accurate oblique and curved multiplanar reconstructions (MPRs), centerline studies, maximum-intensity projections (MIPs), and three-dimensional volume- and surface-rendering details, including detection of the spinal cord blood supply in over 70% of thoracic cases. With this software, advanced post-processing on a given computed tomography (CT) dataset is obtained in a very time- and resource-efficient way.

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References

  1. Svensson LG, Kouchoukos NT, Miller DC et al. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg 2008;85:S1–41

    Article  PubMed  Google Scholar 

  2. Chaikof EL, Brewster DC, Dalman RL et al. SVS practice guidelines for the care of patients with an abdominal aortic aneurysm: executive summary. J Vasc Surg 2009;50:880–896

    Article  PubMed  Google Scholar 

  3. Truijers M, Resch T, Van Den Berg JC et al. Endovascular aneurysm repair: state-of-art imaging techniques for preoperative planning and surveillance. J Cardiovasc Surg (Torino) 2009;50:423–438

    CAS  Google Scholar 

  4. Schoenhagen P, Greenberg RK. 3-Dimensional planning of endovascular procedures with multidetector computed tomography (MDCT): impact on procedural results and clinical outcome? Int J Cardiovasc Imaging 2008;24:211–213

    Article  PubMed  Google Scholar 

  5. Rousseau H, Chabbert V, Maracher MA et al. The importance of imaging assessment before endovascular repair of thoracic aorta. Eur J Vasc Endovasc Surg 2009;38:408–421

    Article  PubMed  CAS  Google Scholar 

  6. Rosset A, Spadola L, Ratib O. OsiriX: an open-source software for navigating in multidimensional DICOM images. J Digit Imaging 2004;17:205–216

    Article  PubMed  Google Scholar 

  7. Rosset A, Spadola L, Pysher L, Ratib O. Informatics in radiology (infoRAD): navigating the fifth dimension: innovative interface for multidimensional multimodality image navigation. Radiographies 2006;26:299–308

    Article  Google Scholar 

  8. Rosset C, Rosset A, Ratib O. General consumer communication tools for improved image management and communication in medicine. J Digit Imaging 2005;18:270–279

    Article  PubMed  Google Scholar 

  9. Faggioni L, Neri E, Cerri F et al. Integrating image processing in PACS. Eur J Radiol 2009 (in press)

    Google Scholar 

  10. Cody DD. AAPM/RSNA physics tutorial for residents: topics in CT. Image processing in CT. Radiographics 2002;22:1255–1268

    Google Scholar 

  11. Alric P, Canaud L, Branchereau P et al. Preoperative assessment of anatomical suitability for thoracic endovascular aortic repair. Acta Chir Belg 2009;109:458–464

    PubMed  CAS  Google Scholar 

  12. Melissano G, Chiesa R. Advances in imaging of the spinal cord vascular supply and its relationship with paraplegia after aortic interventions. A review. Eur J Vasc Endovasc Surg 2009;38:567–577

    Article  CAS  Google Scholar 

  13. Melissano G, Civilini E, Bertoglio Let al. Angio-CT imaging of the spinal cord vascularisation: a pictorial essay. Eur J Vasc Endovasc Surg 2009;39:436–440

    Article  Google Scholar 

  14. Wang C, Smedby O. Coronary artery segmentation and skeletonization based on competing fuzzy connectedness tree. Med Image Comput Comput Assist Interv 2007;10:311–318

    PubMed  Google Scholar 

  15. Higashiura W, Kichikawa K, Sakaguchi S et al. Accuracy of centerline of flow measurement for precise planning and sizing of the Zenith AAA endovascular graft and a predictive factor for inadequate planning. J Vasc Interv Radiol 2008;19:S16–S17

    Article  Google Scholar 

  16. Rengier F, Weber TF, Giesel FL et al. Centerline analysis of aortic CT angiographic examinations: benefits and limitations. AJR Am J Roentgenol 2009;192:W255–W263

    Article  PubMed  Google Scholar 

  17. Sun Z, Winder RJ, Kelly BE et al. Diagnostic value of CT virtual intravascular endoscopy in aortic stent-grafting. J Endovasc Ther 2004;11:13–25

    Article  PubMed  Google Scholar 

  18. Erickson BJ, Langer S, Nagy P. The role of open-source software in innovation and standardization in radiology. J Am Coll Radiol 2005;2:927–931

    Article  PubMed  Google Scholar 

  19. Mildenberger P, Eichelberg M, Martin E. Introduction to the DICOM standard. Eur Radiol 2002;12: 920–927

    Article  PubMed  Google Scholar 

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Melissano, G., Civilini, E., Chiesa, R. (2011). Preoperative Planning and Sizing for Aortic Endovascular Procedures. In: Chiesa, R., Melissano, G., Zangrillo, A. (eds) Thoraco-Abdominal Aorta. Springer, Milano. https://doi.org/10.1007/978-88-470-1857-0_11

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  • DOI: https://doi.org/10.1007/978-88-470-1857-0_11

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1856-3

  • Online ISBN: 978-88-470-1857-0

  • eBook Packages: MedicineMedicine (R0)

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