Evaluation of a large adrenal carcinoma with 3D reconstruction of computed tomography images: A case report and literature review

Abstract

Abstract. Adrenocortical carcinoma (ACC) is an extremely rare disease caused by a cancerous growth in the adrenal cortex. Although most of adrenal tumors are benign, the functional ACC is malignant resulting in endocrine dysfunction and necessitates surgical removal. Retroperitoneal laparoscope adrenalectomy is often used to perform adrenal gland surgery. Here, we reported a case of huge ACC with the size of 6.8 cm × 5.2 cm. To achieve better surgical outcome, we integrated 3D reconstructed CT images into a dynamic video for preoperative planning and intraoperative guiding to resect the diseased adrenal gland completely without neighbor organ's injury and surgery complications. Moreover, we reviewed associated applications using 3D reconstructed CT imaging in surgery field. Finally, the evaluation and effect of such technology were discussed to reveal that the 3D dynamic video can help surgeon to make better preoperative assessment so as to give patients better therapy.

The Role of Intraoperative Indocyanine Green (ICG) and Preoperative 3-Dimensional (3D) Reconstruction in Laparoscopic Adrenalectomy: A Propensity Score-matched Analysis

“…33 Giant adrenal lesions could benefit from this approach as well, as described in a case report. 22 The 3D images allowed us to accurately plan the surgery preoperatively (Figs. 2 and 3), while intraoperative ICG findings were a useful guide to assessing adrenal vascularization and lesions.…”

“… 33 Giant adrenal lesions could benefit from this approach as well, as described in a case report. 22 …”

“…Moreover, 3D images were easily accessible thanks to “rotation” and “zoom” functions, simplifying the evaluation of complex anatomic relationships 33. Giant adrenal lesions could benefit from this approach as well, as described in a case report 22…”

“…10,[16][17][18][19][20][21] Three-dimensional reconstruction (3DR) is another useful tool that could improve laparoscopic adrenalectomy. 22 This technology generates high-quality 3D images from radiologic 2D images obtained during radiologic workup through computed tomography (CT) or magnetic resonance (MR).…”

Prediction of chemotherapy response in ovarian cancer patients using a new clustered quantitative image marker

“…Many imaging modalities have also been developed for monitoring tumor response to chemotherapies (Gu et al 2009, Tempany et al 2000, including computed tomography (CT), positron emission tomography (PET)/CT, diffusion-weighted or dynamic contrast enhanced magnetic resonance imaging (MRI) and magnetic resonance spectroscopy. CT offers fast scanning speed, high spatial resolution and good reproducibility (Kyriazi et al 2010, Chen et al 2016, but suffers from the low soft contrast (Eajazi et al 2016) and is limited in its assessment of small (~1 cm) tumor nodules for detection of recurrent ovarian cancer (Kim 1998). Ultrasound also has poor sensitivity in detecting military peritoneal seeding, and disease on the peritoneum and in the omentum with lesions less than 1 to 2 cm (Ascher et al 2005).…”