Intraoperative Cone‐Beam Computed Tomography and Multi‐Slice Computed Tomography in Temporal Bone Imaging for Surgical Treatment

Erovic, Boban M.; Chan, Harley; Daly, Michael J.; Pothier, David D.; Yu, Eugene; Coulson, Chris; Lai, P H; Irish, Jonathan C.

doi:10.1177/0194599813510862

Cited by 28 publications

(22 citation statements)

References 39 publications

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“…Among the interventional procedures, PTNB with CBCT has played an essential role in the diagnosis of patients with lung nodules since its introduction [13,35]. With respect to CBCT-guided PTNB, a foundation has already been laid [14–31], with a variety of clinical applications and ongoing investigations being performed using a CBCT system [36,37]. …”

Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules

et al. 2018

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SummaryBackgroundA systematic review and meta-analysis of all available publications was performed to evaluate the diagnostic accuracy of percutaneous transthoracic needle biopsy (PTNB) using a C-Arm Cone-Beam CT (CBCT) system in patients with lung nodules.Material/MethodsThedatabases of PUBMED, OVID, EBSCO, EMBASE, and China National Knowledge Infrastructure (CNKI) were systematically searched for relevant original articles on the diagnostic accuracy of CBCT-guided PTNB for the diagnosis of nodules in the lungs. Diagnostic indices including sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR) and diagnostic score (DS) were calculated. Moreover,summary receiver operating characteristic curves (SROC) were constructed with Stata (version 13.0), Rev Man (version 5.3), and Meta-disc (version 1.4) software. Other clinical indices such as incidence of complications were also recorded.ResultsEight studies met the inclusion and exclusion criteria for the meta-analysis. The pooled sensitivity, specificity, PLR, NLR, DOR, DS, and SROC with 95% confidence intervals were 0.96 (0.93–0.98), 1.00 (0.91–1.00), 711.15 (9.48–53325.89), 0.04 (0.02–0.07), 16585.29 (284.88–9.7e+05), 9.72 (5.65–13.78), and 0.99 (0.97–0.99), respectively. The incidence of pneumothorax and hemorrhage was 10–29.27% and 1.22–47.25%, respectively.ConclusionsCBCT-guided PTNB has an acceptable rate of complications and is associated with a reasonable radiation exposure. Moreover, it is a highly accurate and safe technique for the diagnosis of lung nodules and can be recommended to be used in routine clinical practice.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules

et al. 2018

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“…While CBCT technology is likely to gain more popularity in interventional and intraoperative imaging in the future, this will require improvement in image quality (e.g. to enable viewing of the stapes, chorda tympani and sigmoid sinus) . Furthermore, 3D virtual treatment planning for orthognathic surgery using CBCT should become more cost effective and efficient, with the aid of enhanced computer hardware and software capabilities …”

Section: Introductionmentioning

confidence: 99%

Application of three‐dimensional computed tomography in craniofacial clinical practice and research

Anderson

Yong

Surman

et al. 2014

Australian Dental Journal

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Following the invention of the first computed tomography (CT) scanner in the early 1970s, many innovations in threedimensional (3D) diagnostic imaging technology have occurred, leading to a wide range of applications in craniofacial clinical practice and research. Three-dimensional image analysis provides superior and more detailed information compared with conventional plain two-dimensional (2D) radiography, with the added benefit of 3D printing for preoperative treatment planning and regenerative therapy. Current state-of-the-art multidetector CT (MDCT), also known as medical CT, has an important role in the diagnosis and management of craniofacial injuries and pathology. Three-dimensional cone beam CT (CBCT), pioneered in the 1990s, is gaining increasing popularity in dental and craniofacial clinical practice because of its faster image acquisition at a lower radiation dose, but sound guidelines are needed to ensure its optimal clinical use. Recent innovations in micro-computed tomography (micro-CT) have revolutionized craniofacial biology research by enabling higher resolution scanning of teeth beyond the capabilities of MDCT and CBCT, presenting new prospects for translational clinical research. Even after four decades of refinement, CT technology continues to advance and broaden the horizons of craniofacial clinical practice and phenomics research.Keywords: Multidetector CT, cone beam CT, micro-CT, dentistry, teeth.Abbreviations and acronyms: 2D = two-dimensional; 3D = three-dimensional; CBCT = cone beam computed tomography; CLP = cleft lip and palate; CT = computed tomography; DEJ = dentino-enamel junction; FGFR2 = fibroblast growth factor receptor 2; micro-CT = micro-computed tomography; MDCT = multidetector computed tomography; MRI = magnetic resonance imaging; nano-CT = nanocomputed tomography; OPG = orthopantomograph; PET = positron emission tomography.

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“…The application of intraoperative CT has been shown to reduce the number of MDCT scans during the treatment and recovery phases by eliminating the need for pre‐operative and post‐operative scans. The use of intraoperative CT is supported in the literature for the repair of complex facial fractures . Intraoperative imaging provides real‐time feedback on the facial anatomy during surgery.…”

Section: Discussionmentioning

confidence: 99%

“…A number of studies conclude that the impact of intraoperative CT is significant, with surgical decisions affected in up to 2/3 of patients . Consolidation of optimal fracture reduction limits the need for additional corrective procedures and subsequent repeat CT imaging . There is limited literature on dose with the use of intraoperative MDCT and a more comprehensive investigation would be beneficial.…”

Section: Discussionmentioning

confidence: 99%

“…The C‐arm configuration of the CBCT enables the patient to be scanned supine during the procedure. Within the literature, this modality is reported as most likely to reduce surgical complication and the need for further imaging while maintaining lower ED . The radiation dose from intraoperative CBCT is significantly lower than that of MDCT, but the image quality is still appropriate to facilitate surgical assessment and modification.…”

Section: Discussionmentioning

confidence: 99%

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Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

Hooper

Eccles

Milliken

et al. 2019

J of Medical Radiation Sci

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Trauma to the facial area accounts for a significant number of admissions to the emergency department. Diagnostic imaging is almost always required, and is critical in determining patient management. Multi‐detector computed tomography (MDCT) appears consistently in the literature as the gold‐standard imaging modality for facial bones, but results in a high radiation dose to the patient. This makes the application and advancement of dose reduction and dose optimisation methods vital. This narrative review presents a critical analysis of the literature concerning diagnostic imaging of facial bone trauma, with an emphasis on dose reduction methods for MDCT. Databases including Pubmed, Medline, Web of Science and Scopus were used to investigate this topic, with the key words: facial bone trauma, computed tomography (CT) imaging and dose reduction. Exclusion criteria included studies on nasal bone fracturing, dental imaging, elective surgeries and paediatric imaging. The literature shows overwhelming support for MDCT, given its accuracy, efficiency and ease of operation. Noise reducing reconstruction algorithms show promise as a successful method of dose reduction in facial bone imaging. Investigations of more innovative techniques also appear within the literature, including diagnostic cone‐beam CT (CBCT), intraoperative CBCT and dual‐source CT (DSCT), but further research is required to confirm their clinical value.

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Intraoperative Cone‐Beam Computed Tomography and Multi‐Slice Computed Tomography in Temporal Bone Imaging for Surgical Treatment

Abstract: CBCT provides comparable image quality to conventional CT for temporal bone anatomical sites in cadaveric specimens. Clinical applications of low-dose CBCT imaging in surgical planning, intraoperative guidance, and postoperative assessment are promising but require further investigation.

Cited by 28 publications

References 39 publications

A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules

A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules

Application of three‐dimensional computed tomography in craniofacial clinical practice and research

Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

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