Radiological assessment of children with pectus excavatum

Kilda, Artūras; Basevičius, Algidas; Barauskas, Vidmantas; Lukoševičius, Saulius; Ragaisis, Donatas

doi:10.1007/s12098-007-0007-0

Cited by 32 publications

(25 citation statements)

References 17 publications

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“…[4,5] Radiologic examinations can evaluate the severity of pectus excavatum and determine whether surgical corrections are needed or not. [6][7][8] Chest computed tomography (CT) is widely used as a radiologic tool in patients with pectus excavatum and allows clinicians to assess the pectus excavatum. The quantitative approach using CT scan allows surgeons to plan surgical operations objectively, and variable measurements were also widely used.…”

Section: Introductionmentioning

confidence: 99%

Radiologic factors related to double-bar insertion in minimal invasive repair of pectus excavatum

Kim

Lee

et al. 2014

World J Pediatr

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Section: Introductionmentioning

confidence: 99%

Radiologic factors related to double-bar insertion in minimal invasive repair of pectus excavatum

Kim

Lee

et al. 2014

World J Pediatr

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“…According to Ohno et al [39,50], the women were placed in the high deformation group if VI ≥ 30, FSI ≤ 30, and HI ≥ 3.3 and in the low deformation group if VI ≤30, FSI≥ 30, and HI ≤3.3. Measurement was performed in the deepest point of the funnel on the planning CT (.…”

Section: Deformation Gradingmentioning

confidence: 99%

“…However, in some cases of women with thoracic deformation CRT leads only to compromises concerning PTV dose coverage considering acceptable dose exposure of the normal tissue. Especially in patients with funnel chest, IMRT seems to be a better treatment option [39,65,67].…”

mentioning

confidence: 99%

Breast cancer and funnel chest

et al. 2012

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This is the first study which evaluates a group of 10 breast cancer patients with funnel chest. Better uniformity and conformity combined with a significant reduction of high dose exposure to the OARs can be reached using tomotherapy. However, tomotherapy plans have a significantly larger volume of low dose to the lungs and contralateral breast. Therefore, the stochastic risk should be considered after low dose exposure in women with low deformation.

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“…The congenital deformations of the chest produce a great problem at the pediatric orthopedics by the severally of its types [1]. Pectus excavatum (PE) is the most common view dysplastic impairment of the chest [2][3][4], which is characterized with various degrees of the depth of anterior cheat wall, especially in the sternocostal complex area.…”

Section: Introductionmentioning

confidence: 99%

Radiological assessment of surgical treatment results in children and adolescents with pectus excavatum: medium-term results of 75 cases

Khakimov¹,

Khodjanov²,

Khodjibekova³

et al. 2014

RusOMJ

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Abstract:Objective -Minimally invasive repair of pectus excavatum (PE) has been established as the preferred technique for the repair of PE. Modified techniques of repair based on D. Nuss method for PE are promoted to improve the safety of the procedures. Purpose of this work was to analyzing the operative results with accounting of the toracometric parameters of pectus excavatum in children and adolescents. Methods -Toracometric parameters were the followings, as: sternum rotation, cardiac and pulmonary vein rotation angles, Haller and asymmetry indices in children and adolescents with PE. 48 (64%) patients are operated by D. Nuss procedure and 27 (36%) with modifications, due to severity of diagnostic parameters, which were exhibited the significance difference between pre-and postoperative indices, mainly, in patients who has a severe degree changes preoperatively. Results -The sternum rotation degree (in 75 patients) was decreased till 0.4±0.02° (P=0.01), whereas was 20.7±0.46° preoperatively (P=0.001). Preoperatively, the mean of cardiac rotation angle significantly reduced, preoperative was 56.0±2.9° (P=0.001) (in 75 patients) and after operative intervention made up 47.0±2.7° (P=0.001).Haller index also is decreased till 2.3±0.2, whereas was 3.9±0.2 preoperatively (P=0.002). The angle of the pulmonary vein rotation was preoperatively 51.0±3.4° (P=0.001) and after operation was increased till 53.0±1.8° (P=0.01). Conclusions -It has necessity apply the computer tomography investigation in patients with PE deformity. Also, it cannot miss the stage of the sterno-costal complex strength, its pliability and the gravity of the sternum rotation, which may lead to raise the share of good and excellent results.

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Radiological assessment of children with pectus excavatum

Abstract: Preoperative CT and X-ray assessment of chest wall deformation degree is important for pediatric patients. The following deformation indices are indications for surgical treatment: VI>26, FSI< 33 and HI>3.1.

Cited by 32 publications

References 17 publications

Radiologic factors related to double-bar insertion in minimal invasive repair of pectus excavatum

Radiologic factors related to double-bar insertion in minimal invasive repair of pectus excavatum

Breast cancer and funnel chest

Radiological assessment of surgical treatment results in children and adolescents with pectus excavatum: medium-term results of 75 cases

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