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Article: Direct Sagittal Ct Scan: A New Diagnostic Approach For Surgical Neonates

TitleDirect Sagittal Ct Scan: A New Diagnostic Approach For Surgical Neonates
Authors
Issue Date1987
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal Of Pediatric Surgery, 1987, v. 22 n. 5, p. 397-400 How to Cite?
AbstractBecause Of Their Small Body Sizes, Neonates Can Be Placed In The Plane Of The Ct Scanner Gantry (Aperture Diameter 70 Cm) Instead Of Across It. This Direct Saggital Scanning Technique Allows Accurate Delineation Of Surgical Lesions, Particularly Midline Ones, Unobtainable With Conventional Axial Imaging. In Addition, The Sagittal Image Provides A Perspective Of Anatomic Arrangement More Familiar To The Surgeon Than That Provided By Axial Sections And Therefore Allows For Easier Interpretation. In Imperforate Anus, Sagittal Ct Identifies The Blind Rectal End By The Meconium Tissue Interphase And Therefore Avoids The Pitfalls Of Invertogram, Which Depends On The Bowel Gas Pattern For Interpretation. With This New Approach, We Correctly Classified Six Cases Of Imperforate Anus Into High Types (3) And Low Types (3), Visualized The Associated Fistula And Had Knowledge Of The Exact Distance Of The Blind Rectal End From The Skin Level Preoperatively. In Tracheoesophageal Fistula (2), Sagittal Ct Demonstrated The Air-Filled Blind Pouch And Fistula To Allow Preoperative Classification And Assessment Of The Gap Distance. In Sacrococcygeal Teratoma (3) And Laryngeal Cyst (1), Its Use Allowed An Accurate Assessment Of Possible Extension Of The Lesion Into Neighboring Structures. Our Experience With Direct Sagittal Ct Scan Therefore Suggests That This New And Noninvasive Technique Is A Useful Adjunct In The Management Of A Variety Of Common Neonatal Surgical Problems.
Persistent Identifierhttp://hdl.handle.net/10722/220826
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorTam, PKHen_US
dc.contributor.authorChan, FLen_US
dc.contributor.authorSaing, Hen_US
dc.date.accessioned2015-10-19T07:13:41Z-
dc.date.available2015-10-19T07:13:41Z-
dc.date.issued1987-
dc.identifier.citationJournal Of Pediatric Surgery, 1987, v. 22 n. 5, p. 397-400en_US
dc.identifier.issn0022-3468-
dc.identifier.urihttp://hdl.handle.net/10722/220826-
dc.description.abstractBecause Of Their Small Body Sizes, Neonates Can Be Placed In The Plane Of The Ct Scanner Gantry (Aperture Diameter 70 Cm) Instead Of Across It. This Direct Saggital Scanning Technique Allows Accurate Delineation Of Surgical Lesions, Particularly Midline Ones, Unobtainable With Conventional Axial Imaging. In Addition, The Sagittal Image Provides A Perspective Of Anatomic Arrangement More Familiar To The Surgeon Than That Provided By Axial Sections And Therefore Allows For Easier Interpretation. In Imperforate Anus, Sagittal Ct Identifies The Blind Rectal End By The Meconium Tissue Interphase And Therefore Avoids The Pitfalls Of Invertogram, Which Depends On The Bowel Gas Pattern For Interpretation. With This New Approach, We Correctly Classified Six Cases Of Imperforate Anus Into High Types (3) And Low Types (3), Visualized The Associated Fistula And Had Knowledge Of The Exact Distance Of The Blind Rectal End From The Skin Level Preoperatively. In Tracheoesophageal Fistula (2), Sagittal Ct Demonstrated The Air-Filled Blind Pouch And Fistula To Allow Preoperative Classification And Assessment Of The Gap Distance. In Sacrococcygeal Teratoma (3) And Laryngeal Cyst (1), Its Use Allowed An Accurate Assessment Of Possible Extension Of The Lesion Into Neighboring Structures. Our Experience With Direct Sagittal Ct Scan Therefore Suggests That This New And Noninvasive Technique Is A Useful Adjunct In The Management Of A Variety Of Common Neonatal Surgical Problems.en_US
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_US
dc.relation.ispartofJournal Of Pediatric Surgeryen_US
dc.titleDirect Sagittal Ct Scan: A New Diagnostic Approach For Surgical Neonatesen_US
dc.typeArticleen_US
dc.identifier.emailTam, PKH:paultam@hkucc.hku.hk-
dc.identifier.authorityTam, PKH=rp00060-
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid3585662-
dc.identifier.scopuseid_2-s2.0-0023214335-
dc.identifier.volume22-
dc.identifier.issue5-
dc.identifier.spage397-
dc.identifier.epage400-
dc.identifier.isiWOS:A1987H194600003-

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