Usefulness of preoperative three-dimensional volumetric analysis of carotid body tumors.

Purpose: The Shamblin classification is the commonest method to predict complications and outcomes during carotid body tumor (CBT) resection. The aim of this study is to describe the utility of the three-dimensional volumetric reconstruction (3DVR) analysis of the CBT and its relationship with posto...

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Publicado en:Neuroradiology Vol. 60; no. 12; pp. 1281 - 1287
Autores principales: Lozano-Corona, Rodrigo, Anaya-Ayala, Javier E., Martínez-Martínez, Ricardo, López-Rocha, Sabsil, Rivas-Rojas, Melisa A., Torres-Machorro, Adriana, Laparra-Escareno, Hugo, Hinojosa, Carlos A.
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Dec2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2018
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-018-2095-0
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        atl: Usefulness of preoperative three-dimensional volumetric analysis of carotid body tumors.
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        au:
          Lozano-Corona, Rodrigo
          Anaya-Ayala, Javier E.
          Martínez-Martínez, Ricardo
          López-Rocha, Sabsil
          Rivas-Rojas, Melisa A.
          Torres-Machorro, Adriana
          Laparra-Escareno, Hugo
          Hinojosa, Carlos A.
        affil: Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Colonia Sección XVI, 14080, Mexico City, Mexico
      sug:
        subj:
          Preoperative Care
          Imaging, Three-Dimensional Methods
          Paraganglioma Surgery
          Computed Tomography Angiography Methods
          Paraganglioma Radiography
          Image Processing, Computer Assisted
          Human
          Blood Loss Estimation
          Treatment Duration
          Length of Stay
          Pearson's Correlation Coefficient
          Treatment Outcomes
          Descriptive Statistics
      ab: Purpose: The Shamblin classification is the commonest method to predict complications and outcomes during carotid body tumor (CBT) resection. The aim of this study is to describe the utility of the three-dimensional volumetric reconstruction (3DVR) analysis of the CBT and its relationship with postoperative outcomes.Methods: Preoperative computed tomography angiography (CTA) was obtained to perform 3DVR of the CBT. Imaging data were analyzed and correlated with surgical outcomes: estimated blood loss (EBL), surgical time (ST), and hospital length of stay (HLOS). The Pearson test was used to determine the correlation between volume and postoperative outcomes.Results: Fifty-seven patients were studied, 13 had Shamblin type I tumors with a mean 3DVR of 7.69 cm3 (standard deviation [SD 8.27]), 21 were type II with a mean 3DVR of 15.57 cm3 (SD 8.40), and 23 were type III with a mean 3DVR of 30.58 cm3 (SD 20.16). EBL mean was 559 milliliters (mL) (standard error [SE] 80.44), the mean ST of resection was 202 min (SD 67), and the mean HLOS was 5.8 days (SD 3.23). The Pearson test showed a correlation of r = 0.69 (p < 0.0001) between 3DVR and EBL, a r = 0.4 (p = 0.05) was obtained between 3DVR and ST, and finally, a r = 0.3 (p = 0.05) between 3DVR and HLOS was obtained.Conclusion: The preoperative 3DVR determination of CBTs allows to analyze possible predictors of surgical outcomes. We found a positive correlation between the 3DVR volume and EBL. Further research is necessary to validate this method in the evaluation of these rare neoplasms.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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