Experience of MDCT and MRI at Planning Pelvic Evisceration at the Local Advanced Tumors
Abstract
Purpose: to evaluate the possibilities of MDCT and MRI in planning evisceration with locally advanced pelvic tumors. Materials and methods. A retrospective analysis of the results of MDCT and MRI of the pelvic organs was made in 13 patients (29 studies) who underwent evisceration. To evaluate the information content of the methods intraoperative data were used as a reference. In this article we analyzed the relationship of the primary or recurrent tumor in total with the 117 pelvic organs and structures in MDCT and with the 101 in MRI. Results. In all cases on the basis of the received information the right decision was made about the possibility and the need for pelvic evisceration. The number of matches results of MDCT and MRI with intraoperative data in assessing tumor involvement of organs and structures of the pelvis in most cases exceeded 70 %. MRI results are broadly consistent with those of foreign authors. However, we did not find in the literature articles, which would have focused on the possibilities of MDCT in the evaluation of locally advanced tumors in the planning of evisceration Conclusions. The results demonstrated the value of using MDCT and MRI in planning evisceration. Identified trends require further research on a larger group of patients.
About the Authors
Andrey Nikolaevich Bashkov
A.I. Burnazjan Federal medical biophysical center of FMBA of Russia
Russian Federation
Russian Federation
Zhanna Vladimirovna Sheykh
S.P. Botkin Clinical Hospital
Russian Federation
Russian Federation
Grigoriy Grigorevich Karmazanovsky
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
Nikolai Stanislavovich Drebusheskiy
A.I. Burnazjan Federal medical biophysical center of FMBA of Russia
Russian Federation
Russian Federation
Evgeniy Vitalevich Esin
A.I. Burnazjan Federal medical biophysical center of FMBA of Russia
Russian Federation
Russian Federation
Olga Olegovna Grigor'eva
A.I. Burnazjan Federal medical biophysical center of FMBA of Russia
Russian Federation
Russian Federation
Aleksey Petrovich Dunaev
A.I. Burnazjan Federal medical biophysical center of FMBA of Russia
Russian Federation
Russian Federation
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Review
For citations:
Bashkov A.N., Sheykh Zh.V., Karmazanovsky G.G., Drebusheskiy N.S., Esin E.V., Grigor'eva O.O., Dunaev A.P. Experience of MDCT and MRI at Planning Pelvic Evisceration at the Local Advanced Tumors. Medical Visualization. 2016;(4):76-85. (In Russ.)
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