Three-Dimensional Multidetector CT for Anatomic Evaluation of Orbital Tumors

Intricate resection and complex reconstructive procedures often required for primary and metastatic orbital tumors are facilitated by accurate imaging. A three-dimensional (3D) image can be reconstructed from source axial multidetector computed tomography (MDCT) images to visualize orbital tumors. T...

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Main Authors: J. Matthew Debnam, Rory R. Mayer, Bita Esmaeli, Jeffrey S. Weinberg, Franco DeMonte, Nandita Guha-Thakurta
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2013/674230
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author J. Matthew Debnam
Rory R. Mayer
Bita Esmaeli
Jeffrey S. Weinberg
Franco DeMonte
Nandita Guha-Thakurta
author_facet J. Matthew Debnam
Rory R. Mayer
Bita Esmaeli
Jeffrey S. Weinberg
Franco DeMonte
Nandita Guha-Thakurta
author_sort J. Matthew Debnam
collection DOAJ
description Intricate resection and complex reconstructive procedures often required for primary and metastatic orbital tumors are facilitated by accurate imaging. A three-dimensional (3D) image can be reconstructed from source axial multidetector computed tomography (MDCT) images to visualize orbital tumors. To assess the utility of 3D images in this setting, the 3D images were reconstructed retrospectively for 20 patients with an orbital tumor and compared to two-dimensional (2D) orthogonal MDCT studies. Both types of images were assessed for their capacity to show the bony orbital walls and foramina, extraocular muscles, and optic nerve in the orbit contralateral to the tumor and, in the affected orbit, the extent of the tumor and its relationship to normal orbital contents and associated bone destruction. 3D imaging is most informative when axial images are acquired at 1.25 mm collimation. The optic nerve, extraocular muscles, and well-circumscribed orbital tumors were well visualized on 3D images. On 3D imaging, tumor-associated destruction of the lateral and superior orbital walls was fairly well demonstrated and that of the inferior and medial walls was not. The 3D images provide the surgeon with a comprehensive view of well-circumscribed orbital tumors and its relationship to extraocular muscles, exiting foramina, and the superior and lateral walls.
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spelling doaj-art-bd405daab35f467da04fdc565568bacc2025-02-03T05:58:47ZengWileyJournal of Ophthalmology2090-004X2090-00582013-01-01201310.1155/2013/674230674230Three-Dimensional Multidetector CT for Anatomic Evaluation of Orbital TumorsJ. Matthew Debnam0Rory R. Mayer1Bita Esmaeli2Jeffrey S. Weinberg3Franco DeMonte4Nandita Guha-Thakurta5Department of Radiology, Section of Neuroradiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1482, Houston, TX 77030, USADepartment of Neurosurgery, Baylor College of Medicine, 1709 Dryden Rd., Suite 750, Houston, TX 77030, USAOrbital Oncology and Oculofacial Plastic Surgery Program, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1488, Houston, TX 77030, USADepartment of Neurosurgery, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 0442, Houston, TX 77030, USADepartment of Neurosurgery, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 0442, Houston, TX 77030, USADepartment of Radiology, Section of Neuroradiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1482, Houston, TX 77030, USAIntricate resection and complex reconstructive procedures often required for primary and metastatic orbital tumors are facilitated by accurate imaging. A three-dimensional (3D) image can be reconstructed from source axial multidetector computed tomography (MDCT) images to visualize orbital tumors. To assess the utility of 3D images in this setting, the 3D images were reconstructed retrospectively for 20 patients with an orbital tumor and compared to two-dimensional (2D) orthogonal MDCT studies. Both types of images were assessed for their capacity to show the bony orbital walls and foramina, extraocular muscles, and optic nerve in the orbit contralateral to the tumor and, in the affected orbit, the extent of the tumor and its relationship to normal orbital contents and associated bone destruction. 3D imaging is most informative when axial images are acquired at 1.25 mm collimation. The optic nerve, extraocular muscles, and well-circumscribed orbital tumors were well visualized on 3D images. On 3D imaging, tumor-associated destruction of the lateral and superior orbital walls was fairly well demonstrated and that of the inferior and medial walls was not. The 3D images provide the surgeon with a comprehensive view of well-circumscribed orbital tumors and its relationship to extraocular muscles, exiting foramina, and the superior and lateral walls.http://dx.doi.org/10.1155/2013/674230
spellingShingle J. Matthew Debnam
Rory R. Mayer
Bita Esmaeli
Jeffrey S. Weinberg
Franco DeMonte
Nandita Guha-Thakurta
Three-Dimensional Multidetector CT for Anatomic Evaluation of Orbital Tumors
Journal of Ophthalmology
title Three-Dimensional Multidetector CT for Anatomic Evaluation of Orbital Tumors
title_full Three-Dimensional Multidetector CT for Anatomic Evaluation of Orbital Tumors
title_fullStr Three-Dimensional Multidetector CT for Anatomic Evaluation of Orbital Tumors
title_full_unstemmed Three-Dimensional Multidetector CT for Anatomic Evaluation of Orbital Tumors
title_short Three-Dimensional Multidetector CT for Anatomic Evaluation of Orbital Tumors
title_sort three dimensional multidetector ct for anatomic evaluation of orbital tumors
url http://dx.doi.org/10.1155/2013/674230
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