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Significance of the spatial reconstruction based on mathematical modeling in the surgical treatment of giant intracranial aneurysms

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Author(s): Nikolić Igor M. | Nagulić Mirjana | Antunović Vaso

Journal: Vojnosanitetski Pregled
ISSN 0042-8450

Volume: 63;
Issue: 1;
Start page: 65;
Date: 2006;
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Keywords: intracranial aneurysm | angiography digital subtraction | imaging three dimensional | image processing computer assisted

ABSTRACT
Background. The use of computer models for the 3- dimensional reconstruction could be a reliable method to overcome technical imperfections of diagnostic procedures for the microsurgical operation of giant intracranial aneurysms. Case report. We presented a case of successfully operated 52-year-old woman with giant intracranial aneurysm, in which the computer 3-dimensional reconstruction of blood vessels and the aneurysmal neck had been decisive for making the diagnosis. The model for 3- dimensional reconstruction of blood vessels was based on the two 2-dimensional projections of the conventional angiography. Standard neuroradiologic diagnostic procedures showed a giant aneurysm on the left middle cerebral artery, but the conventional subtraction and CT angiography did not reveal enough information. By the use of a personal computer, we performed a 3-dimensional spatial reconstruction of the left carotid artery to visualize the neck of aneurysm and its supplying blood vessels. Conclusion. The 3-dimensional spatial reconstruction of the cerebral vessels of a giant aneurysm based on the conventional angiography could be useful for planning the surgical procedure.
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