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2009, Number 2

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Cir Cir 2009; 77 (2)

OsiriX, a useful tool for processing tomographic images in patients with facial fracture

Sierra-Martínez E, Cienfuegos-Monroy R, Fernández-Sobrino G
Full text How to cite this article

Language: Spanish
References: 9
Page: 95-99
PDF size: 204.26 Kb.


Key words:

DICOM viewer, computerized tomography, facial fractures, OsiriX.

ABSTRACT

Background: OsiriX, a Mac OS X®-based open source program, is presented as a useful tool to process tomographic images for diagnosis and preoperative planning in patients with facial fractures.
Methods: CT scans were performed on 124 patients with facial fractures treated at the Department of Maxillofacial and Reconstructive Surgery of the Hospital de Traumatología y Ortopedia “Lomas Verdes” in Mexico City. The information obtained was recorded in DICOM format in CDs and processed in a Macintosh® laptop with OsiriX software, doing multiplanar and 3D reconstructions. Surgical findings were compared to the images obtained by the software.
Results: Of the surgical findings, 96.5% matched with the OsiriX images. Only 3.5% of the OsiriX images were not consistent because of distortion or artifacts in the CT due to firearm projectiles and Erich arch bars near the involved area.
Conclusions: Based on the results obtained, the authors consider that the OsiriX software is a useful tool for diagnosis and preoperative planning in patients with facial fractures. Furthermore, it prevents the loss of information due to the process of image selection by the radiology staff.


REFERENCES

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  2. Manson PN. Facial fractures. In: Mathes SJ, ed. Plastic Surgery. 2nd ed. Philadelphia: Saunders Elsevier; 2006. pp. 77-380.

  3. Schramm A, Gellrich NC, Schmelzeisen R. Introduction. In: Schramm A. Navigational Surgery of the Facial Skeleton. Berlin: Heidelberg; 2007. p. 1.

  4. Kreipke DL, Moss JJ, Franco JM, Maves MD, Smith DJ. Computed tomography and thin-section tomography in facial trauma. Am J Roentgenol 1984;142:1041-1045.

  5. Zilkha A. Computed tomography in facial trauma. Radiology 1982;144:545-548.

  6. Bruce I, Reiner E, Siegel L, Khan S. Evolution of the digital revolution: a radiologist perspective. J Digit Imag 2003;16:324-330.

  7. Rosset A, Spadola L, Ratib O. OsiriX: an open-source software for navigating in multidimensional DICOM images. J Digit Imag 2004;17:205-216.

  8. Rosset A. OsiriX advanced open-source PACS workstation DICOM viewer. Available at: http://homepage.mac.com/rossetantoine/osirix/Index2.html

  9. GNU Free Documentation License. Available at http://www.gnu.org/copyleft/fdl.html




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C?MO CITAR (Vancouver)

Cir Cir. 2009;77