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Microvascular volume visualization utilizing computed tomographic angiography data facilitates resection of a complicated massive congenital hemangioma

  • Michael Winkler
    Correspondence
    Corresponding author at: Thoracic and Cardiovascular Radiology, University of Kentucky, UK HealthCare Enterprise, 800 Rose Street, Room HX-313A, Lexington, KY 40536-0293, United States of America.
    Affiliations
    Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY, United States of America

    Department of Internal Medicine, Division of Cardiovascular Medicine, University of Kentucky Chandler Medical Center, Lexington, KY, United States of America
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  • Sherry Bayliff
    Affiliations
    Department of Pediatrics, Division of Pediatric Hematology/Oncology, University of Kentucky Chandler Medical Center, Lexington, KY, United States of America
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  • Mohamed Issa
    Affiliations
    Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY, United States of America
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  • John Draus
    Affiliations
    Department of Surgery, Division of Pediatric Surgery, University of Kentucky Chandler Medical Center, Lexington, KY, United States of America
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  • Driss Raissi
    Affiliations
    Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY, United States of America
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      Highlights

      • Congenital Hemangioma is a rare vascular tumor which on occasion requires surgical intervention.
      • CTA as a part of multidisciplinary approach for the management of Congenital Hemangioma
      • Utilizing a small field of view and small interval reconstruction of CTA data allows for microvascular volume visualization.
      • Presurgical embolization of congenital hemangiomas minimizes intraoperative and post-operative bleeding.

      Abstract

      CT angiography (CTA) can be used for planning procedural and operative therapies for neonatal vascular lesions, such as congenital hemangiomas (CH), that are too morbid for medical therapy. Neonatal anatomy can be displayed within a small enough field-of-view that the nominal resolution of a modern CT scanner can be realized with a standard 512 × 512 storage matrix, yielding isometric ultrahigh resolution data and allowing for microvascular volume visualization. This case report details the creation and use of microvascular volume visualizations of CTA data during pre-procedural planning for treatment of this pathological entity.

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