Aplikasi Perkembangan CT

Software Reformat
 Jenis software rekonstruksi:
• Multi Planar Reconstruction (MPR)
• Maximum Intensity Projection (MIP)
• Shaded Surface Display (SSD)
• Volume Rendering (VR)
Diagrams of shaded surface rendering (a) and volume rendering (b) and
the resulting 3D images show the variations between these 3D rendering
techniques.
Right posterior oblique volume-rendered spiral CT
image of the shoulder shows a comminuted
fracture of the scapular body (arrow).
Anterior volume-rendered spiral CT image of the sacrum reveals a
subtle fracture of the right aspect of S1 (arrows). The fracture was not
seen on conventional axial images because the fracture line lay

relatively in the axial plane.

 Scapular fracture in a pedestrian who was struck by an automobile. Posterior
volume-rendered spiral CT image shows a complex fracture of the right
shoulder. The scapular body is shattered (black arrows), and the scapular spine
has become separated from the remainder of the bone. An associated

ipsilateral rib fracture is also seen (white arrow).

 Inferior volume-rendered spiral CT image shows a
comminuted fracture of the medial right clavicle (arrow).
The medial aspect of the clavicle is displaced posteriorly
with respect to the more lateral portions of the bone.
Inferior volume-rendered spiral CT image shows
posterior dislocation of the right sternoclavicular
joint (white arrow).
Lateral (a) and dorsal (b) volume-rendered spiral CT images obtained
for surgical planning show a comminuted, intraarticular fracture of the

olecranon (arrow), which was identified on plain radiographs.

 Lateral volume-rendered spiral CT image shows an
impacted, comminuted, intraarticular fracture of the distal
radius with dorsal angulation of the distal fracture
fragments (arrow).
 Dorsal volume-rendered spiral CT image shows an impacted fracture
of the distal radius (thin arrows) with an associated fracture of the distal

ulna (thick arrow).

 Spinal fracture secondary to a gunshot wound. Inferior volume-
rendered spiral CT image shows an impacted bullet at the pedicle of
T11 with extradural extension of both bullet fragments and bone

fragments (arrow).
 Lateral volume-rendered spiral CT image shows a flexion teardrop
fracture at C6 with posterior displacement of the posterior portion of the

vertebral body (arrow).

 Cutaway anterior volume-rendered spiral CT
image best shows the full extent of involvement.
 Sacral fracture in a 34-year-old woman. Anterior volume-rendered
spiral CT image with the pubis and ischium removed by editing shows a
fracture of the right hemisacrum that extends through the neural

foramina of S1-S4 (arrows).

Anterior volume-rendered spiral CT image shows a sacral stress
fracture. The fracture lines extend through both the left and right

foramina of S1 and S2 (arrows).

Pelvic fracture in a 15-year-old boy who was struck by an automobile.
Volume-rendered spiral CT image (superior view of left anterior oblique

projection) shows the extent of an acetabular fracture (arrow)

 A. Volume-rendered spiral CT image (angled inlet view) shows the
extent of a right acetabular fracture (arrows). B. Edited right posterior
oblique volume-rendered spiral CT image best shows the orientation of

the fracture lines and the acetabulum.

Inferior volume-rendered spiral CT image shows a
posterior acetabular fracture (curved arrow). An
intraarticular bone fragment is seen (straight
arrow)
Anterior volume-rendered spiral CT image of
the pelvis shows that the osseous and major
vascular structures are normal
 Knee fracture in a patient with a history of a
gunshot wound. Anterior and lateral volume-
rendered spiral CT images show a comminuted
fracture of the distal femur (arrow).
Anterior and lateral volume-rendered spiral
CT images clearly show a comminuted
fracture of the tibial plateau (arrow).
 Anterior (a) and posterior (b) volume-
rendered spiral CT images show a fracture
of the lateral aspect of the distal femur
 Anterior (a) and superior (b) volume-rendered
spiral CT images obtained through a cast show a
comminuted, impacted fracture of the distal tibia
 Lateral and anterior volume-
rendered spiral CT images show
fracture of the distal tibia
Lateral volume-rendered spiral CT image obtained
through a cast shows a comminuted fracture of the
calcaneus (arrows).
 Superior and posterior volume-rendered
spiral CT images obtained through a cast
show the extent of a comminuted calcaneal
fracture (arrow)
 Anterior volume-rendered spiral CT image
shows osteomyelitis with bone erosion in the
thoracic spine
Anterior volume-rendered spiral CT image
shows osteomyelitis with erosion of the
proximal right clavicle and the manubrium
(arrow)
Lateral (a) and posterior (b) volume-rendered spiral CT
images obtained after administration of intravenous
contrast material show a large abscess that involves the
right shoulder.
Anterior volume-rendered spiral CT image shows a
large lytic lesion involving the superior aspect of
the sacrum (arrow)
Metastasis in a patient with known carcinoma of
the breast. Anterior volume-rendered spiral CT
image shows a sclerotic metastasis to the left
ischium (arrow)
Posterior volume-rendered spiral CT image shows
a sclerotic lesion within the left aspect of the
transitional L5 vertebral body (arrows).
Anterior volume-rendered spiral CT
image shows a destructive, midline
lesion of the sacrum (arrow)
Superior volume-rendered spiral CT image shows
extensive replacement and destruction of the
scapula by advanced multiple myeloma.
Lateral volume-rendered spiral CT image shows a
mixture of sclerotic (thin arrows) and lytic (thick
arrow) lesions within the lumbar spine
Post operative of sacral fracture