A mobile computed tomographic scanner with intraoperative and intensive care unit applications.
BACKGROUND
A mobile computed tomographic scanner has been developed in which the scan plane is selected by means of gantry translation, rather than by translation of the patient table. This permits computed tomographic scanning in situ of any patient who is positioned on a radiolucent surface that fits within the inner diameter of the gantry. We report the design of and initial experience with this scanner as used with adapters for intraoperative and bedside computed tomography (CT).


METHODS
The scanner is equipped with wheels, draws power from wall outlets (120 V, 20 A) in combination with batteries, and has a translating gantry. Preclinical studies of image quality were performed with phantoms. An operating table adapter was built for use with a radiolucent cranial fixation device. A bedside adapter was built that holds the head and shoulders of a patient in the intensive care unit.


RESULTS
The preclinical phantom studies showed satisfactory image spatial resolution (0.8 mm) and low-contrast resolution signal-to-noise relative standard deviation (0.37%). Experience to date with 12 patients has confirmed the feasibility of intraoperative CT on demand. Experience to date with 26 patients has confirmed the feasibility of routine bedside CT in the intensive care unit.


CONCLUSIONS
With these adaptations, mobile CT may increase the efficiency of intraoperative scanning by making it available to multiple operating rooms without committing it to any room for an entire operation and may increase the efficiency and safety of CT of critically ill patients who currently need to leave the intensive care unit to travel to a fixed CT installation and back.
Butler
W E
WE
Neurosurgical Service, Massachusetts General Hospital, Boston 02114, USA.
Piaggio
C M
CM
Constantinou
C
C
Niklason
L
L
Gonzalez
R G
RG
Cosgrove
G R
GR
Zervas
N T
NT
D002648:Child; D004867:Equipment Design; D006801:Humans; D007362:Intensive Care Units; D007430:Intraoperative Care / Q000295:instrumentation*; D008297:Male; D008952:Mobile Health Units; D009493:Neurosurgery / Q000295:instrumentation / Q000379:methods; D016273:Occupational Exposure; D011785:Quality Assurance, Health Care; D012542:Scattering, Radiation; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*