Background: Popliteal cysts are common and present as asymptomatic lumps in the medial popliteal fossa. Some have complex internal characteristics such as septa and loose-bodies. However, not all are popliteal cysts a...Background: Popliteal cysts are common and present as asymptomatic lumps in the medial popliteal fossa. Some have complex internal characteristics such as septa and loose-bodies. However, not all are popliteal cysts and can be aggressive. These lesions need to be differentiated by the absence of the communicating neck with the joint on ultrasound. Presence of Doppler flow of non-communicating cysts requires further evaluation on MRI, prior to performing a biopsy. Using a case series, we propose an algorithmic approach that is simple and will help identify the malignant lesions and institute appropriate management. Case-Presentation: Popliteal Cyst: On ultrasound: characteristic neck communicating with knee joint. Synovial Sarcoma: Gadolinium enhancement, with areas of low-, iso- and hyper-intense signal to fat on T2. Synovial-Osteochondromatosis: Non-mineralized: T1-low/intermediate intensity;T2-high intensity. Mineralized type: low intensity on T1 & T2. Thrombosed Popliteal Aneurysm: Lamellated appearance-high/low signal intensity on T2. Myxoid-Liposarcomas: Inhomogeneous appearance;homogenous with gadolinium. Usually require a biopsy for diagnosis. Conclusion: The cystic lesions in the medial aspect of the popliteal fossa can be misdiagnosed. Our article reiterates the importance of the communicating neck that separates popliteal cysts from other mimics. We have proposed an algorithm to identify these mimics.展开更多
探讨基于MIMICS图像处理软件的脊柱三维重建算法。采集真实患者脊柱部位的CT影像数据,应用比利时医学交互式影像控制系统软件(Materialise’s Interative Medical Image Control System, MIMICS)对影像数据进行图像处理、三维重建。采...探讨基于MIMICS图像处理软件的脊柱三维重建算法。采集真实患者脊柱部位的CT影像数据,应用比利时医学交互式影像控制系统软件(Materialise’s Interative Medical Image Control System, MIMICS)对影像数据进行图像处理、三维重建。采用基于灰度值的阈值分割、蒙版编辑、区域增长等算法编辑图像,最后计算三维蒙版获得脊柱的三维模型。结果:获得可编辑的stl格式的脊柱三维模型。应用MIMICS软件可基于脊柱CT影像数据高精度、准确的、快速建立三维模型,以用于临床的测量、手术规划、3D打印和数字骨科的有限元仿真。展开更多
文摘Background: Popliteal cysts are common and present as asymptomatic lumps in the medial popliteal fossa. Some have complex internal characteristics such as septa and loose-bodies. However, not all are popliteal cysts and can be aggressive. These lesions need to be differentiated by the absence of the communicating neck with the joint on ultrasound. Presence of Doppler flow of non-communicating cysts requires further evaluation on MRI, prior to performing a biopsy. Using a case series, we propose an algorithmic approach that is simple and will help identify the malignant lesions and institute appropriate management. Case-Presentation: Popliteal Cyst: On ultrasound: characteristic neck communicating with knee joint. Synovial Sarcoma: Gadolinium enhancement, with areas of low-, iso- and hyper-intense signal to fat on T2. Synovial-Osteochondromatosis: Non-mineralized: T1-low/intermediate intensity;T2-high intensity. Mineralized type: low intensity on T1 & T2. Thrombosed Popliteal Aneurysm: Lamellated appearance-high/low signal intensity on T2. Myxoid-Liposarcomas: Inhomogeneous appearance;homogenous with gadolinium. Usually require a biopsy for diagnosis. Conclusion: The cystic lesions in the medial aspect of the popliteal fossa can be misdiagnosed. Our article reiterates the importance of the communicating neck that separates popliteal cysts from other mimics. We have proposed an algorithm to identify these mimics.
文摘探讨基于MIMICS图像处理软件的脊柱三维重建算法。采集真实患者脊柱部位的CT影像数据,应用比利时医学交互式影像控制系统软件(Materialise’s Interative Medical Image Control System, MIMICS)对影像数据进行图像处理、三维重建。采用基于灰度值的阈值分割、蒙版编辑、区域增长等算法编辑图像,最后计算三维蒙版获得脊柱的三维模型。结果:获得可编辑的stl格式的脊柱三维模型。应用MIMICS软件可基于脊柱CT影像数据高精度、准确的、快速建立三维模型,以用于临床的测量、手术规划、3D打印和数字骨科的有限元仿真。
