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1 DSADA 3 DSADA GE C 3D 1)~3) I.I. Size 12, 9, 6, 4.5 Inch Advantage Workstation 3.1P Sum Ultra SPARC2 model bit Ultra SPARC 300MHz2 3D SPECint95 : 12.3 SPECfp95 :20.2 RAM : 256MB HD : SCSI2 4.2GB2 4)~8) 3D /410 CT/MR Analysis : Screen Caputure Advantage Paste 3D Scrap book : Denta scan 3D 3D 3D 3D Dr IVR 3D 3D IVR 3D DSA.DA 3 3 3D 3 3D 3D 3 No1~No3 1 No2 3D Advantx ACT BP HS LX/i (Biplane Sidewinder Type) Focus Size 0.3, 0.6, 1.2 mm (System 2GB, Image 6GB) Advantage 3D-XR : 3D for NAV/VR : XR Analysis VR with Vavi : Advanced Vessel Analysis No2 3D AI.I

2 Vol I.I.90 Distal ACA. Distal MCA BI.I.CD E 0.6mm 4.5 I.I. 10F/sec 44 3D (mm) D D 3D I.I I.I (Inch) Dose B B or A A E SID AE A I.I B I.I. A B C ( 1.2mm, 0.6mm) D Injection to Image 045sec 3D Mask to Image 045sec 44 E 1 DSA X-ray Delay 2 AI.I. BI.I.C 3D I.I. 20 msec

3 DSADA 3 3D (AVM) SSD (Shaded Surface Display), VR (Volume Renderring), CTMR MIP (Maximum Intensity Projection), MPR (Multi Projection Reconstruction), VES (Virtual Endoscopy)=NAVI ( 1 20 ) 3D DSA 3D DSA3D Advantage 3D-XR D 3D 1 3D MIP 3D Coil & Clip 3D SSD 3D 1 3D

4 Vol MIP SSD VR SSDVR FOV FOV MPRNAVI (VR) MIP MIP IVR 4 3 SSD 3D Dr 3D VR VR 3D Opacity Brightness SSD 5 VR Opacity (SAH) Conventional DSA VR FOV Ope AN FOV Conventional DSA AN 3D GEAW 3.1 3D Coil & Clip

5 DSADA 3 2 3D : : : :,,: 3 VES = NAVI 4 Conventional, Lat 5 3D Clip : :Clip VR : VR mm SSD (BA) (PCASCA) PCA Rt. PcomLt. Perforator VED=NAVI NAVI NAVI Pcom

6 Vol D Conventional Biplane DSA 2 1.3mm BA 3mm SCA 3D VR MIP RAOLAO 3 CRACAU Biplane DSA 3D 3D Coil & Clip PCA SCA CT,MR Biplane 3D

7 DSADA 3 : StentPTAWith Protect Balloon 6 3D MIPVR MIP No VR 7 Conventional AP3D LAO63LR 8AVA P1P6 (Min,Average,Max,Area,Point Length) 9IVUS P1, P5, P6 IVUS Area Irregular 2 Ulcerations 3 Conventional AVAAdvanced Vessel Analysis Conventional MIP 3D MIP

8 Vol Proximal Ave 4.5mm Ave P 3 2.5mm P 5 2.9mm Distal Max 6.1mm P1 P6 31.1mm 8mm4cm 5mm 4cm IVUS AVA AVA P 1,P5,P6 IVUS IVUS AVA P mm P5 2.9mm 5.1mm 3D

9 DSADA 3 area (mm 2 ) 3D IVUS P P P IV R 3D IVR IVR 3D IVR 45cc/sec 2025ccInjection to Image sec

10 Vol : 2 11 SSD, VR 12Opacity VR 11A.B.C. MIP 13 3D 11 D.E.FSSD 11 G.H.IVR 14 15Coil & Clip DSA Proximal 2 2 3D Pcom AchoA SSDVR Opacity 3D Distal SSD 2 SSD 1942 Pcom 627 Pcom 1146 Pcom VR Pcom VR

11 DSADA 3 MIP VR AP RAO27 VR PA LAO176CAU23 Opacity=663 AchoA Pcom OA LSA 2 Opacity=1102 Pcom OA AchoA LSA 2 Opacity=1618 AchoA LSA Pcom OA

12 Vol Proximal Distal AVA AVA AVA MIP MPR MIP 3D SSD VR MPR MIP MPR FOV SR VR SR VR AVA MPR 3.5mm mm mm 3.5mm SSDVR MIPMPR

13 DSADA 3 Proximal mm Distal mm TAE 3D 2 3D 3D Conventional DSA

14 Vol C4 17AB : Pre TAE IC 17CD : Post TAE 17EF : Post TAE Conventional GDC18 11 IDC18 7 Total 450cm DSA Conventional 3 4cc/sec 7sec28ccInjection to Image3sec Distal X TAE M1 A1 C2C

15 DSADA 3 18AB : VR A, APB, RL 18CD : VR C, APD, RL Drainage Vein() AVM Conventional nidus wash out 4cc/sec cc 5 3D 3D IVR ACA (MIFA ) (PIFA )Main Feeder nidus Drainage Vein() AVM nidus 3 AVM 3D 3D Coil & Clip Feeder X 3D Main Feeder NBCAn-butyl-2-cyanoacrylate nidus 3D 1 Conventional DSA CT 3D 3D nidus

16 Vol D DSA 3D (12): Anxionnat R,Bracard S,Macho J,Da Costa 3D E,Vaillant R,Launay L,Trousset Y,Romeas R,Picard L.:3D angiography.clinical intere 3D 1-62 Gattoni F, Sacrini A, Tonolini M, Melgara C, Uslenghi CM.Digital rotational angiogra 3DDSA Unger B,Link J,Trenkler J,Bohm-Jurkovic 3D 3D Fusion Missler U, Hundt C, Wiesmann M, Mayer I.I. C CT CT ial aneurysms.eur Radiol 2000;10(4): D Anxionnat R,Bracard S,Ducrocq X,Trousset I.I. C 3D Saint-Felix,Didier M.;Picard,Catherine L.; Ponchut,Cyril;Romeas,Rene;Rougee,Anne; Trousset,Yves L. :Three-dimensional x-ray angiography.first in-vivo results with a new system.spie 1993 Jun;Vol.1897:90-8, Saint-Felix,Y.Trousset,C.Picard,C.Ponchut, R.Romeas,A.Rougee,:In vivo evaluation of a new system for 3D computerized angiogr aphy:phys Med Biol 1994 Vol.39: Bidaut LM,Laurent C,Piotin M,Gailloud P, Muster M,Fasel JH,Rufenacht DA,Terrier F.Second-generation three-dimensional reconstruction for rotational three-dimens ional angiography.acad Radiol 1998 Dec;5 st.first applications in interventional neur oradiology.j Neuroradiol 1998 Dec;25(4):25 phy in the study of vascular diseases: techn ical note and initial clinical applications Radiol Med 1998 Dec;96(6):570-3 H.Digital 3D rotational angiography for the preoperative and preinterventional clarification of cerebral arterial aneurysms Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 1999 May;170(5): T,Bruckmann H.Three-dimensional recon structed rotational digital subtraction angi ography in planning treatment of intracran Y,Launay L,Kerrien E,Braun M,Vaillant R,Scomazzoni F,Lebedinsky A,Picard L. Intracranial aneurysms:clinical value of 3D digital subtraction angiography in the ther apeutic decision and endovascular treatme nt.radiology 2001 Mar;218(3): , 3D-DSA Vol3 No1:

17 DSADA

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