Mild Case of Tracheal Stenosis

by Susanne Shamsolkottabi, Geoffrey McLennan, M.D. and Scott Graham, M.D.






One can see from a 3-dimensional reconstruction of the trachea that the superior part of the trachea is slightly more anterior than the posterior part of the trachea. Because of this the 2-dimensional images from the original scan show the trachea as an oval shape; whereas, the reconstructed oblique planes perpendicular to the centerline of the trachea show the trachea as a more circular shape. Measurements from the oblique planes are more accurate measurements of the trachea's dimensions because the oblique are perpendicular to the trachea. The Tube Geometry program automatically computes a three dimensional center line of the trachea using an iterative bisection algorithm. Then, double oblique planes perpendicular to the trachea's center line are displayed.



MPEG Movies

Original Electron Beam CT data

The original trans axial section Electron Beam CT data set of a patient with mild tracheal stenosis distal to the vocal cords. The images are 3 mm thick.

3D Movie of Trachea

Movie of the trachea rotating

Movie of Reconstructed Oblique Slices

Movie of TGA oblique reconstructions perpendicular to the centerline of the trachea.



Cross-sectional Area Measurements

At its narrowest point this mildly stenotic trachea measures 33 mm2 in area. The anterior-posterior and lateral dimensions at the stenosis are 6.0 mm and 6.3 mm respectively.

Display of TGA Oblique Planes






©1994-99 Division of Physiologic Imaging, Dept. of Radiology, Univ. of Iowa


Bronchoscopy | Tutorials | DPI Homepage | VIDA | NLM | Contact Us | Search

Last modified: Fri Jun 4 11:42:32 CDT