DOI: https://doi.org/10.22263/2312-4156.2025.1.101
Yu.N. Patupchik1,2, A.N. Mikhailov2
Radiation imaging of the injured orbit
1Healthcare Institution “The 10th City Clinical Hospital”, Minsk, Republic of Belarus
2The Institute for Advanced Training & Retraining of Healthcare Personnel of the educational institution “Belarusian State Medical University”, Minsk, Republic of Belarus
Vestnik VGMU. 2025;24(1):101-110.
Abstract.
Purpose: optimization of radiological diagnostics of traumatic orbital injuries using 3D modeling technology to identify diagnostically significant criteria in predicting the choice of treatment tactics and patient management.
Research methods: plain radiography, multislice computed tomography.
Research results and their novelty: In ophthalmology, for orbital trauma, the following are used: plain radiography and multislice computed tomography (MSCT). The most optimal radiography protocols are operating modes 75 kV, 32 mAs, PFR 115, and for MSCT – kV-120, mAs-175-200; tomography step 2-3 mm; scanning in the axial plane with image reconstruction with a slice thickness of 0.625 mm. Diagnostic efficiency is: for radiography of bone structures Se=55.1%, Sp=46.1%; with MSCT – Se=96.3%, Sp=97.5%. It has been proven that in patients with late enophthalmos, significant criteria for choosing treatment tactics for the patient are: fracture surface area 2 cm2, more than 25-50% damage to the lower and medial wall of the orbit, volume of prolapsed fatty tissue more than 1.5 cm3. In the Republic of Belarus, radiologists, together with ophthalmologists, have for the first time introduced a method for reconstructing the bone structures of the orbit using 3D modeling technologies. The accuracy and developed sequence, the technique for measuring bone defects and the assessment of soft tissue structures of the orbit using MSCT determine the effectiveness and long-term consequences of surgical intervention, the patient’s quality of life, and the reduction of economic losses.
Key words: traumatic injuries of the orbit, radiography, multislice computed tomography, three-dimensional modeling, fracture surface area, volume of lost fatty tissue.
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Submitted 19.09.2024
Accepted 11.02.2025
Information about authors:
Yu.N. Patupchik – senior lecturer of the Chair of Radiation Diagnostics, Institute for Advanced Training & Retraining of Healthcare Personnel of the Educational Institution “Belarusian State Medical University”; doctor of the highest qualification category, head of the X-ray department, Healthcare Institution “The 10th City Clinical Hospital” in Minsk;
e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Yulia Nikolaevna Patupchik;
A.N. Mikhaylov – Doctor of Medical Sciences, Professor, Academician of Medicine of the National Academy of Sciences of Belarus, head of Chair of Radiation Diagnostics, Institute for Advanced Training & Retraining of Healthcare Personnel of the Educational Institution “Belarusian State Medical University”.
