spina bifida protocol - johns hopkins hospital€¦ · spina bifida protocol • obtain coronal or...
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![Page 1: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/1.jpg)
camcshane2006
Spina BifidaProtocol
![Page 2: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/2.jpg)
camcshane2006
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Spina Bifida Protocol • obtain coronal or parasagittaland number bony elements
• number bony elements either by starting at the bottom of the spine (S5) and count upwards as demonstrated above
OR• start at the last rib (T12) and count downwards
camcshane2006
![Page 3: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/3.jpg)
camcshane2006
Spina Bifida Protocol• transverse: last normal level• transverse: first abnormal level
demonstrating splayed element down to end of defect
• image whether skin covered or not; bony elements may appear splayed beyond non-skin covered elements
• obtain 3d images whenever possible (surface rendering / multi-planar views)
![Page 4: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/4.jpg)
camcshane2006
Level at which defect begins (L5-S1)
![Page 5: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/5.jpg)
camcshane2006
S1 S1
![Page 6: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/6.jpg)
camcshane2006
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S2S2
Sac in 3D
![Page 7: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/7.jpg)
camcshane2006
Backdrops:- These are full sized backdrops, just scale them up!
- Can be Copy-Pasted out of Templates for use anywhere!
S3 S3
![Page 8: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/8.jpg)
camcshane2006
Backdrops:- These are full sized backdrops, just scale them up!
- Can be Copy-Pasted out of Templates for use anywhere!
S4S4
![Page 9: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/9.jpg)
camcshane2006
Backdrops:- These are full sized backdrops, just scale them up!
- Can be Copy-Pasted out of Templates for use anywhere!
S5 S5
![Page 10: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/10.jpg)
camcshane2006
Backdrops:- These are full sized backdrops, just scale them up!
- Can be Copy-Pasted out of Templates for use anywhere!
(3Ds)
@camcshane2006
Sequential views of defect – be sure to include the level above splayed level…
![Page 11: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/11.jpg)
camcshane2006
Document the following:
• cerebellar displacement• cisterna magna (obliteration)• cortical mantle thickness (frontal
region)• lateral ventricles (measure)• hip, knee, ankle, toe movement
(videotape)• feet (clubbing, no clubbing)
![Page 12: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/12.jpg)
camcshane2006
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Measurement of lateral cerebral ventricles and dangling choroid
![Page 13: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/13.jpg)
camcshane2006
Backdrops:- These are full sized backdrops, just scale them up!
- Can be Copy-Pasted out of Templates for use anywhere!
Dangling choroid plexus
![Page 14: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/14.jpg)
camcshane2006
Backdrops:- These are full sized backdrops, just scale them up!
- Can be Copy-Pasted out of Templates for use anywhere!
Dangling choroid plexus
![Page 15: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/15.jpg)
camcshane2006
Backdrops:- These are full sized backdrops, just scale them up!
- Can be Copy-Pasted out of Templates for use anywhere!
Cerebellum with obliteration of the cisterna magna
![Page 16: Spina Bifida Protocol - Johns Hopkins Hospital€¦ · Spina Bifida Protocol • obtain coronal or parasagittal and number bony elements • number bony elements either by starting](https://reader034.vdocument.in/reader034/viewer/2022042712/5f8e885cb732ef052f5a7912/html5/thumbnails/16.jpg)
camcshane2006