Sunday, April 27, 2014

The Cerefy® Atlas of Cerebral Vasculature - 3 dimensional

You will need to demand your doctor use this to point out exactly  where your clot or bleed was located.   You do expect your doctor to know such important details? And then explain exactly what functions were damaged or destroyed. Then what protocols will recover those functions.
It's all so f*cking simple, why can't your doctor do that simple 3 step process? If 'All strokes are different, all stroke recoveries are different' comes out of their mouth, Tell them to take a flying leap and come back when they have educated themselves.
Do NOT be polite.
1. Diagnose damage area.
2. Describes functions compromised or lost.
3. Describe stroke protocols to recover those functions.
http://www.surgicalneurologyint.com/article.asp?issn=2152-7806;year=2010;volume=1;issue=1;spage=53;epage=53;aulast=Dye
The Cerefy®  Atlas More Details of Cerebral Vasculature is a detailed 3-dimensional (3D) atlas of cerebral arteries and veins. The current atlas was designed along the same principles that were used to create Thieme's five previous brain atlases, namely The Cerefy Atlas of Brain Anatomy, published in 2006.

This interactive CD-ROM combines 3D drawings with magnetic resonance images (MRI) and magnetic resonance angiography (MRA) images. When first launching the exploration portion of the program, the 365 v-essels can be overwhelming when viewed all at once. However, it quickly becomes obvious that one of the strengths of this atlas is being able to select out one hemisphere of vessels, just arteries or just veins, one segment of the circle of Willis, or even a single distal MCA branch. What also sets this electronic atlas apart from more traditional textbooks is the fact that it allows the user to explore the vessels in 3D rather than the 2-dimensional (2D) page. The 3D cerebral vasculature model was created from a 3T MRA time of flight scan and was constructed manually by a vascular editor. The model is then co-registered with MRI and MRA scans from the same subject and displayed as a 3D triplanar image. In other words, the user can select 2D MRI or MRA images which can be scrolled through the 3D vasculature, providing a unique view of the relationship of the vessels to the surrounding parenchymal structures. These MRI/MRA scans can be viewed in axial, sagittal, or coronal planes. The user is also given the option of adding in drawings of the cerebral hemispheres and/or the ventricular system. This again adds to the 3D picture and reinforces the relationships of these vessels to the nearby parenchyma and ventricles in a way that most 2D atlases cannot.

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