Motorcycle Accident 2

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This patient was not using a helmet.. Extensive facial and mandibular fractures are present. The patient has an endotracheal tube, and a orogastric suction tube.

The vertex (top) and posterior skull are not damaged. These portions were excluded in the initial scan and appear as though they are missing on the 3D rendering.

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Comments

ladywolke says:

These recons are so impressive, specially because I just learn how to use the CT during my studies to become a radiological assistant.
Posted 20 months ago. ( permalink )

Mark Madeo says:

er, in layman's words, "wow, it's like Star Trek!"
the detail is just incredible...I had now idea this technology was here already.
I'm realizing now that this is a different victim than the last posting...so sad. Makes me want a full-face helmet for my bicycle.
Posted 20 months ago. ( permalink )

Sebastian Niedlich (Grabthar) says:

1. The clarity of this thing is astonishing.
2. I cringed when I saw it.
Posted 20 months ago. ( permalink )

Jeff the Trojan says:

This is amazing.
Posted 20 months ago. ( permalink )

☣ bionerd ☢ says:

wow... i absolutely LOVE your new 3D CT volume rendering additions to flickr!

the injures to the skull are insane though... everything's fractured, and he's not even got many teeth left... man, poor dude... though i guess it's his fault for not wearing a helmet.

just... how the heck are they gonna fix him up? will he ever be able to lead a somewhat normal life again?
Posted 20 months ago. ( permalink )

budderflyman says:

I would say they can fix him up with a bit of "Crazy Glue", but who knows what damage was done to the brain???

Surf, were these two patients brought to you in comatose states? Do you put people asleep to do these scans?
Posted 20 months ago. ( permalink )

Surfactant says:

Patients who are unable to consciously remain motionless are sedated. CT is very susceptible to motion artifacts.
Posted 20 months ago. ( permalink )

budderflyman says:

Surf, I saw a man today who had an enormous mandible/neck. I tried not to stare at him, but I had never seen anything like this. He must have had a 36 inch neck and jaw. He walked around normally, seemed to be about 40 year in age, and his voice was deep, but normal. What do you think? Do you have any scans of something like that? I do not mean to be cruel, and I am not cruel, but he looked like Jabba the Hut.
Posted 20 months ago. ( permalink )

Surfactant says:

It would be difficult to scan something that size and see detail like you do here. In fact, as the population grows increasingly larger, it becomes impossible to image some patients. Partly because some of them won't fit into the machine, but also because of the physical properties of x-rays.

As x-rays pass through the body, scatter radiation is produced that degrades the image. If the body part is large enough, so much scatter is produced that it becomes the only thing recorded and the exam is then useless. There are varying degrees between a marginal scan and a useless one.
Posted 20 months ago. ( permalink )

Fabio ® says:

Wow man!!! tu tienes unas imagenes impactantes, NO comunes para cualquiera de nosotros, realmente interesantes en su elocuencia y hasta educativas por cierto.
Gracias por difundirlas, al menos a mi me han gustado!!
Saludos!
Posted 20 months ago. ( permalink )

Chiapetta [deleted] says:

It's amazing the way the vent looks!
Posted 20 months ago. ( permalink )

mwhammer says:

how cool. the dimensionality in this scan is awesome--so sophisticated.
Posted 19 months ago. ( permalink )

Branddobbe says:

That jaw split in half like that is fucking crazy! I can't even imagine what he must look like in person.
Posted 19 months ago. ( permalink )

budderflyman says:

Surf, we miss you, you zombie
Posted 18 months ago. ( permalink )

budderflyman says:

Surf, please return to Flickr.
Posted 18 months ago. ( permalink )

αиgεʟ™ says:

WOW dude!!! your pics are just too great! i love all these images! working in medicals field but have never seen anything like this until now.
nice images surf!
Posted 18 months ago. ( permalink )

budderflyman says:

Surf is back. I can rest for a few moments, at least.
Posted 18 months ago. ( permalink )

maxum_mann says:

Why I always wear a full face helmet and full protection. Knowledge of countersteering helps out too.
Posted 16 months ago. ( permalink )

Doc Gionet says:

Yuk, bet he looks like a Picaso painting now.
Posted 15 months ago. ( permalink )

lowflyingirl says:

I belong to a group called "One Rider" that focuses on Motorcycle safety. Can we use your images to promote the use of Full Faced Helmets?

www.1Rider.org

Project is underway, and the site is under construction.
Posted 15 months ago. ( permalink )

Eric Andersson says:

I wonder how much they could repair his jaw..
Posted 15 months ago. ( permalink )

hatter10_6 says:

The 3D scan is amazing animated.
Posted 15 months ago. ( permalink )

Surfactant says:

lowflyingirl, I sent you Flickrmail.
Posted 15 months ago. ( permalink )

Surfactant says:

, you might be amazed at how well maxillofacial surgeons can fix these injuries. The x-ray doesn't really convey the horrible damage done to this persons face. When you put a good maxillofacial and plastic/reconstructive surgeon together, though, the result is totally worth whatever they charge.
Posted 15 months ago. ( permalink )

TAHbKA says:

Thank you for posting this - it's completely horrifying and at the same time most awesomely cool! :)
Posted 15 months ago. ( permalink )

atomicthumbs says:

That guy's gonna have a lopsided face for the rest of his life. Guess that's what happens when a helmet is absent.
Posted 14 months ago. ( permalink )

carljgodwin says:

How on earth are you supposed to recover from that?
Posted 14 months ago. ( permalink )

ironleg says:

As someone who's taken a spill before, I have no idea why anyone would get on a vehicle that inherently offers little or no protection and take no steps to protect themselves while on it. It's easy enough to get killed or mutilated on a bike without a real helmet. Yamikas and helmets wit no jaw protection don't help, as this poor idiot learned. The soft tissue damage must have been really horrible. :(
Posted 13 months ago. ( permalink )

joshkritzer says:

ummm... safety fail.
Posted 13 months ago. ( permalink )

Vote For Summer says:

To all of you who ride in full gear, I salute you. To those people I see with a helmet, t-shirt, sneakers and shorts pulling wheelies down the 280... :(
Posted 13 months ago. ( permalink )

CatsFive says:

One less Harley. Let that be a lesson to those that don't ride wearing helmets.
Posted 13 months ago. ( permalink )

Arguez says:

Increible.
Posted 13 months ago. ( permalink )

DannyThomson says:

yikes, I just had one of these scans done in October, 100mph baseball hit me in the face while I was in the batting cage, I was pitching to my brother and he hit it right back up the middle, I wasnt fully behind the pitching net and it has changed my life. Heres pictures.....
photobucket.com/3Danny
Posted 13 months ago. ( permalink )

Dave Palugyay says:

That's gonna leave a mark. Or two.
Posted 13 months ago. ( permalink )

Guyon_C says:

What the heck dave I was gonna say that :(
Posted 13 months ago. ( permalink )

stevenrobertlane says:

I thought those tubes we're the handlebars at first!
Posted 13 months ago. ( permalink )

chrome1 [deleted] says:

hm.... this might sound harsh..but... if i'm not wearing a helmet on my scooter and i get in an accident... JUST LET ME DIE
Posted 13 months ago. ( permalink )

Vicente Alfonso says:

Incredible!! :O
Posted 13 months ago. ( permalink )

e_monk says:

You got linked to on Poor Mojo News

www.poormojo.org/pmjadaily/archives/024119.ph p
Posted 13 months ago. ( permalink )

gadji_beri says:

How's the bike?
Posted 13 months ago. ( permalink )

Lexinatrix says:

I got here from a motorcycle community I read... this is absolutely fascinating, thanks for posting!
Posted 13 months ago. ( permalink )

rosenberger31 says:

I know this is not a medical blog, but CT scans are a lot more forgiving than MRI. Newer CT machines can do the above scan in 10 seconds. The patient has to hold still, but not like other modalities in Radiology.
"It would be difficult to scan something that size and see detail like you do here. In fact, as the population grows increasingly larger, it becomes impossible to image some patients. Partly because some of them won't fit into the machine"
- CT scanners can image the whole body with great detail, very fast. The bore of a CT scanner can usually fit patients greater than 500lbs. MRI is the modality that is very restricting for both patient size and patient motion.
Thanks to imaging technologies, surgeons can pre-plan surgeries, thus reducing time in the OR. This translates into better patient care and better end results (fewer facial reconstruction surgeries).
Safety first!
Posted 12 months ago. ( permalink )

Surfactant says:

It is indeed true that MRI is less forgiving than CT in regard to motion artifacts. The reduction in image quality due to patient size in MRI is usually due to grounding of the patient when they touch the sides of the bore. This is not necessarily negated with open bore magnets. The chances of grounding increase with patient size. The induction of noise and reduction of the signal to noise ratio degrades image quality. In both modalities, there is a vast difference between a 82", 500lb patient, and a 72" tall patient of the same weight. Circumference is the determinant, rather than total weight.

That said, you are quite correct that imaging technologies like these are a great benefit to pre-surgical planning. I am excited about the future of these technologies, and the integration of molecular imaging into them.
Posted 12 months ago. ( permalink )

Andrés Otárola says:

wow! was a panfacial??
or lefort III?
Posted 12 months ago. ( permalink )

bobbynstl80 says:

Ouch
Posted 11 months ago. ( permalink )

Just Back says:

Maybe if our species had evolved the ability to move at really high velocities, say the speed of a motocycle, we would have also evolved significant exoskeletons.
Posted 6 months ago. ( permalink )

morrisoxford61 says:

this is stunning
in our country you have to wear a helmet no matter how stupid you are
but this should be shown to all youngsters before they even think of riding a motorcycle
I ride all year round
i also hate blood and faint when they stick needles in me
but I found this to be the most fascinating thing I have ever seen
I did not realise just how far technology has moved
thanks for this it quite stunned me in its clarity
Posted 5 months ago. ( permalink )

so0ora says:

ouch!!
Posted 5 months ago. ( permalink )

Zlatko Unger says:

Holy crap. That looks incredibly painful. How fast was the person going when they crashed?
Posted 5 weeks ago. ( permalink )

morrisoxford61 says:

its not how fast he was going, its how fast he stopped thats the difference?
Posted 5 weeks ago. ( permalink )

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Motorcycle Accident 2

Comments

ladywolke says:

Mark Madeo says:

Sebastian Niedlich (Grabthar) says:

Jeff the Trojan says:

☣ bionerd ☢ says:

budderflyman says:

Surfactant says:

budderflyman says:

Surfactant says:

Fabio ® says:

Chiapetta [deleted] says:

mwhammer says:

Branddobbe says:

budderflyman says:

budderflyman says:

αиgεʟ™ says:

budderflyman says:

maxum_mann says:

Doc Gionet says:

lowflyingirl says:

Eric Andersson says:

hatter10_6 says:

Surfactant says:

Surfactant says:

TAHbKA says:

atomicthumbs says:

carljgodwin says:

ironleg says:

joshkritzer says:

Vote For Summer says:

CatsFive says:

Arguez says:

DannyThomson says:

Dave Palugyay says:

Guyon_C says:

stevenrobertlane says:

chrome1 [deleted] says:

Vicente Alfonso says:

e_monk says:

gadji_beri says:

Lexinatrix says:

rosenberger31 says:

Surfactant says:

Andrés Otárola says:

bobbynstl80 says:

Just Back says:

morrisoxford61 says:

so0ora says:

Zlatko Unger says:

morrisoxford61 says:

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