Patient Care

Clinical services of the Stanford Radiology 3D and Quantitative Imaging Laboratory include 3DQ rendering of CT and MR images, as well as quantitation of anatomical structures and pathology, and diseases burden, to aid in diagnosis, presurgical planning and treatment monitoring.

Rendering techniques include curved planar, oblique, and multiplanar reconstruction; average, maximum and minimum intensity projections; virtual endoscopy; and volume rendering. Real-time assessment of anatomical structures in motion is achieved with 4D temporal rendering.

For Physicians

All CT and MRI angiograms include 3DQ post-processing. If you will need a 3DQ examination along with a routine CT or MRI examination, you must also order the 3DQ examination as well.

Clinicians are welcome to come to the 3DQ Laboratory or Radiology reading rooms to interact with CT or MRI data with the Radiologists and 3DQ Technologists.

3D images may be viewed as separate series within your patient’s CT or MRI study on PACS.

We welcome your feedback and will incorporate your imaging needs into our 3DQ protocols. Please contact the 3DQ Lab Manager at (650) 725-0560.

To obtain a printed copy of your patient’s 3DQ images, please call the 3DQ Laboratory at (650) 725-8432. To obtain a cd with your patient’s source and 3DQ images, please call the film library at (650) 723-6717.

For Patients

Your 3DQ images aid your physicians in the diagnosis and display of anatomy and any pathology that is demonstrated on your CT or MRI examination. Your physician may utilize these images when planning any surgical interventions.

To obtain a copy of your 3DQ images for your out-of-area physician, please contact the film library at Stanford Health Services at 650-723-6717.

3D Printing Protocol Development

CT Studies

3D Chest, abdomen, and pelvis angiogram
3D Renal angiogram
3D Living Related Donor (renal and liver)
3D Pulmonary Vein Mapping
3D Cardiac angiogram
3D Head and neck angiogram
3D Aorto-iliac runoff
3D Upper extremity angiogram
3D Pancreas
3D IVP
3D Airway
3D Rectum
3D Enterography
3D Bony upper extremity
3D Bony lower extremity
3D Bony pelvis
3D Craniofacial
3D Dentascan
3D Spine

MR Studies

Flow Analysis

Case Studies

claudicationtitlesmall — Claudication
June 2, 2023/by Kyle Gifford

title6 — Hip Preservation
May 3, 2023/by Kyle Gifford

0323 cotm feature — 3D Printing – Paraspinal Tumor
March 29, 2023/by Kyle Gifford

title pic — Periventricular Nodular Heterotopia (PVNH)
February 9, 2023/by Kyle Gifford

Breast-Recon — April 2019: 3D Print for Breast Reconstruction Planning
June 21, 2019/by shanwalt

Screen-Shot-2019-06-14-at-11.17.23-AM (1) — March 2019: 3D Printing Fiber Tracts in Brain
June 11, 2019/by shanwalt

419-COtm1 — Aortic Major Diameters Comparison
April 16, 2019/by Kyle Gifford

Popliteal Artery Entrapment Syndrome (PAES)
February 1, 2019/by Kyle Gifford

Coronary Aneurysm
February 1, 2019/by Kyle Gifford

nov2018 (1) — Anomalous Coronary Origin
December 20, 2018/by Kyle Gifford

48383475_20180508_24-1024×1024 — Major Aortopulmonary Collateral Arteries (MAPCAs)
August 13, 2018/by cletrong

2a-768×768 — Transposition of the Great Arteries (D-TGA)
June 29, 2018/by cletrong

Testimonials

“Using the 3D imaging lab has allowed us in pediatric urology to identify and assess renal scarring and damage that has not been recognized by any other imaging means, and has changed my management and thinking about children with vesicoureteral reflux.”

Linda M.Dairiki Shortliffe, MD

“3D imaging is an integral part of pre-operative surgical planning in my shoulder and elbow trauma practice. It has revolutionized how we can take better care of our patients.”

Emilie V. Cheung, MDAssistant Professor of Orthopaedic Surgery | Stanford University Medical Center

“3D imaging of aortic aneurysms is essential for minimally invasive endovascular aneurysm repair. It has not only enhanced our ability to properly select patients for endovascular repair but also allows precise image based follow to ensure long-term success. The end result is better patient outcomes with reduced morbidity and mortality.”

Christopher K. Zarins, MDProfessor of Vascular Surgery | Stanford University Medical Center

“Not only do the 3D images help us to plan our surgical interventions accurately and decrease our surgical risks based on orthogonal measurements and various reconstructions, but they also help us convey what we know as healthcare providers into something that every patient can understand. A lot of our young Marfan Syndrome or Bicuspid Aortic Valve patients are asymptomatic and are shocked to find out that they need a major aortic procedure. The 3D reconstructions often help patients understand and visualize their pathology. We have found that the images provided by Laura and her staff are instrumental in helping patients break through their denial and become more active in their care. It’s hard to put into words how important the services provided by the 3D imaging lab are; fortunately they can produce pictures worth more than a thousand words!”

Michael SheehanNurse Practitioner for Thoracic Aortic Surgery

3DQ Management Software

The 3DQ Lab has implemented a custom workflow management software to track, manage and quality-control day -to-day clinical and research operations. The software allows technologists to select, coordinate, process and report studies in real time. The system has three main components – a clinical workflow management module, a measurements database and custom research workflow management modules that are developed for each large research project undertaken by the lab. The core software is hosted on a rack mount server, with backup on separate storage server and a standalone server.

Daily 3DQ Workflow

A web-based secure application is seamlessly integrated with the Centricity RIS-IC radiology information system. The application allows selection of studies appropriate for 3DQ Processing, and allows technologist assignment, scheduling, billing and monthly/yearly reporting of 3DQ Lab outputs and efficiency. The 3DQ Lab is currently split between two physical locations, and the system allows efficient coordination, troubleshooting and work completion while reducing phone calls and sneaker trips. Clients in the radiology reading rooms also access the system to exchange instructions and prioritize studies for processing. The application was initially developed using ASP with an MS Access backend and is currently being redeveloped in ASP.net with a SQL server backend.

Quantitative Measurement Database

Initially, quantitative 3DQ data created by our technologists was reported using templates that were not collected into a central database. We designed an implemented a system that instead stores measurements in a central database in a generic format that allows customized reports to be produced for specific internal and external clients for both research and clinical use. On the other hand, the raw data is still available for data mining and research applications. Use of a large industrial strength SQL server database with regular backups ensures that the data we collect for our research clients is safe and secure.

The software allows custom measurement protocols to be implemented for specific research protocols, making both data collection and quality control easier. The system also allows for automated comparisons and graphs showing the change in 3DQ measurements over time for each patient or study subject, streamlining patient care management for the referring physician.

Patient Care

For Physicians

For Patients

3D Printing Protocol Development

Case Studies

Claudication

Hip Preservation

3D Printing – Paraspinal Tumor

Periventricular Nodular Heterotopia (PVNH)

April 2019: 3D Print for Breast Reconstruction Planning

March 2019: 3D Printing Fiber Tracts in Brain

Aortic Major Diameters Comparison

Popliteal Artery Entrapment Syndrome (PAES)

Coronary Aneurysm

Anomalous Coronary Origin

Major Aortopulmonary Collateral Arteries (MAPCAs)

Transposition of the Great Arteries (D-TGA)

Testimonials

3DQ Management Software

Daily 3DQ Workflow

Quantitative Measurement Database

3DQ Lab – Grant Building

3DQ Lab – Clark Building

Learn More About the Lab