D. Belavy, M.J. Ruitenberg, R.B. Brijball

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Feasibility study of real-time three-/four-dimensional ultrasound for epidural catheter insertion D. Belavy, M.J. Ruitenberg, R.B. Brijball British Journal of Anaesthesia Volume 107, Issue 3, Pages 438-445 (September 2011) DOI: 10.1093/bja/aer157 Copyright © 2011 The Author(s) Terms and Conditions

Fig 1 Acquisition of 3D ultrasound data. British Journal of Anaesthesia 2011 107, 438-445DOI: (10.1093/bja/aer157) Copyright © 2011 The Author(s) Terms and Conditions

Fig 2 The three standard planes for examining 3D/4D ultrasound data. Plane A is the standard 2D ultrasound image. Plane B is at right angles to this and plane C shows a section distant to the probe. British Journal of Anaesthesia 2011 107, 438-445DOI: (10.1093/bja/aer157) Copyright © 2011 The Author(s) Terms and Conditions

Fig 3 A 3D sonogram of the right paramedian L3/4 vertebral interspace in a live volunteer. Figure 4 shows the relevant anatomy. A is the longitudinal paramedian image, B the axial image, C the coronal image, and 3D the three-dimensional reconstruction. British Journal of Anaesthesia 2011 107, 438-445DOI: (10.1093/bja/aer157) Copyright © 2011 The Author(s) Terms and Conditions

Fig 4 A line drawing of the relevant anatomy shown in Figure 3. A shows the longitudinal paramedian image, B the axial image, C the coronal image, and 3D the three-dimensional reconstruction. British Journal of Anaesthesia 2011 107, 438-445DOI: (10.1093/bja/aer157) Copyright © 2011 The Author(s) Terms and Conditions

Fig 5 A 3D sonogram at the lumbar spine in a cadaver with the needle inserted via a right paramedian approach in the epidural space (arrows). Plane A is positioned in a paramedian location cephalad to the left. Plane B is positioned axially with the right of the image being to the right of the cadaver. British Journal of Anaesthesia 2011 107, 438-445DOI: (10.1093/bja/aer157) Copyright © 2011 The Author(s) Terms and Conditions

Fig 6 A 3D sonogram at the lumbar spine in a cadaver with the needle inserted via a right paramedian approach in the epidural space (arrows). Plane A is positioned in a paramedian location cephalad to the left. Plane B is positioned axially with the right of the image being to the right of the cadaver. British Journal of Anaesthesia 2011 107, 438-445DOI: (10.1093/bja/aer157) Copyright © 2011 The Author(s) Terms and Conditions