scholarly journals How molecular imaging will enable robotic precision surgery

Author(s):  
Thomas Wendler ◽  
Fijs W. B. van Leeuwen ◽  
Nassir Navab ◽  
Matthias N. van Oosterom

AbstractMolecular imaging is one of the pillars of precision surgery. Its applications range from early diagnostics to therapy planning, execution, and the accurate assessment of outcomes. In particular, molecular imaging solutions are in high demand in minimally invasive surgical strategies, such as the substantially increasing field of robotic surgery. This review aims at connecting the molecular imaging and nuclear medicine community to the rapidly expanding armory of surgical medical devices. Such devices entail technologies ranging from artificial intelligence and computer-aided visualization technologies (software) to innovative molecular imaging modalities and surgical navigation (hardware). We discuss technologies based on their role at different steps of the surgical workflow, i.e., from surgical decision and planning, over to target localization and excision guidance, all the way to (back table) surgical verification. This provides a glimpse of how innovations from the technology fields can realize an exciting future for the molecular imaging and surgery communities.

2006 ◽  
Vol 45 (06) ◽  
pp. 273-276
Author(s):  
A. Jigalin ◽  
H. Lerch

SummaryAim and method: Scientific publications in the journal of Nuklearmedizin Molecular Imaging and Therapy during 2004/2005 were retrospectively examined for their potential classification to molecular imaging or molecular guided therapy, functional imaging and therapy, and were compared to earlier analyses. Results: Of the 57 original papers examined, 36 (63%) were assigned to the category of molecular imaging / molecular guided therapy. Within this category, the number of original papers on molecular guided therapy increased by 19% compared to preceding periods. There was a general overall increase in the proportion of experimental papers and more frequent inclusion of basic background subjects. Conclusion: The development of molecular imaging as a direct instrument in therapy planning leads to further promotion of molecular guided therapy. The structural advantage of nuclear medicine, uniting method-lead diagnosis and therapy within one specialist subject, predestines it to advance molecular imaging and molecular guided therapy.


Author(s):  
Georgii I. Sinenchenko ◽  
Vladimir G. Verbitsky ◽  
Andrey E. Demko ◽  
Anton O. Parfenov ◽  
Aleksey V. Osipov ◽  
...  

The article presents two cases of intestinal perforation by a foreign body rarely being the cause for “acute abdomen”. In both cases the disease resembled acute appendicitis. The introduction of endovideosurgical technologies into surgical practice contributes to early diagnostics of a gut wall perforation by a foreign body and allows performing only low-invasive surgical treatment.


2019 ◽  
Vol 22 (1) ◽  
pp. E035-E037
Author(s):  
Guiping Xu ◽  
Yuxuan Zhang ◽  
Quansheng Wang ◽  
Tao Su ◽  
Jing Mei ◽  
...  

Introduction: Left ventricular aneurysm is a common complication type of myocardial infarction. Percutaneous ventricular restoration (PVR) is a new and minimally invasive surgical method for left ventricular aneurysm. Due to its complication and high demand on the surgeon, careful cooperation of anesthesia work is of great significance for the successful implementation of the operation. Case Presentation: During anesthesia, Pulse Index Continuous Cardiac Output (PICCO) not only monitors general hemodynamic parameters, but also displays parameters such as cardiac output, myocardial contractility, pre-cardiac load, etc., which provides important guidance for the anesthetic procedures. Conclusions: This study aimed to explore the application of PICCO in the anesthesia of patients by analyzing the clinical anesthesia management of 3 cases of patients undergoing transcatheter ventricular partitioning restoration (TVPR) due to left ventricular aneurysm in the case of analysis.


2021 ◽  
Vol 41 (01) ◽  
pp. 054-066
Author(s):  
Smruti K. Patel ◽  
Mohamed S. Saleh ◽  
Alaina Body ◽  
Mario Zuccarello

AbstractSpontaneous supratentorial intracranial hemorrhage is extremely disabling and is associated with high mortality. Primary treatment for patients with this disease process is maximal medical management with blood pressure control and correction of clotting disorders due to comorbid conditions or medications. Over the past decade, significant strides have been made in understanding the benefits of surgical intervention in the treatment of intracranial hemorrhage through multiple clinical trials. In this article, we review the evolution of surgical treatments beginning with the STICH trials, discuss new developments with minimally invasive surgical strategies, and provide a brief update regarding ongoing trials and future directions in the treatment of spontaneous supratentorial intracranial hemorrhage.


2015 ◽  
Vol 98 (4) ◽  
pp. 486-488 ◽  
Author(s):  
Soichiro Yoshida ◽  
Masaya Ito ◽  
Manabu Tatokoro ◽  
Minato Yokoyama ◽  
Junichiro Ishioka ◽  
...  

As a result of the dramatic improvements in the resolution, wearability, and weight of head-mounted displays (HMDs), they have become increasingly applied in the medical field as personal imaging monitors. The combined use of a multiplexer with an HMD allows the wearer to simultaneously and seamlessly monitor multiple streams of imaging information through the HMD. We developed a multitask imaging monitor for surgical navigation by combining a touchless surgical imaging control system with an HMD. This system is composed of a standard color digital video camera mounted on the HMD and computer software that enables the identification of the number of pictured fingertips from the video camera image. The HMD wearer uses this information as a touchless interface for the operating multiplexer, which can control the arrays and types of imaging information displayed on the HMD. We used this system in an experimental demonstration during a single-port gasless partial nephrectomy. The use of this multitask imaging monitor using a touchless interface would refine the surgical workflow, especially during surgical navigation.


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