Intraoperative Percutaneous Microcoil Localization of Small Peripheral Pulmonary Nodules Using Cone-Beam CT in a Hybrid Operating Room

2019 ◽  
Vol 213 (4) ◽  
pp. 778-781
Author(s):  
Jason K. Lempel ◽  
Daniel P. Raymond
Keyword(s):  
Operating Room ◽  
Cone Beam Ct ◽  
Pulmonary Nodules ◽  
Cone Beam ◽  
Hybrid Operating Room

Hybrid Operating Room Cone-Beam CT-Guided PEG-Tube Placement in a Patient with Large Ventral Hernia

2019 ◽  
Vol 85 (7) ◽  
pp. 363-365
Author(s):  
Peter Drevets ◽  
Alyssa Ford ◽  
Stephanie Schampaert ◽  
Carsten Schroeder
Keyword(s):  
Ventral Hernia ◽  
Operating Room ◽  
Cone Beam Ct ◽  
Tube Placement ◽  
Cone Beam ◽  
Hybrid Operating Room ◽  
Ct Guided ◽  
Large Ventral Hernia ◽  
Peg Tube

scholarly journals Role of Hybrid Operating Room: Present and Future

2020 ◽  
Author(s):  
Evan Qize Yuan ◽  
Calvin Sze Hang Ng
Keyword(s):  
Thoracic Surgery ◽  
Operating Room ◽  
Early Stage ◽  
Intraoperative Imaging ◽  
Cone Beam Ct ◽  
Pulmonary Nodules ◽  
High Definition ◽  
Hybrid Operating Room ◽  
Invasive Treatment ◽  
Patient Groups

With the dramatic progress of medical imaging modalities and growing needs for high-resolution intraoperative imaging in minimally invasive surgery, hybrid operative room (OR) has been developed as a powerful tool for different surgical scenarios. Under the guidance of high-definition cone beam CT (CBCT), an electromagnetic navigation bronchoscopy (ENB)-based marker implantation and subsequent localization of the pulmonary nodules can be implemented within a hybrid OR. Furthermore, the unparalleled real-time imaging capabilities and the ability to perform multiple tasks within the hybrid OR can facilitate image-guided single-port video-assisted thoracic surgery (iSPVATS), increasing the precision and improving outcomes of the procedure. With the help of a hybrid theatre, catheter-based thermal ablation can provide a safer and less invasive treatment option for select patient groups with early-stage non-small cell lung carcinomas (NSCLC) or metastases. In the future, the combination of hybrid operating room and other inspiring innovative techniques, such as robotic bronchoscopy, 3D-printing, natural orifice transluminal endoscopic surgery (NOTES) lung surgery could lead to a paradigm shift in the way thoracic surgery is conducted.

Intraoperative cone beam CT in hybrid operating room set-up as an alternative to postoperative CT for pedicle screw breach detection

2021 ◽  
Author(s):  
Simon Peh ◽  
Julian Pfarr ◽  
Jost Philipp Schäfer ◽  
Jan-Hendrik Christensen ◽  
Anindita Chatterjea ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Pedicle Screw ◽  
Operating Room ◽  
Cone Beam Ct ◽  
Pedicle Screws ◽  
Roc Curves ◽  
Cone Beam ◽  
Screw Placement ◽  
Hybrid Operating Room ◽  
Effective Radiation Dose

Abstract Background CT is considered the gold standard for detecting pedicle breach. However, CBCT may be a viable and low radiation dose alternative, to provide intraoperative feedback to surgeons to permit in-room revisions of misplaced screws Methods To assess the ability and reliability of intraoperative cone-beam CT (CBCT) from a robotic C-arm in a hybrid operating room (OR) two hundred forty-one pedicle screws were inserted in cervical, thoracic and lumbar spine of 7 cadavers, followed by CBCT and CT imaging. The CT images served as the standard of reference. Agreement on screw placement between both imaging systems was assessed using Cohen’s Kappa coefficient (κ). Sensitivity, Specificity, Receiver operating characteristic (ROC), area under the empirical and fitted ROC curves (AUC) were computed to assess CBCT as a diagnostic tool compared to CT. The patient effective radiation dose (ED) was calculated for comparison. A systematic literature review was performed to provide perspective to the obtained results. Results Almost perfect agreement in assessing pedicle screw grading between CBCT and CT was observed (κ = 0.84). The sensitivity and specificity of CBCT were 0.84 and 0.98, respectively. The AUC derived from the empirical and fitted ROC curves were 0.95 and 0.96, respectively. Conclusion Intraoperative CBCT by C-arm in a hybrid OR is highly reliable in identification of screw placement at significant dose reduction.

scholarly journals Ciliated muconodular papillary tumor with a growing cavity shadow that mimicked colorectal metastasis to the lung: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kotaro Murakami ◽  
Yojiro Yutaka ◽  
Naoki Nakajima ◽  
Akihiko Yoshizawa ◽  
Hiroshi Date
Keyword(s):  
Colorectal Cancer ◽  
Operating Room ◽  
Lung Tumor ◽  
Cone Beam Ct ◽  
Cone Beam ◽  
Small Lesion ◽  
Hybrid Operating Room ◽  
Papillary Tumor ◽  
Preoperative Marking ◽  
Dye Marking

Abstract Background Ciliated muconodular papillary tumor (CMPT) is a rare papillary nodule tumor with benign and malignant characteristics that occurs in the peripheral lung. Case presentation A 70-year-old woman who underwent right hemicolectomy for colorectal cancer (CRC; pT3N0M0, p-stage II) 2 years prior, presented with a sub-centimeter growing cavity shadow on chest computed tomography (CT), which was suspected to be a CRC metastasis. Because positron emission tomography CT suggested there was no other site suspicious of recurrence, thoracoscopic resection with preoperative pleural dye marking was planned to remove the small lesion, which seemed to be hardly palpable on CT. Immediately after pleural dye marking adjacent to the lesion using cone beam CT in the hybrid operating room, thoracoscopic wedge resection was performed and the tumor was finally diagnosed as CMPT, characterized by the papillary growth of mucus-producing cells in the alveoli. Conclusion We resected the non-palpable small lung lesions following preoperative marking using cone-beam CT in the hybrid operating room. This case highlights a rare cavitary CT image of a CMPT mimicking a metastatic lung tumor from colorectal cancer.

scholarly journals Real-time image-guided electromagnetic navigation bronchoscopy dual-marker technique to localize deep pulmonary nodules in a hybrid operating room

2020 ◽  
Vol 58 (Supplement_1) ◽  
pp. i103-i105
Author(s):  
Chuan Cheng ◽  
Hsin-Yueh Fang ◽  
Chih-Tsung Wen ◽  
Yin-Kai Chao
Keyword(s):  
Operating Room ◽  
Near Infrared ◽  
Pulmonary Nodules ◽  
Surface Marker ◽  
Hybrid Operating Room ◽  
Electromagnetic Navigation ◽  
Image Guided ◽  
Real Time Image ◽  
Near Infrared Dye ◽  
Time Image

Abstract Herein, we describe a Dyna-computed tomography-guided electromagnetic navigation bronchoscopy technique aimed at localizing deep pulmonary nodules. The method was implemented in a hybrid operating room and required the use of 2 markers (a near-infrared dye as a surface marker and a microcoil as a deep marker).

scholarly journals P1.16-026 Multimodal Image-Guided VATS Resection of Sub-Centimeter Pulmonary Nodules by Cone Beam CT and Bronchoscopic NIR Fluorescence Marking

2017 ◽  
Vol 12 (11) ◽  
pp. S2060
Author(s):  
T. Anayama ◽  
K. Hirohashi ◽  
H. Okada ◽  
N. Kawamoto ◽  
R. Miyazaki ◽  
...  
Keyword(s):  
Cone Beam Ct ◽  
Pulmonary Nodules ◽  
Cone Beam ◽  
Image Guided ◽  
Nir Fluorescence

scholarly journals Percutaneous transthoracic localization of pulmonary nodules under C-arm cone-beam CT virtual navigation guidance

2016 ◽  
Vol 22 (3) ◽  
pp. 224-230 ◽  
Author(s):  
Tae Ho Kim ◽  
Chang Min Park ◽  
Sang Min Lee ◽  
H. Page McAdams ◽  
Young Tae Kim ◽  
...  
Keyword(s):  
Cone Beam Ct ◽  
Pulmonary Nodules ◽  
Cone Beam ◽  
Virtual Navigation ◽  
Virtual Navigation Guidance
Sign in / Sign up

Export Citation Format

Share Document