Aid to Percutaneous Renal Access by Virtual Projection of the Ultrasound Puncture Tract onto Fluoroscopic Images

Mozer, Pierre; Conort, Pierre; Leroy, Antoine; Baumann, Michaël; Payan, Yohan; Troccaz, Jocelyne; Chartier‐Kastler, Emmanuel; Richard, François

doi:10.1089/end.2006.0168

Cited by 53 publications

(15 citation statements)

References 4 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14,39 If the needle does not hit the target, it has to be removed from the body and reinserted. Therefore, one may need to make several attempts to accomplish a correct needle insertion, consequently causing an increase in postoperative complications, poorer surgical outcomes, and increased likelihood of perforation of surrounding structures.…”

Section: 38mentioning

confidence: 99%

See 1 more Smart Citation

Kidney Targeting and Puncturing During Percutaneous Nephrolithotomy: Recent Advances and Future Perspectives

Rodrigues

Fonseca

et al. 2013

Journal of Endourology

View full text Add to dashboard Cite

Background and Purpose: Precise needle puncture of the kidney is a challenging and essential step for successful percutaneous nephrolithotomy (PCNL). Many devices and surgical techniques have been developed to easily achieve suitable renal access. This article presents a critical review to address the methodologies and techniques for conducting kidney targeting and the puncture step during PCNL. Based on this study, research paths are also provided for PCNL procedure improvement. Methods: Most relevant works concerning PCNL puncture were identified by a search of Medline/PubMed, ISI Web of Science, and Scopus databases from 2007 to December 2012. Two authors independently reviewed the studies. Results: A total of 911 abstracts and 346 full-text articles were assessed and discussed; 52 were included in this review as a summary of the main contributions to kidney targeting and puncturing. Conclusions: Multiple paths and technologic advances have been proposed in the field of urology and minimally invasive surgery to improve PCNL puncture. The most relevant contributions, however, have been provided by the application of medical imaging guidance, new surgical tools, motion tracking systems, robotics, and image processing and computer graphics. Despite the multiple research paths for PCNL puncture guidance, no widely acceptable solution has yet been reached, and it remains an active and challenging research field. Future developments should focus on real-time methods, robust and accurate algorithms, and radiation free imaging techniques.

show abstract

Section: 38mentioning

confidence: 99%

“…Mozer and colleagues 39 described an optical guided system to superimpose an ultrasound nephrostomy tract onto fluoroscopic images during percutaneous renal access.…”

Section: Computer-aided Surgery For Pcnlmentioning

confidence: 99%

Kidney Targeting and Puncturing During Percutaneous Nephrolithotomy: Recent Advances and Future Perspectives

Rodrigues

Fonseca

et al. 2013

Journal of Endourology

View full text Add to dashboard Cite

show abstract

“…42 Fusion of fluoroscopic and ultrasound images has been proposed to couple the intraoperative guidance. 43 Real-time ultrasound can be fused with preoperative images with higher imaging capabilities like CT or MRI combining the advantages of different modalities.…”

Section: Remote Manipulation Robotsmentioning

confidence: 99%

Robotic Systems: Past, Present, and Future

Badaan

Stoianovici

2011

Robotics in Genitourinary Surgery

View full text Add to dashboard Cite

“…Heyns and Van Gelderen (1990) were the first to propose computed tomography imaging of the pelviocalyceal system with 3-dimensional reconstruction as an aid in selecting the appropriate calyx for PCNL (16). Mozer et al superimposed ultrasound images onto fluoroscopic images to help plan PC renal puncture (17). "Pelviocalyceal biomodeling" (18) and "rapid prototyping" (19) have been described to create a replica of individual patients' stone-containing renal collecting systems, on which PCNL and PC access can be planned and practiced prior to the actual surgery.…”

Section: Commentsmentioning

confidence: 99%

Development of a computer assisted gantry system for gaining rapid and accurate calyceal access during percutaneous nephrolithotomy

Zarrabi

Conradie

et al. 2010

Int. braz j urol.

View full text Add to dashboard Cite

Purpose: To design a simple, cost-effective system for gaining rapid and accurate calyceal access during percutaneous nephrolithotomy (PCNL). Materials and Methods:The design consists of a low-cost, light-weight, portable mechanical gantry with a needle guiding device. Using C-arm fluoroscopy, two images of the contrast-filled renal collecting system are obtained: at 0-degrees (perpendicular to the kidney) and 20-degrees. These images are relayed to a laptop computer containing the software and graphic user interface for selecting the targeted calyx. The software provides numerical settings for the 3 axes of the gantry, which are used to position the needle guiding device. The needle is advanced through the guide to the depth calculated by the software, thus puncturing the targeted calyx. Testing of the system was performed on 2 target types: 1) radiolucent plastic tubes the approximate size of a renal calyx (5 or 10 mm in diameter, 30 mm in length); and 2) foam-occluded, contrast-filled porcine kidneys. Results: Tests using target type 1 with 10 mm diameter (n = 14) and 5 mm diameter (n = 7) tubes resulted in a 100% targeting success rate, with a mean procedure duration of 10 minutes. Tests using target type 2 (n = 2) were both successful, with accurate puncturing of the selected renal calyx, and a mean procedure duration of 15 minutes. Conclusions: The mechanical gantry system described in this paper is low-cost, portable, light-weight, and simple to set up and operate. C-arm fluoroscopy is limited to two images, thus reducing radiation exposure significantly. Testing of the system showed an extremely high degree of accuracy in gaining precise access to a targeted renal calyx.

show abstract

Aid to Percutaneous Renal Access by Virtual Projection of the Ultrasound Puncture Tract onto Fluoroscopic Images

Abstract: Our system is reliable, and the absence of image-processing procedures makes it robust. We have initiated a prospective study to validate this technique both for PCNL specialists and as a learning tool.

Cited by 53 publications

References 4 publications

Kidney Targeting and Puncturing During Percutaneous Nephrolithotomy: Recent Advances and Future Perspectives

Kidney Targeting and Puncturing During Percutaneous Nephrolithotomy: Recent Advances and Future Perspectives

Robotic Systems: Past, Present, and Future

Development of a computer assisted gantry system for gaining rapid and accurate calyceal access during percutaneous nephrolithotomy

Contact Info

Product

Resources

About