Image-guided thoracic surgery in the hybrid operation room

Ujiie, Hideki; Effat, Andrew; Yasufuku, Kazuhiro

doi:10.21037/jovs.2017.09.07

Cited by 16 publications

(11 citation statements)

References 15 publications

(29 reference statements)

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“…Aside from fluorescence imaging systems, extensive efforts are being made to integrate current medical imaging modalities in robust surgery rooms for intraoperative surgical navigation. The concepts of the Advanced Multimodal Image-Guided Operating Suite (AMIGO) and the guided therapeutics operation room (GTx OR) have transformed preprocedural and intra-procedural imaging during surgery by providing clinical, translational research facilities with various imaging modalities [98]. AMIGO enables precise identification, targeted biopsy, and complete resection of tumors, which are procedures that can be transferred to dedicated molecular image-guided therapy suites for MRI and PET/CT.…”

Section: Resultsmentioning

confidence: 99%

“…AMIGO enables precise identification, targeted biopsy, and complete resection of tumors, which are procedures that can be transferred to dedicated molecular image-guided therapy suites for MRI and PET/CT. The GTx OR utilizes a dual-source and dual-energy CT scanner, robotic cone-beam CT/fluoroscopy, X-ray imaging, an electromagnetic navigation system, and an NIR fluorescence system within the same operating room to develop real-time 3D therapy [98]. Having this complete array of advanced imaging and interventional surgical systems allows collaborating specialists to efficiently treat patients before, during, and after surgery without ever leaving the operating room [99].…”

Section: Resultsmentioning

confidence: 99%

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Real-Time Fluorescence Imaging in Thoracic Surgery

Das

Santos

Park

et al. 2019

Korean J Thorac Cardiovasc Surg

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Near-infrared (NIR) fluorescence imaging provides a safe and cost-efficient method for immediate data acquisition and visualization of tissues, with technical advantages including minimal autofluorescence, reduced photon absorption, and low scattering in tissue. In this review, we introduce recent advances in NIR fluorescence imaging systems for thoracic surgery that improve the identification of vital tissues and facilitate the resection of tumorous tissues. When coupled with appropriate NIR fluorophores, NIR fluorescence imaging may transform current intraoperative thoracic surgery methods by enhancing the precision of surgical procedures and augmenting postoperative outcomes through improvements in diagnostic accuracy and reductions in the remission rate.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Real-Time Fluorescence Imaging in Thoracic Surgery

Das

Santos

Park

et al. 2019

Korean J Thorac Cardiovasc Surg

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“…The Veran SPiNDrive TM (SYS-1000, 2012, Veran Medical Technologies, Inc, St Louis, Missouri, USA) was used to perform 4D-tracking (Figure 1). All procedures were conducted in the guided therapeutics operating room at Toronto General Hospital (14), which includes an integrated CT scanner and fluoroscopy platform. Patients underwent preoperative chest CT scan with 0.8 mm slice thickness in both inspiratory and expiratory phases on the day of bronchoscopy with fiducial pads (vPad TM ) placed on the anterior chest.…”

Section: Study Proceduresmentioning

confidence: 99%

Pilot study using virtual 4-D tracking electromagnetic navigation bronchoscopy in the diagnosis of pulmonary nodules: a single center prospective study

Ishiwata¹,

Ujiie²,

Gregor³

et al. 2021

J Thorac Dis

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Background: Electromagnetic navigation bronchoscopy (ENB) is a navigation technology intended to improve the diagnostic yield of pulmonary nodules. However, nodule displacement due to respiratory motion may compromise the accuracy of the navigation guidance. The Veran SPiNDrive ENB system employs respiratory-gating (4D-tracking) to compensate for this motion. The aim of the present study was to evaluate the diagnostic performance and safety of the Veran SPiNDrive system for biopsy of pulmonary nodules. Methods: Adult patients with pulmonary nodules of ≥1 cm were enrolled at a single center. Both conventional bronchoscopy and 4D-tracking ENB were performed in one procedure session under general anesthesia, with the procedure order being randomly assigned. Radial probe endobronchial ultrasound and fluoroscopy were used in both groups. The diagnostic performance, safety, total procedure time, and total fluoroscopy time of the ENB phase were compared to the corresponding conventional bronchoscopy phase. Results:The study was terminated due to poor accrual; a total of eleven patients were enrolled. The mean size of pulmonary nodules was 2.1 cm. The sensitivity for malignancy was 67% (6/9) and 56% (5/9) with conventional bronchoscopy and with 4D-tracking ENB, respectively. Two cases developed minor bleeding after conventional bronchoscopy, while no complications were observed after 4D-tracking ENB. The mean procedure time was 16.1 and 21.7 min (P=0.090), and the mean duration time for fluoroscopy use was 77 and 44 sec (P=0.056) for the conventional bronchoscopy and the 4D-tracking ENB phases, respectively. Conclusions: The diagnostic performance of the Veran SPiNDrive 4D-tracking ENB did not exceed that of conventional bronchoscopy for pulmonary nodules. No complications were seen during 4D-tracking ENB. A study with a larger number of participants is required for further assessment.

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“…The limitations associated with a hybrid OR are scarcely described, but when they are, they tend to focus on aspects such as room space requirements and increased costs during construction. The research focus within the context of hybrid ORs continues to be of medical and technical nature (Ahmad, Obeidi, Majd, & Brunkwall, ; Andres et al, ; Fidalgo Domingos et al, ; McAnelly, Kelleher, Ibrahim, & Antoniou, ; Tsuei et al, ; Ujiie, Effat, & Yasufuku, ). However, the team approach is mentioned as the most critical factor in the success for a hybrid OR (Kaneko & Davidson, ), but to our knowledge, no studies focusing on the team composition or on the staff roles have been conducted.…”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Team composition and staff roles in a hybrid operating room: A prospective study using video observations

et al. 2019

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Aim The aim of the study was to evaluate team composition and staff roles in a hybrid operating room during endovascular aortic repairs. Design Quantitative descriptive design. Methods Nine endovascular aortic repairs procedures were video‐recorded between December 2014 and September 2015. The data analysis involved examining the work process, number of people in the room and categories of staff and their involvement in the procedure. Results The procedures were divided into four phases. The hybrid operating room was most crowded in phase 3 when the skin wound was open. Some staff categories were in the room for the entire procedure even if they were not actively involved. The largest number of people simultaneously in the room was 14.

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Image-guided thoracic surgery in the hybrid operation room

Cited by 16 publications

References 15 publications

Real-Time Fluorescence Imaging in Thoracic Surgery

Real-Time Fluorescence Imaging in Thoracic Surgery

Pilot study using virtual 4-D tracking electromagnetic navigation bronchoscopy in the diagnosis of pulmonary nodules: a single center prospective study

Team composition and staff roles in a hybrid operating room: A prospective study using video observations

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