Medical technology integration: CT, angiography, imaging‐capable OR‐table, navigation and robotics in a multifunctional sterile suite

Abstract

Technology integration is an enabling technological prerequisite to achieve a major breakthrough in sophisticated intra-operative imaging, navigation and robotics in minimally invasive and/or emergency diagnosis and therapy. Without a high degree of integration and reliability comparable to that achieved in the aircraft industry image guidance in its different facets will not ultimately succeed. As of today technology integration in the field of image-guidance is close to nonexistent. Technology integration requires inter-departmental integration of human and financial resources and of medical processes in a dialectic way. This expanded techno-socio-economic integration has profound consequences for the administration and working conditions in hospitals. At the university hospital of Basel, Switzerland, a multimodality multifunction sterile suite was put into operation after a substantial pre-run. We report the lessons learned during our venture into the world of medical technology integration and describe new possibilities for similar integration projects in the future.

Clinical Issues

“…This includes a minimum of 20 linear feet of free space in one direction 4 . For example, the final square footage for the OR portion might be approximately 900 sq ft of free space based on the footprint of the required equipment, not including the control or storage rooms 5 …”

“…Some team members may be resistant to working together in a hybrid OR because of previous departmental borders. This mindset should be changed before procedures are performed in the new hybrid OR 5 . Techniques such as those described in the AORN Human Factors in Health Care Tool Kit may be useful for the education process 6…”

Real-Time Gray and Coordinate Statistics Methods of Medical CT Image

“…CT images are also used as basis for planning radiotherapy cancer treatment. CT is also often used to follow the course of cancer treatment to determine how the tumor is responding to treatment [14][15][16]. CT imaging provides both good soft tissue resolution (contrast) as well as high spatial resolution.…”

“…In the case of ultrasonography the probe consists of ultrasonic pressure waves and echoes inside the tissue show the internal structure. In the case of projection radiography, the probe is X-ray radiation which is absorbed at different rates in different tissue types such as bone, muscle and fat [10][11][12].…”

Prinzipien Magnet-Resonanz-geführter Intervention, Operation, Navigation und Robotik

“…Die Darstellung knö-cherner Strukturen und Blutungen ist die Domäne der Computertomographie (CT). Sie wird erfolgreich zum Beispiel in der Unfallchirurgie an den Universitätskliniken in Basel eingesetzt [1].…”