Role of 3D intraoperative imaging in orthopedic and trauma surgery

Tonetti, Jérôme; Boudissa, Mehdi; Kerschbaumer, Gaël; Seurat, Olivier

doi:10.1016/j.otsr.2019.05.021

Cited by 61 publications

(39 citation statements)

References 44 publications

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“…In the clinical context of navigation-assisted minimally invasive orthopedic surgery, CBCT images are interfaced with a navigation system to provide accurate guidance of surgical instruments. In this context, the quality of CBCT clinical images is good enough for navigation and accurate screw placement, but is not comparable to CBCT or CT images for diagnostic purposes [2]. The image quality was estimated with a CATPHAN phantom.…”

Section: Discussionmentioning

confidence: 99%

“…The benefits of intraoperative imaging have been mainly demonstrated in spine surgery with increased accuracy, time savings, stressless behavior for surgeons [1][2][3]. Interestingly, the introduction of these mobile systems used for navigation-assisted mini-invasive orthopedic surgery also significantly reduced the doses received by the staff, as shown by Costa et al [38].…”

Section: Discussionmentioning

confidence: 99%

“…Navigation-assisted mini-invasive orthopédie, trauma and neuro-surgery technics have become essential all over the world. Navigation based on intraoperative 3D-imaging shows proof of increased accuracy, time saving, stressless behavior for surgeons [1][2][3]. Nowadays, many companies in the field of orthopedics and neurosurgery propose intraoperative CT scan to guide percutaneous trajectories as brain stereotaxy, pedicular screw insertion and vertebroplasty.…”

Section: Introductionmentioning

confidence: 99%

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Surgivisio® and O-arm®O2 cone beam CT mobile systems for guidance of lumbar spine surgery: Comparison of patient radiation dose

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgivisio® and O-arm®O2 cone beam CT mobile systems for guidance of lumbar spine surgery: Comparison of patient radiation dose

et al. 2021

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“…29 Nowadays, other 3D imaging devices are in development around the world, especially cone-beam computerized tomography with flat panel detector, allowing a dose reduction. 30 Advances in imaging devices may decrease doses while increasing image quality with more optimized imaging technology.…”

Section: Discussionmentioning

confidence: 99%

Irradiation level related to intraoperative imaging device in paediatric elastic stable intramedullary nailing: Preliminary prospective study on 51 patients using PCXMC software

Prod’homme

Docquier²,

Miri³

et al. 2020

Journal of Children's Orthopaedics

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Purpose Radiation-induced cancers due to imaging devices concern above all the growing child, however, to date, intraoperative irradiation doses are not well-documented in children. The goal of the study was to evaluate the intraoperative doses received by patients operated with the use of a C-arm in traumatology, as well as the lifetime attributable risk of cancer death (LAR) related to the irradiation of the imaging device. Methods From 1 April 2017 to 31 March 2019, we started a multicentre study and prospectively recruited all consecutive children who needed elastic stable intramedullary nailing (ESIN) for long-bone fracture. We collected demographic and operative data, with dose reports including duration and doses. The main outcome was the effective dose (ED) in millisievert (mSv), calculated with PCXMC software, and the secondary outcome was the LAR expressed as a percentage. Results In all, 51 patients operated on using 2D C-arm imaging were included in this study. The mean ED was 0.085 mSv (sd 0.10; 0.002 to 0.649). Overall LAR was 6.5 x 10−4% (sd 6.7 x 10−4%; 0.1 x 10−4% to 28.3x10−4%). Univariate linear regression showed a significant association between ED and irradiation time (p < 0.001). There was no significant association between ED and other outcomes (p > 0.05). Conclusion Treatment of long-bone fractures by ESIN found a low level of effective doses with utilization of the C-arm device in current practice. Further studies on a larger sample are needed to confirm these results. Level of Evidence II

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“…Computertomographic procedures are firmly established as intraoperative diagnostic technique and in this respect analysis of porosity of impacted bone might allow immediate optimization of the bone graft and therefore contribute to improvement of mechanic properties and clinical outcome. 45…”

Section: Tablementioning

confidence: 99%

Influence of antibiotic pellets on pore size and shear stress resistance of impacted native and thermodisinfected cancellous bone: An in vitro femoral impaction bone grafting model

Fölsch

Bok

Krombach

et al. 2020

Journal of Orthopaedics

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Role of 3D intraoperative imaging in orthopedic and trauma surgery

Cited by 61 publications

References 44 publications

Surgivisio® and O-arm®O2 cone beam CT mobile systems for guidance of lumbar spine surgery: Comparison of patient radiation dose

Surgivisio® and O-arm®O2 cone beam CT mobile systems for guidance of lumbar spine surgery: Comparison of patient radiation dose

Irradiation level related to intraoperative imaging device in paediatric elastic stable intramedullary nailing: Preliminary prospective study on 51 patients using PCXMC software

Influence of antibiotic pellets on pore size and shear stress resistance of impacted native and thermodisinfected cancellous bone: An in vitro femoral impaction bone grafting model

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