Systematic Review: Applications of Intraoperative Ultrasonography in Spinal Surgery

Patel, Madhav R.; Jacob, Kevin C.; Parsons, Alexander W.; Chavez, Frank A; Ribot, Max A.; Munim, Mohammed; Vanjani, Nisheka N.; Pawlowski, Hanna; Prabhu, Michael C.; Singh, Kern

doi:10.1016/j.wneu.2022.02.130

Cited by 5 publications

(6 citation statements)

References 88 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, these techniques introduce substantial radiation, may not be suitable for all patients and can lose registration due to intervertebral motion 3 . Further, the relative performance of different systems is not well understood, and high capital costs may slow their uptake across healthcare systems 25 …”

Section: Discussionmentioning

confidence: 99%

Design of an ultrasound‐emitting drill guide for freehand pedicle screw navigation

MacLean,

Street,

Hodgson

2023

Robotics Computer Surgery

View full text Add to dashboard Cite

BackgroundAccurate pedicle screw placement in spinal surgery is critical as inaccuracies can lead to morbidity and suboptimal outcomes. Navigation and robotics have reduced malplacement rates, but their adoption is limited by high costs, learning curves, surgical time, and radiation. The authors propose an ultrasound‐emitting and self‐localising drill guide for precise screw placement that overcomes the limitations of current techniques.Materials and MethodsThe preliminary configuration analysis involves systematically varying design parameters and assessing localization performance using lumbar spine MRI based simulations. The authors evaluate localization techniques based on accuracy and optimization capture range.ResultsResults suggest that feasible designs can accurately estimate position. A promising design features a 5 mm radius cannula with ten 35mm‐long ultrasound strips, 32 elements per strip, and a fanned‐out emission profile. A multi‐start active‐set optimization algorithm with six initial estimates ensures reliable and efficient localization.ConclusionsThe simulation suggests that the proposed design can achieve sufficient localization accuracy for pedicle screw navigation. These findings will guide the fabrication of a novel ultrasound‐emitting drill guide for further evaluation and physical testing.

show abstract

Section: Discussionmentioning

confidence: 99%

Design of an ultrasound‐emitting drill guide for freehand pedicle screw navigation

MacLean,

Street,

Hodgson

2023

Robotics Computer Surgery

View full text Add to dashboard Cite

show abstract

“…CT and MRI are 2 other intraoperative imaging modalities that have been used. Both have often been considered as the gold standard for image guidance in spine surgery due to their ability to visualize anatomy in 3 dimensions 12. Yet, both modalities are very costly, not always readily available, and have several disadvantages.…”

Section: Historical Imagingmentioning

confidence: 99%

“…Yet, both modalities are very costly, not always readily available, and have several disadvantages. CT scans expose patients and intraoperative staff to high levels of radiation, and MRI is even more costly and not always ferromagnetically compatible with many surgical instruments 12…”

Section: Historical Imagingmentioning

confidence: 99%

“…Both have often been considered as the gold standard for image guidance in spine surgery due to their ability to visualize anatomy in 3 dimensions. 12 Yet, both modalities are very costly, not always readily available, and have several disadvantages. CT scans expose patients and intraoperative staff to high levels of radiation, and MRI is even more costly and not always ferromagnetically compatible with many surgical instruments.…”

Section: Radiography Ultrasound Ct Mri and Fluoroscopymentioning

confidence: 99%

“…CT scans expose patients and intraoperative staff to high levels of radiation, and MRI is even more costly and not always ferromagnetically compatible with many surgical instruments. 12 Fluoroscopy was incorporated into spine surgery after previous imaging modalities never seemed to provide the most optimal results, and, according to a 2013 worldwide survey, it was used by 78% of spine surgeons. 13 Fluoroscopy owes its popularity to its availability, ease of use, and ability to show location of instruments in relation to bony landmarks.…”

Section: Radiography Ultrasound Ct Mri and Fluoroscopymentioning

confidence: 99%

See 2 more Smart Citations

Next-Generation Intraoperative Imaging in Spine Surgery

Kamil¹,

Araghi²,

Dupont³

et al. 2023

Contemporary Spine Surgery

View full text Add to dashboard Cite

Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on March 31, 2025.LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Identify the different intraoperative imaging modalities used in the past, currently in practice, and those on the rise for the future. 2. Describe the different types of imaging risks and benefits. 3. Interpret the best type of imaging to use given specific operations and patient presentations.

show abstract

Assessment and Improvement of a Novel ultrasound-based 3D Reconstruction Method: Registered for Lumbar Spine

2022

View full text Add to dashboard Cite

Systematic Review: Applications of Intraoperative Ultrasonography in Spinal Surgery

Cited by 5 publications

References 88 publications

Design of an ultrasound‐emitting drill guide for freehand pedicle screw navigation

Design of an ultrasound‐emitting drill guide for freehand pedicle screw navigation

Next-Generation Intraoperative Imaging in Spine Surgery

Assessment and Improvement of a Novel ultrasound-based 3D Reconstruction Method: Registered for Lumbar Spine

Contact Info

Product

Resources

About