Using the Hybrid Operating Room in Thoracic Surgery

Schroeder, Carsten; Chung, Jane; Mitchell, Andrew; Dillard, Thomas A.; Radaelli, Alessandro; Schampaert, S Stéphanie

doi:10.1097/imi.0000000000000531

Cited by 19 publications

(12 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cone beam computed tomography (CBCT) imaging systems are the ideal modality to facilitate such imaging owing to their established integration into operating theatres along with their compact size and impressive flexibility. 5 Current cardiac three-dimensional (3D) imaging protocols on robotic CBCT systems attempt to minimize the effect of cardiac motion artifacts via multiple sweeps of the gantry combined with retrospective gating from the patient's electrocardiogram (ECG) signal. 6 This approach acquires excess projections that increase imaging dose that have relatively little impact on reconstruction quality and has little adaptability to changes in the patient's cardiac cycle.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, investment into the development of diagnostic imaging tools to accurately guide minimally invasive interventions for cardiovascular disease is paramount. Cone beam computed tomography (CBCT) imaging systems are the ideal modality to facilitate such imaging owing to their established integration into operating theatres along with their compact size and impressive flexibility 5 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adaptive CaRdiac cOne BEAm computed Tomography (ACROBEAT): Developing the next generation of cardiac cone beam CT imaging

et al. 2021

View full text Add to dashboard Cite

An important factor when considering the use of interventional cone beam computed tomography (CBCT) imaging during cardiac procedures is the trade-off between imaging dose and image quality. Accordingly, Adaptive CaRdiac cOne BEAm computed Tomography (ACROBEAT) presents an alternative acquisition method, adapting the gantry velocity and projection rate of CBCT imaging systems in accordance with a patient's electrocardiogram (ECG) signal in real-time. The aim of this study was to experimentally investigate that ACROBEAT acquisitions deliver improved image quality compared to conventional cardiac CBCT imaging protocols with fewer projections acquired. Methods: The Siemens ARTIS pheno (Siemens Healthcare, GmbH, Germany), a robotic CBCT Carm system, was used to compare ACROBEAT with a commercially available conventional cardiac imaging protocol that utilizes multisweep retrospective ECG-gated acquisition. For ACROBEAT, real-time control of the gantry position was enabled through the Siemens Test Automation Control system. ACROBEAT and conventional image acquisitions of the CIRS Dynamic Cardiac Phantom were performed, using five patient-measured ECG traces. The traces had average heart rates of 56, 64, 76, 86, and 100 bpm. The total number of acquired projections was compared between the ACROBEAT and conventional acquisition methods. The image quality was assessed via the contrastto-noise ratio (CNR), structural similarity index (SSIM), and root-mean square error (RMSE). Results: Compared to the conventional protocol, ACROBEAT reduced the total number of projections acquired by 90%. The visual image quality provided by the ACROBEAT acquisitions, across all traces, matched or improved compared to conventional acquisition and was independent of the patient's heart rate. Across all traces, ACROBEAT averaged 1.4 times increase in the CNR, a 23% increase in the SSIM and a 29% decrease in the RMSE compared to conventional and was independent of the patient's heart rate. Conclusion: Adaptive patient imaging is feasible on a clinical robotic CBCT system, delivering higher quality images while reducing the number of projections acquired by 90% compared to conventional cardiac imaging protocols.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adaptive CaRdiac cOne BEAm computed Tomography (ACROBEAT): Developing the next generation of cardiac cone beam CT imaging

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The streamlined model we present is a cost-conscious and efficient method for delivering effective thoracic oncologic care. 3…”

Section: Introductionmentioning

confidence: 99%

Hybrid Operating Room: One-Stop-Shop for Diagnosis, Staging, and Treatment

Drevets

Chung

Schampaert

et al. 2019

Innovations�(Phila)

Self Cite

View full text Add to dashboard Cite

The Hybrid Operating Room allows the thoracic surgeon to image, biopsy, diagnose, and operate in the same setting. With this streamlined model, time from referral to diagnosis to treatment is reduced. Increased efficiency allows for diagnosis and definitive surgical therapy sooner, thereby improving patient outcomes. A team-based approach is required for this one-stop-shop model of thoracic surgical practice to succeed. We present a series of prospective registry chart reviews demonstrating the utility of same-day diagnosis for thoracic oncology patient outcomes. Of the 21 patients presented, we were able to successfully obtain a diagnosis in 20 patients, resulting in a >95% single-session diagnostic rate.

show abstract

“…3 Hybrid operating rooms (ORs) have been shown to be a cost-effective method for trained surgeons to perform both traditional surgical procedures and procedures traditionally reserved for interventional radiology. 4 We describe a particularly challenging PEG placement secondary to a large ventral hernia overlying most of the left upper quadrant. In this case, familiarity with the hybrid OR system and experience in general thoracic surgery were key to the successful placement of the PEG.…”

mentioning

confidence: 96%