Since the accidental discovery of X-rays in 1895, radiology has gradually become the cornerstone of modern medicine. Over the years, our ability to look inside the human body has developed immensely in sophistication and detail.
So much so, that radiologists can now use computed tomography (CT) to image a heart in one beat, magnetic resonance imaging (MRI) to see metabolism as it happens in the body and ultrasound to see a baby in the womb in 4D.
Now, in operating rooms around the world, endovascular procedures have reached new heights. By combining the potential of 3D CT/MR images, fluoroscopy, and GE’s 2D/3D fusion software, surgeons have harnessed the power of imaging – helping to make surgery more precise and effective than ever.
This week marks the 37th Charing Cross event, where GE Healthcare will be showcasing the cutting edge Hybrid OR technology together with its Dose Optimization solutions. This year, 3D imaging and multi-modality image fusion to help in complex procedures will take center stage.
Speaking to The Pulse, Dr Stephan Haulon, vascular surgeon and chair of the vascular surgery department at the University Hospital of Lille, France, shared his expectations for Charing Cross 2015, and how the most recent advances in Fusion imaging in the OR are helping improve outcomes for patients.
“We had to build a new hybrid OR because the number of catheter-based procedures [for example, keyhole surgery] and minimally invasive surgery is growing very fast.”
“Because many different disciplines are used in this system, we had to choose one with an easy workflow, that would have a short learning curve, and this was a main reason for choosing the Discovery* IGS 730.
“It’s a very flexible system that we can adapt to each case and each patient’s pathology. There is a concern over patient radiation, but by using fusion imaging during surgery we reduce the need for postoperative scans, so we have the potential to expose patients to less radiation and a smaller dose of contrast agent as a result.”
“You can actually get the pre-op CT images, and fuse them into the fluoroscopy image during the surgery. Almost like a GPS system, the CT images can help guide the surgeon during the procedure.”
With over 20 different applications to use, surgeons and interventionalists can clearly see what is required at each stage of their procedures, and adapt accordingly. In a hospital where more and more cases of abdominal and thoracic aneurysm are treated, the type of surgical procedures performed by Pr Haulon and his team draw massive benefits from the hybrid OR.
This year at Charing Cross, Prof Haulon expects some focus to be on how to improve the hybrid OR even further. “We will have enough insight from a large cohort published studies to identify the various strengths and limitations of state-of-the-art imaging,” he said. “We will report the latest progress, provide an update on the radiation baseline for various procedures, and see how these new imaging techniques can be extended.”
*Trademark of the General Electric Company