Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
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4 5 M O N T H 2 0 1 4 | S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E less common. Instead of the heavy headsets the earliest 3D systems utilized, today's leading systems feature lightweight and comfortable polarized sunglass- es to see the depth effects on the monitor. As reported in our study, they induce no more side effects than conventional monitor viewing does. The increasing user-friendliness of 3D imaging extends beyond how it is viewed to what it can view. One manufacturer's 3D laparoscope incorporates a steerable tip with articulation of up to 100 degrees in 4 directions. This pro- vides users a wider view without moving the scope, as opposed to reposition- ing the scope in order to have a look around. This advance could translate into a reduction in the number of ports placed in the peritoneal cavity. OSM Dr. Andriole ( a ndrioleg @wustl.edu ) is the Robert Killian Royce Distinguished Professor of Surgery and chief of the urologic surgery division at the Washington University of St. Louis (Mo.) School of Medicine. S U R G I C A L I M A G I N G Intraoperative 2D imaging is a well- established standard in operating rooms, just like 3D imaging in diagnostic imaging. 3D became the standard with the broad acceptance of preoperative CT imaging. However, intraoperative 3D imaging is a rapidly growing market as the clinical benefits are obvious. State-of-the-ar t technologies allow 2D and 3D imaging in a single C-arm platform. This saves space in the OR, maximizes acceptance levels and reduces initial investments to a reasonable minimum. Especially in spinal surger y, the outcome can be improved with 3D imaging. Recent publications in the Journal of Neurosurger y mention 95.5 % success rates with 3D fl uoroscopic imaging. Intraoperative imaging with a 3D C-arm is, however, not only limited to spine but can also be used for other surgical inter ventions such as shoulder, hip and knee surger y, or any other orthopedic and trauma applications. Checklist for intraoperative 3D imaging The most important aspect is the image quality. C-arms with fl at-panel technology allow higher resolution and a bigger fi eld of view. Ziehm Vision² FD Vario 3D offers a resolution which exceeds competitive systems by far due to 512³ voxel volume resolution (eight times more) and more than 16,000 shades of gray (four times more). The larger C-arm opening (35.2" or 89.5 cm) makes patient positioning easier and C-arm setup more convenient. Furthermore, the surgical fi eld can be accessed more easily. With the variable isocenter, Ziehm Imaging offers the user simple and convenient handling during the scan. A static isocenter forces the OR team to position the patient in the center of the C, which makes positioning cumbersome. Furthermore, the variable isocenter allows you to scan anatomical regions, which are not in the center of the human body, such as shoulders or hips. Before ending the inter vention, the OR team can perform a 3D scan within 60 seconds to ensure the proper position of the implants and verify the clinical result. Ziehm Vision² FD Vario 3D and ZIR (Ziehm Iterative Reconstruction) bring iterative reconstruction, an approach known from CT scanners to mobile C-arms. The challenges of metal ar tifacts are solved with this latest technology of 3D algorithms. With a minimal footprint, Ziehm Vision² FD Vario 3D is the optimal fi t even for the smallest ORs. Easy handling of the C-arm guarantees fast setup and immediate use at any time. Learn more about the advantages of mobile 3D imaging for orthopedic and outpatient surgery centers and get in contact with our Ziehm Imaging Headquarters in Orlando, FL. mail@ziehm.com Advantages of intraoperative 3D imaging with mobile C-arms The variable isocenter allows you to scan anatomical regions which are not in the center of the human body, such as shoulders. Advantages of intraoperative 3D imaging with mobile C-arms A D V E R T O R I A L 1404_SurgerysHottestTrends_Layout 1 3/27/14 2:51 PM Page 45