Image-Guided Thoracic Surgery Effective for Removal of Small Lung Cancers
By MedImaging International staff writers Posted on 12 Jul 2016 |
Image: The photo shows a surgeon performing an iVATS procedure in the AMIGO hybrid operating room (Photo courtesy of RSNA).
The results of a clinical trial involving radiologists, and surgeons in a multidisciplinary team have shown that video-assisted surgery and real-time imaging guidance can be used together effectively to remove lung nodules without damaging healthy tissue.
The clinical trial included 24 consecutive patients with lung nodules 0.6 cm to 1.8 cm in diameter. Some of the nodules were found after they underwent low-dose Computer Tomography (CT) screening. The surgeons successfully used the new real-time image-Guided Video-Assisted Thoracic Surgery (iVATS) procedure to remove the lung nodules from the patients using an acceptably low-range radiation dose.
The iVATS procedure is being used in the Advanced Multimodality Image Guided Operating (AMIGO) hybrid operating room suite in the Brigham and Women’s Hospital (BWH; Boston, MA, USA). During the iVATS procedure the patient does not need to be relocated and can stay in the same position. The patient also undergoes only one general anesthesia. This reduces the time the patient spends in the operating room, and the risk of complications, and there is no migration of fiducial markers.
Study co-author, Ritu R. Gill, MD, MPH, associate radiologist, BWH said, “Thoracic surgery has evolved in the past decade toward minimally invasive surgery. Patients are living longer and may have more than one tumor in their lifetime. Surgical techniques are evolving to optimize resection and not take out more viable lung than is needed. This requires a multidisciplinary approach using intra-operative localization of lung nodules, allowing for targeted resection, decreasing operative times and morbidity. We now offer this procedure to patients as an optimal technique to remove small and ground glass and part-solid lung nodules.”
Related Links:
Brigham and Women’s Hospital
The clinical trial included 24 consecutive patients with lung nodules 0.6 cm to 1.8 cm in diameter. Some of the nodules were found after they underwent low-dose Computer Tomography (CT) screening. The surgeons successfully used the new real-time image-Guided Video-Assisted Thoracic Surgery (iVATS) procedure to remove the lung nodules from the patients using an acceptably low-range radiation dose.
The iVATS procedure is being used in the Advanced Multimodality Image Guided Operating (AMIGO) hybrid operating room suite in the Brigham and Women’s Hospital (BWH; Boston, MA, USA). During the iVATS procedure the patient does not need to be relocated and can stay in the same position. The patient also undergoes only one general anesthesia. This reduces the time the patient spends in the operating room, and the risk of complications, and there is no migration of fiducial markers.
Study co-author, Ritu R. Gill, MD, MPH, associate radiologist, BWH said, “Thoracic surgery has evolved in the past decade toward minimally invasive surgery. Patients are living longer and may have more than one tumor in their lifetime. Surgical techniques are evolving to optimize resection and not take out more viable lung than is needed. This requires a multidisciplinary approach using intra-operative localization of lung nodules, allowing for targeted resection, decreasing operative times and morbidity. We now offer this procedure to patients as an optimal technique to remove small and ground glass and part-solid lung nodules.”
Related Links:
Brigham and Women’s Hospital
Latest Radiography News
- Novel Breast Imaging System Proves As Effective As Mammography
- AI Assistance Improves Breast-Cancer Screening by Reducing False Positives
- AI Could Boost Clinical Adoption of Chest DDR
- 3D Mammography Almost Halves Breast Cancer Incidence between Two Screening Tests
- AI Model Predicts 5-Year Breast Cancer Risk from Mammograms
- Deep Learning Framework Detects Fractures in X-Ray Images With 99% Accuracy
- Direct AI-Based Medical X-Ray Imaging System a Paradigm-Shift from Conventional DR and CT
- Chest X-Ray AI Solution Automatically Identifies, Categorizes and Highlights Suspicious Areas
- AI Diagnoses Wrist Fractures As Well As Radiologists
- Annual Mammography Beginning At 40 Cuts Breast Cancer Mortality By 42%
- 3D Human GPS Powered By Light Paves Way for Radiation-Free Minimally-Invasive Surgery
- Novel AI Technology to Revolutionize Cancer Detection in Dense Breasts
- AI Solution Provides Radiologists with 'Second Pair' Of Eyes to Detect Breast Cancers
- AI Helps General Radiologists Achieve Specialist-Level Performance in Interpreting Mammograms
- Novel Imaging Technique Could Transform Breast Cancer Detection
- Computer Program Combines AI and Heat-Imaging Technology for Early Breast Cancer Detection