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Integrating surgery and radiology in one suite: a multicenter study.
Gerben ten Cate1, Erik Fosse, Per Kristian Hol
1Interventional Centre, Rikshospitalet University Hospital, Oslo, Norway.
Journal of Vascular Surgery
|September 1, 2004
Summary
Digital C-arm systems enhance operating room procedures for surgeons and radiologists, but user interface and system design need improvement for optimal OR integration and workflow efficiency.
Area of Science:
- Medical Imaging
- Surgical Technology
- Interventional Radiology
Background:
- Digital fixed-mounted angiographic C-arm systems are increasingly integrated into operating rooms.
- This integration aims to support image-guided surgery and interdisciplinary procedures.
Purpose of the Study:
- To evaluate the performance of digital fixed-mounted angiographic C-arm systems in the operating room.
- To assess their usability by surgeons, cardiologists, and interventional radiologists.
Main Methods:
- Observational study in operating rooms across 5 sites.
- Analysis of workflow during 20 interventions.
- Data collection via structured questionnaires and semi-structured interviews.
Main Results:
- High-quality images enable image-guided surgery and on-table assessment.
- Systems are used for diverse procedures (vascular, cardiothoracic, open, percutaneous).
- Challenges include suboptimal user interface, limited patient accessibility, and inadequate patient transfer.
Conclusions:
- Integration offers new treatment opportunities and enhances interdisciplinary collaboration.
- Operating room context differs significantly from traditional radiology settings.
- System design must account for specific operating room conditions for successful integration.