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Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF

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Rotational roadmapping: a new image-based navigation technique for the interventional room.

Markus Kukuk¹, Sandy Napel

¹Siemens Medical Solutions, Forchheim, Germany. kukuk@stanford.edu

Medical Image Computing and Computer-Assisted Intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention

|November 30, 2007

Summary

Rotational Roadmapping (RoRo) offers a new image-based guidewire navigation method for endovascular procedures. This technique avoids the guesswork of 2D methods without needing 3D imaging, showing promise in clinical settings.

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Area of Science:

Medical Imaging
Interventional Radiology
Endovascular Surgery

Background:

Conventional 2D-roadmapping is the standard for guidewire navigation in endovascular procedures.
Emerging 3D-roadmapping techniques require complex 3D image acquisition and reconstruction of the vascular tree.

Purpose of the Study:

To introduce Rotational Roadmapping (RoRo), a novel image-based navigation technique.
To present RoRo as an alternative that eliminates guesswork without necessitating 3D imaging.

Main Methods:

Development of the Rotational Roadmapping (RoRo) technique for image-based navigation.
Evaluation of RoRo's performance in clinical settings compared to existing methods.

Main Results:

RoRo successfully provides image-based guidewire navigation.
Preliminary clinical data indicate situations where RoRo is advantageous over 2D and 3D methods.

Conclusions:

Rotational Roadmapping (RoRo) offers a valuable addition to endovascular navigation tools.
RoRo has the potential to fill a clinical niche by improving upon conventional 2D and 3D techniques.