Image fusion and navigation platforms for percutaneous image-guided interventions

Manoj Rajagopal1, Aradhana M Venkatesan2

  • 1Department of Diagnostic and Interventional Imaging, University of Texas Medical Center at Houston, 6431 Fannin Street, 2.130B, Houston, TX, 77030, USA.

Insights

Image-guided biopsy and ablation use navigation tools like image fusion for challenging cancer targets. These technologies improve accuracy and reduce risks for interventional oncology procedures.

Area of Science:

  • Interventional Oncology
  • Medical Imaging
  • Surgical Navigation

Background:

  • Image-guided interventions are crucial for oncology patient care, especially for biopsies and ablations.
  • Targeting small, difficult, or inconspicuous tumors presents significant challenges in interventional oncology.
  • Accurate tumor profiling and response assessment necessitate precise biopsy techniques.

Purpose of the Study:

  • To review image fusion and navigation technologies for image-guided interventional procedures.
  • To highlight the application of these tools in overcoming challenges in biopsy and ablation targeting.
  • To assess the potential benefits of these advanced navigation platforms.

Main Methods:

  • Review of image fusion technologies enabling multimodality data display (US, CT, MRI, PET/CT).
  • Examination of navigational technologies including electromagnetic tracking, robotic, cone beam CT, optical, and laser guidance.
  • Analysis of pre-clinical and clinical studies on the use of these platforms in interventional procedures.

Main Results:

  • Navigation tools, including image fusion and device tracking, enhance targeting accuracy for challenging biopsy and ablation sites.
  • These technologies facilitate multimodality image fusion for real-time guidance.
  • Studies indicate potential for reduced procedure risk, time, and radiation exposure for patients and operators.

Conclusions:

  • Image fusion and navigation platforms offer significant potential for complex image-guided interventions in oncology.
  • These technologies can improve the safety and efficiency of targeting difficult tumor sites.
  • Advanced navigation plays a valuable role in advancing interventional oncology practice.