To show the utility of IMACTIS in the diagnosis and/or treatment of lesions in difficult locations with high targeting accuracy
Emphasize the possibility to performance procedures with local anesthesia or conscious sedation in high risk patients ASA III
Image-guidance and minimally invasive approaches have revolutionized the management of cancer. Navigation systems, devices and intra-procedural software are changing the way we practice interventional oncology
The common denominator of all these procedures is the percutaneous needle insertion step.
Different imaging modalities are used to guide the needle through the body to the target, such as radiography, computed tomography (CT), ultrasound (US) and magnetic resonance imaging (MRI) [2-5]. CT guidance provides invaluable assistance [6-8] and has been shown to be more accurate than US-guided procedures.
Findings and procedure details
IMACTIS CT®-Navigation system is composedof the following components: (Figures 2, 3)
1. A navigation station that includes:
a. A computer
b. A touchscreen
c. An electromagnetic transmitter to be attached to the patient’s skin
d. An electromagnetic receiver to be attached to the needle holder
2. Navigation software that has been specifically designed for CT-guided percutaneous procedures
3. A packet of consumables that includes:
a. A single-use sterile needle holder
b. A single-use sterile drape to cover the receiver
c. Hardware that contains the software...
IMACTIS CT-Navigation system could be considered as a first option in the diagnosis and/or treatment of lesions in difficult locations with high targeting accuracy. Further studies are necessary.
Personal information and conflict of interest
J. A. Gómez Patiño; Majadahonda/ES - nothing to disclose S. Méndez Alonso; Majadahonda/ES - nothing to disclose M. Alfageme; Majadahonda/ES - nothing to disclose R. González Costero; Majadahonda/ES - nothing to disclose A. García Suárez; Majadahonda/ES - nothing to disclose J. González Plaza; Majadahonda/ES - nothing to disclose V. Perdomo Suriel; Majadahonda/ES - nothing to disclose M. L. Collado Torres; Majadahonda/ES - nothing to disclose
1.Wood BJ, Kruecker J, Abi-Jaoudeh N, Locklin JK, Levy E, Xu S, Solbiati L, Kapoor A, Amalou H, Venkatesan AM.Navigation systems for ablation.J Vasc Interv Radiol. 2010 Aug; 21(8 Suppl):S257-63.
2.Arnolli MM, Hanumara NC, Franken M, Brouwer DM, Broeders IAMJ. An overview of systems for CT- and MRI-guided percutaneous needle placement in the thorax and abdomen.Int J Med Robot. 2015;11:458–75.
3.Schubert T, Jacob AL, Pansini M, Liu D, Gutzeit A, Kos S. CT-guided interventions using a free-hand, optical tracking system: initial clinical experience. Cardiovasc Intervent...