Technology | Advanced Visualization | January 12, 2017

Philips Announces New Augmented-Reality Surgical Navigation Technology

Combination of 3-D X-ray and optical imaging provides surgeons with a unique augmented-reality view of the inside and outside of a patient during spine, cranial and trauma surgical procedures

Philips, augmented-reality surgical navigation technology, spine surgery
Philips, hybrid operating room, augmented-reality surgical navigation technology

January 12, 2017 — Philips announced the development of what it calls an industry-first augmented-reality surgical navigation technology designed to help surgeons perform image-guided open and minimally-invasive spine surgery. The addition of this new augmented reality technology will further widen the scope of Philips hybrid operating room (OR) solutions to other fast-growing areas of image-guided surgery including spine, cranial and trauma procedures.

Spine surgery was traditionally an ‘open surgery’ procedure, accessing the affected area via a large incision so that surgeons could physically see and touch the patient’s spine in order to position implants such as pedicle screws. In recent years, however, there has been a definite shift to the use of minimally-invasive techniques, according to Philips, performed by manipulating surgical tools through small incisions in the patient’s skin in order to minimize blood loss and soft tissue damage, and consequently reduce postoperative pain. Due to inherently reduced visibility of the spine during these procedures, surgeons have to rely on real-time imaging and navigation solutions to guide their surgical tools and implants. The same is true for minimally-invasive cranial surgery and surgery on complex trauma fractures.

Philips is developing a new augmented-reality surgical navigation technology that will add additional capabilities to the company’s low-dose X-ray system. The technology uses high-resolution optical cameras mounted on the flat panel X-ray detector to image the surface of the patient. It then combines the external view captured by the cameras and the internal 3-D view of the patient acquired by the X-ray system to construct a 3-D augmented-reality view of the patient’s external and internal anatomy. This real-time 3-D view of the patient’s spine in relation to the incision sites in the skin aims to improve procedure planning, surgical tool navigation and implant accuracy, as well as reducing procedure times.

As part of a joint clinical research program, Philips hybrid ORs with this new capability will be installed in a network of 10 clinical collaborators to advance the technology.

The results of the first pre-clinical study on the technology have been published in The Spine Journal, as a result of a collaboration between Philips, Karolinska University Hospital (Stockholm, Sweden) and the Cincinnati Children’s Hospital Medical Center (Cincinnati, USA). The technology was shown to be significantly better with respect to overall accuracy, compared to pedicle screw placement without the aid of Philips’ augmented-reality surgical navigation technology (85 percent vs 64 percent, p<0.05).

“This new technology allows us to intraoperatively make a high-resolution 3-D image of the patient’s spine, plan the optimal device path, and subsequently place pedicle screws using the system’s fully-automatic augmented-reality navigation,” said Dr. Skúlason of the Landspitali University Hospital, Reykjavik, Iceland. “We can also check the overall result in 3-D in the OR without the need to move the patient to a CT [computed tomography] scanner. And all this can be done without any radiation exposure to the surgeon and with minimal dose to the patient.”

The technology was also recently presented at the North American Spine Society Annual Meeting in Boston by Adrian Elmi-Terander, M.D., of Karolinska University Hospital, Sweden.

“Since we no longer do open spine surgery, we depend on imaging and image quality,” commented Prof. Seekamp from the Universitätsklinikum Schleswig-Holstein in Kiel, Germany. “I had expected the operations to take a little longer in the hybrid OR, but in fact just the opposite is true.”

Dr. Bemelman, trauma surgeon at the Elisabeth Hospital in Tilburg, the Netherlands, said “We teamed up with vascular, neuro and orthopedic surgeons to create this multi-purpose OR to realize a high room utilization, provide state-of-the-art care and reduce the overall cost for the hospital.”

For more information: www.medical.philips.com

Related Content

ClearRead CT Nearing 50 Installations Milestone
News | Computed Tomography (CT) | June 22, 2017
June 22, 2017 — Riverain Technologies announced that it is now processing data from nearly 50...
RadNet Inc. Acquires Equity Stake in Medic Vision
News | Radiation Dose Management | June 21, 2017
June 21, 2017 — RadNet Inc. and Medic Vision Imaging Solutions Ltd.
Carestream Showing New Mobile X-ray System With Carbon Nanotube Technology at AHRA
News | Digital Radiography (DR) | June 20, 2017
June 20, 2017 — Carestream Health will show the DRX-Revolution Nano Mobile...
Fujifilm Exhibits Suite of Enterprise Imaging Solutions at SIIM 2017
News | Enterprise Imaging | June 19, 2017
Fujifilm Medical Systems U.S.A. Inc. presented its comprehensive Synapse Enterprise Imaging portfolio at the 2017...
The Magnetom Vida with BioMatrix technology
News | Magnetic Resonance Imaging (MRI) | June 16, 2017
The U.S. Food and Drug Administration (FDA) has cleared the Magnetom Vida 3 Tesla (3T) magnetic resonance imaging (MRI...
News | PET-CT | June 12, 2017
Siemens Healthineers has announced that the Food and Drug Administration (FDA) has cleared Biograph Horizon Flow...
advanced visualization
News | Molecular Imaging | June 09, 2017
The Food and Drug Administration (FDA) has cleared syngo.via VB20 for Molecular Imaging (MI) from Siemens Healthineers...
Toshiba Medical launches its new Celesteion PUREViSION Edition PET/CT system to help diagnose and treat oncology patients

Toshiba Medical launches its new Celesteion PUREViSION Edition PET/CT system to help diagnose and treat oncology patients.

News | PET-CT | June 09, 2017
Oncologists have access to advanced imaging technologies for excellent cancer patient care with the new Celesteion...
News | SPECT-CT | June 08, 2017
Siemens Healthineers debuts Symbia Intevo Bold at the 2017 annual meeting of the Society of Nuclear Medicine &...
QUBYX Receives FDA Clearance for Dell Monitor UP3017 With PerfectLum Software
Technology | Flat Panel Displays | June 01, 2017
June 1, 2017 — QUBYX Software Technologies Inc. received U.S.
Overlay Init