Dual-room CT with a sliding gantry for intraoperative imaging: feasibility and workflow analysis of an interdisciplinary concept.

作者: Markus Lenski , Johann Hofereiter , Nicole Terpolilli , Torleif Sandner , Stefan Zausinger

DOI: 10.1007/S11548-018-1812-9

关键词:

摘要: Currently, intraoperative computed tomography (iCT) is a scarcely used technique in neurosurgery. It remains unclear whether this phenomenon explained by unfavorable iCT-related workflows and/or limited number of indications. We here analyzed an installed dual-room iCT (DR-iCT) as compared to surgical procedures lacking iCT. infection rates, utilizations and the spectrum indications DR-iCT with that previously single-room iCT. The study refers consecutive series patients undergoing either (January 2014–August 2014) or (September 2014–July 2016). A further group surgery without interconnected operating rooms represents reference group. Workflow measurements rates were calculated. Indications for utilization each devices. CT image quality was rated. Application led broader use device, which concerned particular stereotactic Accordingly, significantly increased (up 50.8 ± 4.6 surgeries per month, p < 0.001). slightly prolonged case imaging; difference, however, not statistically significant. Infections low (range 0.0–0.17 infections month) influenced rate. Image classified very good 34/43 evaluated microsurgical patients. enhances field imaging. are prolonged. technology safe, imaging modern devices can be expected good.

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