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Medicine - Radiology | Intraoperative Imaging and Image-Guided Therapy

Intraoperative Imaging and Image-Guided Therapy

Jolesz, Ferenc A. (Ed.)

2014, XVII, 893 p. 531 illus., 413 illus. in color.

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  • Discusses the technical and clinical aspects of image-guided therapies
  • Covers intraoperative imaging in neurosurgery, cardiovascular interventions, abdominal surgeries, and orthopedic procedures
  • Incorporates cutting-edge image acquisition technologies such as real-time MRI, CT fluoroscopy, and molecular imaging
  • Offers unique comparisons of competing alternative technologies

Image-guided therapy (IGT) uses imaging to improve the localization and targeting of diseased tissue and to monitor and control treatments. During the past decade, image-guided surgeries and image-guided minimally invasive interventions have emerged as advances that can be used in place of traditional invasive approaches.  Advanced imaging technologies such as magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography (PET) entered into operating rooms and interventional suites to complement already-available routine imaging devices like X-ray and ultrasound.  At the same time, navigational tools, computer-assisted surgery devices, and image-guided robots also became part of the revolution in interventional radiology suites and the operating room. 


Intraoperative Imaging and Image-Guided Therapy explores the fundamental, technical, and clinical aspects of state-of the-art image-guided therapies.  It presents the basic concepts of image guidance, the technologies involved in therapy delivery, and the special requirements for the design and construction of image-guided operating rooms and interventional suites.  It also covers future developments such as molecular imaging-guided surgeries and novel innovative therapies like MRI-guided focused ultrasound surgery.


IGT is a multidisciplinary and multimodality field in which teams of physicians, nurses, and other professionals, such as physicists, engineers, and computer scientists, collaborate in performing these interventions, an approach that is reflected in the organization of the book.   Contributing authors include members of the  National Center of Image-Guided Therapy program at Brigham and Women’s Hospital and  international leaders in the field of IGT.


The book includes coverage of these topics:

- Imaging methods, guidance technologies, and the therapy delivery systems currently used or in development.

- Clinical applications for IGT in various specialties such as neurosurgery, ear-nose-and-throat surgery, cardiovascular surgery, endoscopic surgery, and orthopedic surgery.   

- Review and comparison of the clinical uses for IGT with conventional methods in terms of invasiveness, effectiveness, and outcome.

- Requirements for the design and construction of image-guided operating rooms and interventional suites.

Content Level » Professional/practitioner

Keywords » Abdomen - Bone - Brain - Breast - Cardiovascular - Image Guided - Interventional - Intra-operative - Intraoperative - MRI - Neurosurgery - Orthopedics - Prostate - Radiology - Spine - Surgery

Related subjects » Biomedical Engineering - Radiology - Surgery

Table of contents 

Introduction.- History of Image-Guided Therapy at Brigham and Women’s Hospital.- Modeling and Simulation.- Computational Support for Intraoperative Imaging and IGT.- Registration and Segmentation for Image Guided Therapy.- Navigation.- Visualization and Display for Image-Guided Therapy.- Validation of New Procedures and Training Processes Through Physical Task Analysis.- X-Ray Fluoroscopy.- Technology of Ultrasound Guided Therapy.- Innovations in Ultrasound Instrumentation for Image Guidance.- CT-guided Interventions: Current Practice and Future Directions.- Real-time and Interactive MRI.- Deformable registration for IGT.- PET/CT for Interventional Use.- Intraoperative Optical Imaging.- Surgical Navigation Technology.- Navigation with the Integration of Device Tracking and Medical Imaging.- 3D Slicer: a Platform for Subject-Specific Image Analysis, Visualization, and Clinical Support.- Design and Construction of An Image-Guide Procedure Room.- The Hybrid Neurovascular Operating Room.- A Multimodal Diagnostic, Interventional, and Surgical Procedure Suite: The MRI/X-ray/Operation Suite (MRXO).- Workflow Analysis, Design Modeling and Simulation for the Multimodality Imaging Operating System (MITOS).- The Advanced Multi-Modality Image-Guided Operating (AMIGO) Suite.- Image-guided Radiation Therapy: Quality and Performance in Cancer Intervention.- Image-Guided Brachytherapy.- MRI Monitoring and Control of Cryoablation.- MRI-Guided Focused Ultrasound.- Image Guided Endoscopy.- Intra-Operative Guidance Using 3D Scene Reconstruction from Endoscopic Images.- Image-Guided Robotics in Minimally Invasive Therapies.- Magnetic Resonance Image-Guided Neurosurgery.- High Field Intraoperative MR-Guided Neurosurgery.- A Rationale for the Use and Development of Methods for Image-Guided Brain Tumor Surgery.- Brain Shift and Updated Intraoperative Navigation with Intraoperative MRI.- Multimodality Navigation in Neurosurgery.- Image-Guided Neurosurgical Planning.- Intraoperative MRI in Pediatric Neurosurgery.- Intraoperative CT in Neurosurgery.- Intraoperative Angiography in Neurosurgery.- Intraoperative Ultrasound in Neurosurgery.- MRI-Guided and Controlled Laser-Induced Interstitial Thermal Therapy of Brain Tumors Using Integrated Navigation and Thermal Mapping.- MRI-Guided Interstitial Laser Therapy of Brain Tumors.- Optical Navigation.- Functional Neurosurgery with MRI-Guided HIFU.- Progress in Neurosurgical Robotics.- Image Guidance in Spine Surgery.- Image-Guided Bone Interventions.- Image-Guided Orthopedic Surgery.- Computer-assisted Orthopaedic Surgery.- Robotic Arm Assisted Unicompartmental Knee Arthroplasty: Preoperative Planning And Surgical Technique.- Intraoperative Imaging in Cardiac Surgery.- MRI-Compatible C-arm Imaging for Cardiac Intervention.- Image-Guided Cardiac Electro-Physiology Procedures Focusing on MRI-Guidance.- MR Enhancing Implants.- MR Imaging and the Biopsy of Prostate Cancer.- Image-Guided Prostate Brachytherapy.- Multimodality Guidance in Endoscopic and Laparoscopic Abdominal Procedures.- Image-Guided Liver Surgery.- Soft Tissue Navigation and Liver Surgery Support.- MR-Guided Radiofrequency Ablation of Liver Tumours.- Magnetic Resonance Imaging Guided Breast Intervention and Surgery.- Image-Guided Otorhinolaryngology.- Image-Guided Sinus Endoscopy.

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