Integrated planning, navigation and robotic targeting for tumor ablation

Transcription

1 Integrated planning, navigation and robotic targeting for tumor ablation

2 Tumor ablation Current practice Today, clinicians plan their interventional oncology procedures by viewing 2 dimensional CT slices, and combining what they see with their understanding of human anatomy, to determine the optimal approach to target the tumor. They must determine the probe trajectory path and the amount of energy needed to destroy the tumor, while sparing healthy tissue. Multiple energy probes must be manually advanced into the tumor one at a time, without coming in contact with one another, and without damaging vital organs. MAXIO A new approach Clinicians can now visualize and plan an entire ablation procedure in 3D - pre-operative registration, segmentation and visualization of multiple VOI, multi probe placement planning, estimated ablation volume* visualization, probe placement sequence, all before advancing a single probe into the patient. Once the plan is confirmed, MAXIO s robotic targeting system combined with adaptive intra-operative registration provides spatial positioning and orientation for a probe guide, through which the clinician then carefully advances each probe and performs the ablative procedure. Once ablation has been completed, MAXIO s visualization tool allows the clinician to verify if the procedure was executed as planned and determine whether additional treatments may be required. MAXIO s reporting tool then generates the required reports. All this while factoring in the potential for organ movement during patient respiration. It s not surprising the procedure is performed by only the most skilled and practiced clinicians. Tumor ablation made easier and more predictable. *as provided by the device manufacturer or as determined by the clinician 2

3 Tumor Ablation is heading in a whole new direction... And MAXIO is leading the way. Clinicians benefit from MAXIO s intelligent planning suite and robotic targeting... Registering pre-operative images and off-line plan with current CT images Organ specific tumor visualization and segmentation Multiple VOI, multi-probe placement plan for multiple procedures Accurate placement without fluoroscopic radiation Ability to treat hard to access and large tumors Post procedure verification MAXIO provides pre-operative planning assistance and intra-operative guidance to the surgeon by creating a reconstructed image model of received CT data and by visually representing the planned path and position(s) of one or more instruments on the model. MAXIO s multi-axis electromechanical stereotactic arm assists in instrument placement. MAXIO additionally is intended to display instrument performance data provided by the instrument manufacturer or as specified by the user. The device is also intended to monitor patient and respiratory movements and to overlay images during and after image guided procedures. MAXIO is intended for use in percutaneous procedures such as biopsy, aspiration, ablation etc., for organs and anatomical structures where CT is currently used for visualization. 3

4 Integrated planning, execution and verification of interventional oncology procedures. Setup 1. Roll MAXIO into position and register to the CT table using InstaReg TM [A] 2. Prepare the patient, obtain CT images on MAXIO [B] 3. Register current images with pre-operative images or plan, if available PLAN 4. Segment one or more Volumes of Interest, identify no-go regions, define tumor margins 5. Target tumor, with upto 6 probes, on 2D / 3D image 6. Visualize and edit estimated ablation volumes* EXECUTE 7. Enable MAXIO s robotic arm to position the probe guide for the procedure [C] 8. Manually advance each probe through the probe guide to reach the tumor 9. Perform intra-operative registration to verify probe placement and adapt subsequent plan(s), if needed 10. Ablate tumor as planned VERIFY 11. Register post-operative and pre-operative organ images 12. Verify if volume within tumor margin is ablated fully, extend treatment if needed 13. Generate patient reports to document procedure 14. Image registration may be used to monitor tumor progression during follow-up visits *Step 6 is optional. Ablation volumes as provided by the device manufacturer or as determined by the clinician Pre-operative MAXIO s powerful planning software provides 2D and 3D visualization of the affected region, and a wide range of tools to aid the development and execution of the plan. Intra-operative MAXIO allows clinicians to move seamlessly from planning to execution. With advance the probes. Intra-operative registration allows verification of probe(s) 4

5 D B C A Post operative the click of a button, the arm moves into position for the clinician to placement prior to ablation Post-procedure images can be viewed, and compared to the plan or pre-operative images 5

6 1 Multi phasic contrast image of liver co registered prior to procedure planning on MAXIO suite Works with all DICOM3 CT images Supports RF, MW, IRE, Cryo ablation Organ specific* workflow packages for liver, lung & renal ablation Patient and Respiratory motion management. Sterile disposable kit* to enhance clinical efficiency 2 Intuitive one touch segmentation helps segment organs & tumor * Please contact your Perfint representative for details 3 Multiple probe / multiple VOI planning MAXIO tucks away when not in use. 6 7

7 With MAXIO everyone benefits... Clinicians are better able to plan interventional oncology procedures with the help of MAXIO s visualization and planning software, then successfully perform the procedure with the help of MAXIO s targeting system. Hospitals are looking for efficiency and it s the goal of MAXIO to make interventional procedures faster, and more predictable, a key challenge to scheduling of the CT suite. Patients deserve access to life-saving treatments that are safe and effective. MAXIO strives to reduce the potential for unintended organ damage due to repeat punctures, and is likely to reduce the need for repeat scans which would mean less radiation exposure for the patient. 7

8 Copyright 2012 perfint healthcare corporation. All rights reserved. ( V2) Together with clinicians, improve quality of life of those fighting cancer Perfint Healthcare Corporation Contact your local sales representative to learn more about MAXIO. All claims of product performance and indications for use contained within this document relate only to data submitted to and reviewed by regulatory authorities in those jurisdictions in which clearance(s) and/or approval(s) have been obtained. No product performance claims or indications for use are made for jurisdictions in which such clearance(s) and/or approval(s) have not been obtained.