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Proceedings Paper • Open Access

Toward integrated image guided liver surgery
Author(s): W. R. Jarnagin; Amber L. Simpson; M. I. Miga

Paper Abstract

While clinical neurosurgery has benefited from the advent of frameless image guidance for over three decades, the translation of image guided technologies to abdominal surgery, and more specifically liver resection, has been far more limited. Fundamentally, the workflow, complexity, and presentation have confounded development. With the first real efforts in translation beginning at the turn of the millennia, the work in developing novel augmented technologies to enhance screening, planning, and surgery has come to realization for the field. In this paper, we will review several examples from our own work that demonstrate the impact of image-guided procedure methods in eight clinical studies that speak to: (1) the accuracy in planning for liver resection, (2) enhanced surgical planning with portal vein embolization impact, (3) linking splenic volume changes to post-hepatectomy complications, (4) enhanced intraoperative localization in surgically occult lesions, (5) validation of deformation correction, and a (6) a novel blinded study focused at the value of deformation correction. All six of these studies were achieved in human systems and show the potential impact image guided methodologies could make on liver tissue resection procedures.

Paper Details

Date Published: 27 April 2017
PDF: 6 pages
Proc. SPIE 10135, Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling, 101350R (27 April 2017); doi: 10.1117/12.2257615
Show Author Affiliations
W. R. Jarnagin, Memorial Sloan-Kettering Cancer Ctr. (United States)
Amber L. Simpson, Memorial Sloan-Kettering Cancer Ctr. (United States)
M. I. Miga, Vanderbilt Univ. (United States)
Vanderbilt Univ. Medical Ctr. (United States)
Vanderbilt Institute in Surgery and Engineering (United States)

Published in SPIE Proceedings Vol. 10135:
Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling
Robert J. Webster III; Baowei Fei, Editor(s)

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