Neurosurgical procedures with Hybrid OR imaging solutions
ARTIS pheno helps optimize clinical operations in your Hybrid OR thanks to high-quality image guidance during the procedure and intraoperative assessment of results for greater workflow efficiency.
Deep brain stimulation
ARTIS pheno allows you to focus on optimal electrode placement.
Additionally to the stereotactic frame, the system offers live image
guidance and shows you the positioning results immediately, eliminating
the need for transporting the patient to the radiology department for a
postoperative CT scan.
Cranial AVM resection
ARTIS pheno helps you ensure the complete removal of arteriovenous malformations (AVMs). A key difficulty when performing microsurgical excisions is that the preoperative location of lesions changes due to brain shift. With our robot-supported 3D imaging system, you can identify the actual anatomical landmarks intraoperatively. This means you get detailed views of the vessel anatomy during surgery. ARTIS pheno also allows you to perform intraoperative quality control to detect remaining malformations while the patient is still on the OR table.
Aneurysm treatments
With our imaging systems, you can optimize endovascular treatment of
cerebral aneurysms as well as perform intraoperative assessment of
aneurysm clip placement. Our angiography systems provide excellent
coverage of the relevant area and deliver comprehensive, highly detailed
2D and 3D views of blood vessels in the brain to support informed
decision-making. Thanks to the positioning flexibility of the systems,
clinicians have easy patient access throughout the procedure. Verifying
the treatment results with a final intraoperative 3D image allows you to
make corrections while the patient is still in the OR.
Balloon test occlusion with multimodality solution
Nexaris Angio-CT combines an angiography system and a CT scanner in a single solution to expand your clinical possibilities. In a small study* with seven patients, they evaluated the permanent therapeutic occlusion at cerebral aneurysm or skull base tumors. To check the collateral flow, a balloon test occlusion together with perfusion CT imaging was performed. Nexaris Angio-CT allows you to accomplish this procedure in a single session and without transferring the patient. Neurosurgeons have reported excellent time-attenuation curves in one study, thanks to the decrease in contrast medium and radiation dose applied.
Resection of cerebral gliomas or pituitary adenomas
Nexaris MR provides real-time intraoperative MR imaging for assessing tumor resection results, helping you ensure accurate functional preservation when treating cerebral gliomas or pituitary adenomas. In one study*, neurosurgeons report that the high-quality intraoperative MRI guidance allowed them to modify their surgical strategy intraoperatively. Furthermore, the availability of structural and functional imaging information improved the safety of brain surgery.
Our Hybrid OR imaging solutions
Scientific Talks and Publications
- Christopher Nimsky et al., “Intraoperative High-Field-Strength MR Imaging: Implementation and Experience in 200 Patients,” Radiology 233, no. 1 (2004): 67–78, https://www.ncbi.nlm.nih.gov/pubmed/15317949.
- Yuichi Murayama et al., “Combined Surgical and Endovascular Treatment of Complex Cerebrovascular Diseases in the Hybrid Operating Room,” Journal of NeuroInterventional Surgery 5, no. 5 (2013): 489–93, https://www.ncbi.nlm.nih.gov/pubmed/22661589.
