TMC PULSE

t m c » p u l s e | m a y 2 0 1 8 31 He marks up preoperative images to identify which areas to dissect and which critical struc- tures to avoid, then overlays the annotated scans directly on top of the endoscopic view of the surgical area to create a clear, video game-like image of the pathway to follow. The Scopis TGS is analogous to a 3-D GPS navigation system: Doctors can track the surgical instrument's position relative to the "map" of a patient's preoperative imaging. "Surgeons are visual creatures. Putting every- thing together on one screen is appealing," Citardi said. "A big part of minimally invasive surgery is getting directly to the target and avoiding collat- eral damage. The ability to have those overlays facilitates that process. It takes even more of the mental gymnastics out of it." Since X-rays were first discovered in 1895 by German mechanical engineer and physicist Wilhelm Conrad Röntgen, medical imaging tech- nology has made great strides. Positron emission tomography (PET) scans and nuclear medicine imaging were introduced in the 1950s. In the early 1960s, Ralph Meyerdirk and Bill Wright developed the first commercial ultrasound scanner, spe- cifically designed for medical use. In 1979, G.N. Hounsfield and A.M. Cormack won the Nobel Prize for their invention of computed tomography (CT) scans that captured cross-sectional images of the body. Also in the 1970s, American phy- sician Raymond Damadian invented the magnetic reso- nance imaging (MRI) scanner. These break- throughs in med- ical imaging have become main- stays in medicine, helping doctors to accurately diagnose patients and surgeons to meticulously plan complicated operations. Yet the visualization of that information remained archaic. "It sounds intuitive to have all the relative information on one screen, but we're long over- due," Citardi said. "Scopis is an important step on that path to image convergence." Orbeye Scopis' AR-assisted surgical navigation isn't the only trending technology in the operating room. Surgeons in the Texas Medical Center recently used 3-D technology to perform intricate procedures. In March, pedi- atric surgical specialists at Texas Children's Hospital used the Orbeye for pediatric plastic, pediatric urology and pediatric congenital heart surgeries. Developed by SOMED, a joint venture between major imaging powerhouses Olympus and Sony, Orbeye is a new freestanding videomicroscope that displays high-resolution 3-D imaging of surgical procedures on an expansive 55-inch 4K monitor with stunning clarity. It's like bringing the IMAX movie theater experience into the operating theater. "You put the glasses on and it literally almost comes out at you on the screen. It was like watch- ing [a movie] in 3-D," said Chris Pederson, M.D., a pediatric plastic surgeon at Texas Children's who has used the Orbeye to perform reconstructive microsurgery on babies. (continued) Stryker's Scopis Target Guided Surgery technology allows surgeons to overlay preoperative imaging scans onto the endoscopic view for safer, more accurate surgical navigation. Become a Certified Tobacco Treatment Specialist Nationally accredited program offered at MD Anderson Cancer Center June 11-15, 2018 Led by MD Anderson faculty who specialize in smoking cessation research and clinical practice, this program will familiarize participants with the latest findings related to tobacco use, dependence, and smoking cessation as applied to clinical practice. To become certified or get more information about this course or future program dates, visit www.mdanderson.org/tobaccotraining or email ctts@mdanderson.org. MD Anderson will offer continuing education hours from the Accreditation Council for Continuing Medical Education (ACCME), National Commission for Health Education Credentialing (NCHEC), American Association for Respiratory Care (AARC) and University of Houston Graduate College of Social Work. CEs for LPCs are also available.

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