Current Status and Future Direction of Image Guided Operating Room(<SPECIAL ISSUE>Operation Suite in 21st Century)

Abstract

Endovascular therapies and microsurgical clipping technique have proven to be successful in treating most neurovascular diseases. However, more complex shaped aneurysms still exist and these types of aneurysm should be treated by using high-end endovascular, surgical technique, and combined use of both techniques with modern imaging assistance. A newly designed surgical digital subtraction angiography system was installed in a hybrid operating room. The system is used as an intra-operative imaging tool for various neurosurgical procedures such as aneurysm clipping or spine instrumentation. During surgical procedures, intra-operative 2D/3D angiography and C-arm based CT imaging (Dyna-CT) are performed and newly developed virtual navigation soft-ware to treat deep seated intracranial lesions and needle placement. We report the current status and future direction of modern imaging technology in hybrid operating rooms.