Intraoperative Image-Enhanced Endoscopy
During the past three years, the California Institute of Computer-Assisted Surgery (CICAS) has successfully developed and implemented a technique that allows for interactive, real-time, three-dimensional (3D) intraoperative image guidance using preoperative image data from magnetic resonance imaging (MRI) or computed tomography (CT). This technique allows surgeons to use an endoscope to visualize the surgical site, while simultaneously allowing them to see the inner layers of the patient's anatomy by overlaying the volumetrically reconstructed MRI or CT images. The fully integrated and FDA-cleared system, the first of its kind, is currently being used in operating rooms worldwide.
Current research seeks to improve the current state of endoscopic procedures by combining intraoperative endoscopic images with this recently developed 3D navigation software. We have demonstrated, through IRB-approved surgical procedures, that the combination of these two technologies will provide the means for minimally invasive surgical interventions while maintaining maximum exposure and orientation.