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Abstract #2958

Intraoperative MR Image Guided Endoscopic Surgery on a Closed Bore MR Scanner

Hasnine Haque1, 2, Shigehiro Morikawa3, Shigeyuki Naka2, Hiroyuki Murayama2, Tohru Tani2, Tetsuji Tsukamoto4

1Research & Development , GEHC, Hino, Tokyo, Japan; 2Department of Surgery, Shiga University of Medical Science, Ohtsu, Shiga, Japan; 3Biomedical MR Science Center, Shiga University of Medical Science, Ohtsu, Shiga, Japan; 4Research & Development, GEHC, Hino, Tokyo, Japan

An endoscope has been used to perform procedures with a laparoscope or thoracoscope in conventional operating rooms. One of the problems linked to endoscopic surgery is its narrow field of view and an inability to view the clinical target beneath the surface. Therefore, we propose an integrated environment where surgery can be performed with MR-compatible flexible endoscope in a closed bore MR scanner, and have developed a visualization system to navigate the endoscope by continuously-acquired near real-time MR images. In this paper, preliminary results of animal experiment will be presented.

Keywords

abdominal ablation access accurate addition advances alternate anatomic application assist assistance augmented beneath bore boundary built called camera capabilities channel channels closed combined compatible comprehension continuously control controlled coordinate correct definition deliver developed development diagnostic diameter director disease distal distance efficiency electrodes electromagnetic enabled endoscope endoscopic endoscopy environment equipped every excite experiment extent field flexible frequency full gradient guidance guide guided help helps improve inability inserted instruments integrated invasive invasiveness japan landmarks legs length lesion liver localization longer magnet manipulate margins medical medium microwave minimally narrow navigate navigation near needle needles novel open optical orthogonal outside paper patient perpendicular placed poor port position possibility preliminary preoperative procedure procedures propose proton puncture real reformatted rigid scanner scanners science sensing sensor space stand straight suffers superimposed superimposition surface surgeon surgeons surgery surgical system systems target targets temperature thermal tilt tools track tracking transferred tumor tumors umbilicus updated view visible visual visualize visualized volume