Cone Beam Tomosynthesis Fluoroscopy for Image Guided Interventions

PROJECT SUMMARY ABSTRACT nView medicalSurgical inaccuracies impact patient safety and increase healthcare costsSpinal fusions are a prime examplewithprocedures per year in the US it is the sixth most frequent procedure and reoperation rates areThereareanestimatedrevisionsurgeriesduetomisplacedscrewsthatcouldbeavoidedifintraoperativeD guidance was standardThe total cost of the revision surgeries due to misplaced screws intheUSexceeds$MperyearandcouldlargelybereducednViewmedicalisdevelopingthenextgenerationimageguidancetechnologythatwillleadtomoreaccuratelowercostandsaferImage GuidedInterventionsIGInView sinnovationprovidesDimagesinreal timenavigationcapabilityandlow doseoperationnViewwillfocusfirstonspinesurgeryasstrongbenefitsfromDimageguidancehavealreadybeen establishedbut the proposed platform technology applies broadly to most interventional radiology andsurgicalapplicationssuchasoncologyandvascularminimallyinvasiveinterventionsaswellasspineorthopaedics and cardiovascular surgeriesInPhaseIthisresearchwillprovideobjectivephysicsimagequalitymetricsforitsscannertoestablishabaselineversusalternativetechnologiesThisresearchwillthenprovetheclinicalvalueoftheproposedguidancesystemfirstbydemonstratingthatthereal timeDupdatesleadtoaccuratevisualizationandtracking of surgical instrumentationmaking the scanner valuable intra operativelyand secondto prove theclinical value in simulated surgeriesshowing that accuracy can be improved and surgical time reduced versusstateoftheartalternativesPositivepreliminaryresultsbasedonuserobservertestssupportthatnView simage guidance system leads to higher accuracy at lower dose than alternative solutionsPhase II will expandthe clinical applicability of the innovation and confirm the benefits of increased accuracydecreased surgicaltimeandreducedx rayexposureinactualImageGuidedInterventionsThenViewteammemberswithbackground from both industryGE HealthcareCarestreamand academiaUniversity Of UtahUC Davishave deep experience in medical imagingx ray image reconstruction and surgical navigation