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DOI:10.2214/AJR.07.2469
AJR 2007; 189:W357-W364
© American Roentgen Ray Society


Pictorial Essay

Live 3D Guidance in the Interventional Radiology Suite

John M. Racadio1, Drazenko Babic2, Robert Homan2, John W. Rampton1, Manish N. Patel1, Judy M. Racadio1 and Neil D. Johnson1

1 Department of Radiology, Division of Pediatric Interventional Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039.
2 X-Ray Department, Philips Medical Systems Nederland B.V., Best, The Netherlands.

OBJECTIVE. The development of a C-arm cone-beam CT unit coupled with flat detectors has markedly increased anatomic visualization capabilities for interventional radiology procedures. We present technology in which fluoroscopy and 3D imaging from a cone-beam CT-flat-detector C-arm unit are combined with an integrated tracking and navigation system. A description of the technology and representative clinical cases are presented.

CONCLUSION. This new combination further increases interventional radiologic capabilities because it provides real-time procedural evaluation and tracking.

Keywords: 3D imaging • CNS • cone-beam CT • CT guidance • fluoroscopy • interventional radiology • needle guidance • real-time imaging • vertebroplasty


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