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CT-Navigation™ Applications
LUNG BIOPSY
Biopsy of Peripheral Lung Lesion
OSTEOSYNTHESIS
Challenging Lateral Approach to a Femoral Head
LIVER ABLATION
Thermoablation of Liver Dome Lesion with Out of Plane Trajectory and Steep Angulation
VERTEBROPLASTY
Vertebroplasty With Safety and Accuracy
MEDIASTINUM BIOPSY
Anterior, Mediastinal Biopsy Avoiding the Aorta, and Sternum While Reducing Risk of Pneumothorax
INFILTRATION
Infiltration of L4,L5 Vertebrae
ADRENAL GLAND BIOPSY
Adrenal Gland Biopsy Using Navigation to Avoid the Vertebrae, Lung, and Unnecessary Injury to the Kidney
LUNG CRYOABLATION
Multi-probe Cryoablation for Posterior, Medial Lung Lesion
DRAINAGE
Low, Pelvic Abscess Using Needle-tip Awareness to Avoid Pubic Symphysis and Rectum
RENAL ABLATION
Endophytic Left Renal Thermoablation
CT-Navigation™ is CE (CE 0459) marked and has FDA clearance.
♦ Retrospective descriptive study involving 12 patients
♦ Technical success rate was 100% with no fracture during a mean follow-up time of 382 days
♦ All patients were able to walk on the day following osteosynthesis
Read the full publication
Percutaneous osteosynthesis and cementoplasty (POC) for stabilization of malignant pathological fractures of the proximal femur
Dr E. Mavrovi, Dr B. Richioud, Diagnostic and Interventional Imaging, Centre Leon Berard
X
♦ Prospective corpse study (3 forensic examinations)
♦ The magnitude of the organ displacements was highly variable
♦ All organs were successfully biopsied in corpse 3. Only the liver could be biopsied in corpses 1 and 2
Read the full publication
Evaluation of a Computed Assisted Medical Intervention (CAMI) system in scientific autopsy
Dr F. Grenier, Dr A. Moreau-Gaudry, Journal of Forensic Radiology and Imaging, CHU Grenoble
X
♦ Prospective comparative phantom study involving interventional and diagnostic fellows
♦ The number of successful attempts was significantly higher for interventional fellows (when using the EM system)
♦ All fellows had a significantly higher successful attempt rate with the EM system than with conventional targeting
♦ No significant difference when comparing groups with different levels of experience
Read the full publication
Use of an Electromagnetic Navigation System on a Phantom as a Training Simulator for CT-guided Procedures
Dr Y. Sanchez, Dr R. Uppot, Journal of the American College of Radiology, Massachusetts General Hospital
X
♦ Prospective controlled multicenter study protocol (500 patients maximum)
♦ The aim is to assess the safety, efficacy and performance within the 2 patients groups
Read the full publication
Evaluation of the clinical benefit of an EMN system for CT-guided IR procedures in the thoraco-abdominal region compared with conventional CT guidance (CTNAV II): study protocol for a randomized controlled trial
Dr RC. Rouchy, Dr I. Bricault, Trials, CHU Grenoble
X
♦ Prospective controlled study involving 120 patients
♦ Accuracy improved by a factor of 2 (when using the navigation system)
♦ Fewer acquisition scans: 2 vs 3 (when using the navigation system)
Read the full publication
Computer assisted electromagnetic navigation improves accuracy in computed tomography guided interventions: A prospective randomized clinical trial
Dr P. Durand, Dr I. Bricault, PLoS ONE, CHU Grenoble
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♦ Retrospective descriptive study involving 21 patients
♦ Complete ablation was obtained in 100% of cases
♦ The ablation probe was correctly placed on the first pass in 96% of cases
Read the full publication
EM navigation system combined High-Frequency-Jet-Ventilation (HFJV) for CT-guided hepatic ablation of small US-undetectable and difficult to access lesions
Dr S. Volpi, Dr A. Denys, International Journal of Hyperthermia, CHUV Lausanne
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♦ Retrospective descriptive study involving 50 patients
♦ 96% technical success rate
Read the full publication
CT guidance assisted by EM navigation system for percutaneous fixation by internal cemented screws (FICS)
Dr B. Moulin, Dr G. Gravel, European Radiology, Institut Gustave Roussy
X
♦ Prospective and comparative abdominal phantom study
♦ While all methods reached 100% technical efficiency, EM Navigation was not limited to acute angle access
♦ The combination of both technologies offered the best accuracy but was slightly longer and irradiant
Read the full publication
CBCT-Based Image Guidance for Percutaneous Access: Electromagnetic Navigation Versus 3D Image Fusion with Fluoroscopy Versus Combination of Both Technologies – A Phantom Study
Dr V. Tacher, Dr H. Kobeiter, CVIR, CHU Mondor
X
♦ Retrospective controlled study involving 37 patients
♦ Interventional Dose-Length Product was reduced by a 3.2 factor (in the CT-Navigation group)
♦ Median procedure time was halved (in the CT-Navigation group)
Read the full publication
Reduction of patient radiation dose during CT vertebroplasty: Impact of a new computer-assisted navigation (CAN) system
Dr C. Teriitehau, Dr M. Bravetti, Radioprotection, Centre Cardiologique du Nord
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♦ Prospective inclusion of navigation group patients along with retrospective matching with a control group patient (34 patients total)
♦ Implementation of the EM Navigation System for CT-guided MWA significantly improved the accuracy of antenna positioning
♦ The number of control scans and the radiation exposure were significantly lower in the Navigation group
Electromagnetic Navigation System-Guided Microwave Ablation of Hepatic Tumors: A Matched Cohort Study
K. I. Ringe, G. H. Pöhler, H. Rabeh & F. Wacker, CVIR
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