Our robotic C-arm ARTIS pheno supports precise electrode placement, allowing you to save valuable OR time, reduce the duration of anesthesia, and minimize patient transfer.
Enabling more efficient image-guided DBS procedures
Performing DBS procedures using conventional approaches involves both clinical and logistical hurdles. Neurosurgeons typically rely on preoperative MR scans to bring the electrodes into the correct position, sometimes even without access to live image guidance. Furthermore, CT scans are often necessary for determining the exact coordinate location as well as confirming correct electrode placement. This requires that the usually anesthetized patient be transported to the radiology department, which is cumbersome and risky due to the need for patient repositioning and continued anesthesia. Our Hybrid OR solutions may eliminate these hurdles by bringing high-quality 2D and 3D intraoperative imaging and image guidance to your DBS workflow.
Discover our DBS workflow
ARTIS pheno allows you to focus on optimal electrode placement. The system guides you to the planned location in the brain and shows you the positioning results immediately, eliminating the need for transporting the patient to the radiology department for a postoperative CT scan.
Preoperative MR imaging
To permit intraoperative anatomic target visualization during DBS, an MR scan must be performed prior to surgery.
Intraoperative frame placement
At the beginning of the actual surgery, the patient receives general anesthesia and the neurosurgeon fixates the head ring of the chosen stereotactic frame.
Intraoperative 3D acquisition
Robotic C-arm allows an intraoperative 3D acquisition to register with preoperative MR image on the frame of patient's head.
Definition of coordinates
The MRI and intraoperative 3D scan are fused to determine the exact coordinates for electrode placement. The neurosurgeon can now introduce the guide tubes into the brain through a dime-sized burr hole using stereotactic guidance.
2D fluoroscopy for introducing electrodes
ARTIS pheno allows the neurosurgeon to combine both stereotactic guidance and live image guidance with fluoroscopy to confirm the positioning of the macroelectrodes before the final stimulating electrodes are introduced. The robotic C-arm moves in and out of the surgical field in just a few seconds, recalling the previously saved position. Direct visualization of the target structures helps ensure that the planned target points for each electrode are reached.
Immediate 3D control of electrodes placement
Following implantation of the final stimulating electrode, the neurosurgeon can check the results intraoperatively while the patient is still on the Hybrid OR table. The 3D image acquisition takes only seconds and is fused automatically with the initial procedure planning data for confirmation of the precise lead position.
Images courtesy of Raftopoulos et al., Cliniques universitaires St-Luc, Brussels, Belgium
Hear what our customers are saying
"Saving up to 90 minutes of procedural time using the robotic C-arm for DBS in a Hybrid OR setting makes our department highly productive."
More efficient clinical operations in the Hybrid OR
Thanks to its fusion imaging capabilities, ARTIS pheno permits assessment of the lead implants following surgery directly in the Hybrid OR. Prof. Raftopoulos reports that not having to transport patients to the radiology department for placement confirmation
helps him save approximately 90 minutes of OR time per procedure.1
Watch our interview with Prof. Christian Raftopoulos to discover the benefits of using a 6-step workflow with ARTIS pheno for DBS, compared to conventional approaches.
Our Hybrid OR imaging solutions
Scientific Talks and Publications
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The statements by Siemens Healthineers' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.