O.R. Workflows and Benefits of Intraoperative CT for Lead Placement Confirmation in DBS Treatments

Event: WSSFN 2019: Brainlab Symposium
Topics: Functional Radiosurgery, New Radiosurgery Technologies
Year: 2019

Ron Alterman, MD, from Beth Israel Deaconess Medical Center in Boston discusses operating room workflows and the benefits of intraoperative CT and Elements software for lead placement confirmation in deep brain stimulation (DBS) treatments. He begins by outlining the “classical” surgical technique for DBS including having to transport the patient to radiology for imaging. He then delves into his institution’s acquisition of Airo intraoperative mobile CT and their use of Elements planning software and subsequent awake surgery with these technologies. He then provides some specific examples of case results as well as his overall data, including a decrease in procedure time, over cases performed.

About the speaker

Ron Alterman, MD

Ron Alterman, MD
Beth Israel Deaconess Medical Center, USA

Video Transcript

BrainLab has asked me to kick this off and give a talk on OR workflow with the Airo Intraoperative CT Scanner, and also to give some discussions about the Elements Software, a relatively new edition, and then I'll introduce my two distinguished colleagues, who will discuss their topics. So...That wasn't supposed to be in there, anymore. Okay. So, I was trained in the classical awake stereotactic technique for performing functional mood disorder surgery. Patient awake, or minimally sedated, frame application, stereotactic MRI for targeting, verbal micro recording, lead insertion, test stimulation and IPG implantation at a second time, at a...

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