okay mr. sano...short-list of procedures...
to quote dean first, labeling was put into a generic context...
1.// thus, orthopaedic encompasses simple orthopaedics to simple sports medicine...
remember ortho means straight, and in fluoroscopy and radiography when you evaluate you must obtain 2 perpendicular views: in order to judge the three D's -- Depth, Direction, Depth. and, no, i didn't misphrase that... you obtain this via orthogonal (right angle) views...
so, orthopaedics represents a plethora...given the realtime 3D nature only available via the DViS, together with the icing on the cake, sectional viewing by cone-beam CT.
NEUOROSURGERY:
let's simply consider fusion surgeries of the cervical or lumbar spine... and in particular, pedicle screw placements... Depth, Direction, and Depth.
or let's consider microdiscectomies.
IMPORTANTLY: THE DViS GANTRY IS LARGER SIZED COMPARED TO CURRENT CT TECHNOLOGY, THUS A WELCOMING/FRIENDLY ENVIRONMENT FOR THE SURGEON/INTERVENTIONALIST.
NOTE: Depth, Direction, and Depth, also apply to needle placement as well as to any surgical too placement, but less important in the latter case if the surgeon is incorporating endoscopic viewing or is looking directly at the target through open tissues.
2.// but, lets name some other names.
myleograms.
CT myelograms.
discograms (diagnostically speaking) --- as well as the post-disco CT scan which follows --- this is the evaluation to identify suspected deranged intervertebral discs, NOT ABLE TO BE IDENTIFIED VIA MRI. in and of itself, the discogram procedure is absolutely necessary to place the contrast media into the targeted disc(s) for sectional viewing by CT, although their is more to the procedure to provide more info for the neurosurgeon. thus, discograms can help neurosurgeons by the evaluation of identifying said disc(s), and probabilities for the need for surgical intervention and thus, serve as a "planning procedures," to identify were to invasively proceed if surgery is thought to benefit the patient.
perhaps, one machine for both exams...especially for free-standing physician centers.
intradiscal injections --- same procedure as above, but used as a non-surgical intervention. no CT scan necessary here.
3.// and other names.
vertebroplasty.
kyphoplasty.
--- these are interventions which stabilize compression fractures of the vertebral bodies, for instance, T12.
there's a neurosurgeon that uses 2 mobile single arm multidirectional fluoro c-arms at this time, i.e., basic c-arms... remember the biplanar c-arms didn't really catch on.
INTERVENTIONAL PAIN
facet injections...
medial branch blocks...and radiofrequency ablations of the medial brach...
transforaminal epidurals...
interlaminal epidurals...
caudal epidurals...
sympatethic nerve blocks...
- hypogastric variety.
- traditional variety.
- stellate variety.
all above a short list for entirety of the spine, lumbar, thoracic, cervical.
sacroilliac injections.
pudendal nerve injections.
4.// let's name some general operating room surgeries, which currently require fluoroscopic-guidance.
brachytherapy --- think prostate seed placements.
cholecystectomy --- removal of gall bladder.
intra-ureter and kidney evaluations.
ENT surgeries --- ears, nose, throat.
5.// ct = cardiac-thoracic surgeries...
to quote the thoughts of the cardiologist on the 12/9/09 cc.
- triple A repair -- aortic abdominal aneurysm repair.
- thoracic aneurysm repair.
- abdominal aneurysm repair.
thoracotomy procedures...
- thoracotomy with wedge resection.
- thoracotomy with lobectomy.
- thoracotomy with pneumonectomy.
6.// possibly central venous access port placement procedures...
THESE ABOVE IS THE SHORT LIST: OBVIOUSLY, I'M NOT GONNA BE ABLE TO WRIGHT DOWN EVERYTHING HERE (I.E., SPEND ALL DAY DOING THAT).
down the road, i see benefit for cone-beam CT and radiotherapy applications... or radiotherapy planning...
down the road, i see benefit for weight-bearing cone-beam CT applications of the weight bearing joints...which would represent a first, and a leap from weight bearing plain films...to further assist our orthopaedic colleagues...
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