News | Advanced Visualization | June 24, 2015

Texas Children's Hospital Utilizes Toshiba's Aquilion ONE CT System in the Surgical Planning of Complex Conjoined Twins Separation

Volume imaging and unique cardiac scan mode help develop detailed 3-D modeling

CT System

Texas Children's Hospital successfully separated Knatalye Hope and Adeline Faith Mata in late February, completing one of the most complex conjoined twins separations ever. The procedure took months of planning, and Toshiba's Aquilion ONE CT system played a crucial role in determining the feasibility of separating the twins and producing images that helped radiologists build detailed 3-D models of the organs.

"The Mata twins separation presented some unique complexities and very challenging anatomy that we were able to capture because of Toshiba's Aquilion ONE," said Rajesh Krishnamurthy, M.D., section chief of radiology research and cardiac imaging at Texas Children's. "We used a target mode prospective EKG gated volumetric acquisition, using all 320 detector rows to elucidate the cardiovascular and coronary anatomy, and helical imaging with sequential and separate contrast injections into each twin to delineate the visceral anatomy and status of the abdominal and pelvic vasculature. A composite dataset was created by fusing information from all three acquisitions, which was used for segmentation of the organs and vasculature, 3-D modeling and 3-D printing. The ultrafast acquisition speed allowed us to image the anatomy without motion artifact, despite variable breathing and heart rates. The high quality of the images was critical to help plan for this first-of-its-kind surgery."

The separation required intensive planning by a multidisciplinary team, as the twins shared a chest wall, lungs, pericardial sac, diaphragm, liver, intestines, colon and pelvis. Toshiba's 640-slice Aquilion ONE and its volume imaging capability captured the entire cardiovascular and visceral anatomy and helped assess how the organs were shared. Additionally, the system's target CTA cardiac mode, which gives users control of when to trigger the X-ray, enabled Texas Children's to image the twins without the need for sedation, decreased artifacts and kept radiation exposure as low as possible.

"Toshiba puts customers first and developed the Aquilion ONE Family to meet virtually any CT imaging need, including the most challenging clinical situations, like the successful conjoined twins separation at Texas Children's," said Satrajit Misra, senior director, CT Business Unit, Toshiba. "It's an astounding surgery that Texas Children's completed and an example of how the Aquilion ONE's large coverage area, quick speed and unique scan modes can assist in complex surgical planning."

For more information: www.texaschildrens.org, www.medical.toshiba.com

 

Related Content

Materialise Receives FDA Clearance for Cardiovascular Planning Software Suite
Technology | Advanced Visualization | June 13, 2019
Three-dimensional (3-D) printing software and solutions company Materialise has received U.S. Food and Drug...
Technological Advancements Expected to Drive Virtual Reality Growth in Healthcare
News | Advanced Visualization | April 04, 2019
Increasing demand for innovative diagnostic techniques, neurological disorders and increasing disease awareness are...
DrChrono and 3D4Medical Partner to Bring 3-D Interactive Modeling to Physician Practices
News | Advanced Visualization | March 18, 2019
DrChrono Inc. and 3D4Medical have teamed up so practices across the United States can access 3-D interactive modeling...
Videos | Advanced Visualization | March 05, 2019
Augmented reality (AR) and virtual reality (VR) are starting to be adopted for physician training, patient education
Philips Introduces IntelliSpace Portal 11 at ECR 2019
Technology | Advanced Visualization | February 27, 2019
Philips announced the launch of IntelliSpace Portal 11, the latest release of the company’s comprehensive, advanced...
Philips and Microsoft have partnered to develop an augmented reality system to help imporve workflow and procedural navigation in the cath lab. Physicians wearing visors can view and interact with true 3-D holograms above the patient on the table and manipulate the image with voice and hand motion commands to avoid breaking the sterile field. Virtual reality in the cath lab, interventional lab, hybrid OR, or cardiovascular lab.

Philips and Microsoft have partnered to develop an augmented reality system to help imporve workflow and procedural navigation in the cath lab. Physicians wearing visors can view and interact with true 3-D holograms above the patient on the table and manipulate the image with voice and hand motion commands to avoid breaking the sterile field. 

News | Advanced Visualization | February 25, 2019
Philips will unveil a new mixed reality concept developed together with Microsoft that the company says is designed for...
Medivis Launches SurgicalAR Augmented Reality Platform
Technology | Advanced Visualization | February 14, 2019
Medical imaging and visualization company Medivis officially unveiled SurgicalAR, its augmented reality (AR) technology...
Videos | Advanced Visualization | December 12, 2018
This is an example of the FDA-cleared OpenSight augmented reality (AR) system for surgical planning from NovaRad at t
Nihon Kohden Launches Augmented Reality Electrophysiology Training App at HIMSS18
Technology | Advanced Visualization | March 06, 2018
Nihon Kohden announced the launch of the Nihon Kohden Dimensions Augmented Reality (AR) App to complement the Clinical...
NIH Issues $2.2 Million Grant for Augmented Reality Cardiac Hologram Research
News | Advanced Visualization | February 15, 2018
February 15, 2018 — The National Institutes of Health (NIH) awarded a $2.2 million research grant to healthcare techn
Overlay Init