Professional Documents
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CT guided intervention
anders.magnusson
@radiol.uu.se
Which guidance
technique should be
used?
Guidance Techniques
Fluoroscopy
Ultrasound
CT
SELECTION OF GUIDANCE
TECHNIQUE
In each case:
The most simple
The most accurate
The safest
The lowest in radiation dose
The fastest
The cheapest
guidance technique should be chosen
SELECTION OF GUIDANCE
TECHNIQUE
D
A
Entrance point?
Entrance point
Entrance point
Puncture depth
D
Puncture depth
Puncture angle
A
D A Puncture angle
A
? 37
CT guidance
Free hand technique
Free Hand
Technique
5 mm
Drawbacks when using a
free hand technique
In difficult cases:
A large number of needle mani-
pulations may be needed
A large number of control scans may
be needed
Time consuming
Sometimes you even have to give up.
CT guidance
Free hand technique
Guidance devices
CT-fluoroscopy
D 87 mm
A 4
Drawbacks
The range of angulation is limited
Every sample needs a new puncture
35
SimpliCT
SimpliCT
D 76
A 19
D 76
A 19
19
Drawbacks
To keep the needle in the laser beam
during puncture, the motion has to be
relatively slow.
=PROBLEMS
Painful
The patient will breath in involuntary
The target moves
Drawbacks
To keep the needle in the laser beam
during puncture, the motion has to be
relatively slow.
When puncturing superficially
located lesions, the surrounding
tissues do not provide enough
support for the needle.
SeeStar
How to improve?
Something was
needed which
could direct and
support the needle
eliminating these
problems
60
4 cm
SeeStar
improves CT guided
punctures performed with a
free hand technique
SeeStar
will
improve bone biopsies
performed with the Bonopty
system
SeeStar
&
CT fluoroscopy
SeeStar
&
RF ablation
3 cm
CT guided
abscess drainage
0.9 mm
0.46 mm
3.4 mm (10F)
3.4 mm (10F)