From interventionist imaging to intraoperative guidance: New perspectives by combining advanced tools and navigation with radio-guided surgery

Rev Esp Med Nucl Imagen Mol (Engl Ed). 2018 Jan-Feb;37(1):28-40. doi: 10.1016/j.remn.2017.06.004. Epub 2017 Aug 3.
[Article in English, Spanish]

Abstract

The integration of medical imaging technologies into diagnostic and therapeutic approaches can provide a preoperative insight into both anatomical (e.g. using computed tomography, magnetic resonance imaging, or ultrasound), as well as functional aspects (e.g. using single photon emission computed tomography, positron emission tomography, lymphoscintigraphy, or optical imaging). Moreover, some imaging modalities are also used in an interventional setting (e.g. computed tomography, ultrasound, gamma or optical imaging) where they provide the surgeon with real-time information during the procedure. Various tools and approaches for image-guided navigation in cancer surgery are becoming feasible today. With the development of new tracers and portable imaging devices, these advances will reinforce the role of interventional molecular imaging.

Keywords: Cirugía radioguiada; Ganglio centinela; Imagen molecular; Imagen óptica; Molecular imaging; Optical image; Radioguided surgery; Sentinel node.

Publication types

  • Review

MeSH terms

  • Computer Systems
  • Female
  • Fluorescent Dyes / analysis
  • Humans
  • Inventions*
  • Laparoscopy
  • Luminescent Measurements
  • Male
  • Multimodal Imaging
  • Neoplasm Metastasis
  • Neoplasms / diagnostic imaging*
  • Neoplasms / surgery
  • Preoperative Care
  • Radiography, Interventional / methods*
  • Radiography, Interventional / trends
  • Radiopharmaceuticals
  • Robotic Surgical Procedures
  • Sentinel Lymph Node Biopsy
  • Single Photon Emission Computed Tomography Computed Tomography
  • Surgery, Computer-Assisted / methods*
  • Surgery, Computer-Assisted / trends

Substances

  • Fluorescent Dyes
  • Radiopharmaceuticals