You may need a follow-up exam. This results in more detail. If you have a known allergy to contrast material, your doctor may prescribe medications (usually a steroid) to reduce the risk of an allergic reaction. 0000051629 00000 n The patient should be positioned in the bed, head generally positioned to the right for FESS. Use of bone anchoring device in electromagnetic computer-assisted navigation in lateral skull base surgery. 0000002785 00000 n NB: This article aims to frame a general concept of a CT protocol for the assessment of the paranasal sinuses. H\n0yC$ian@tH#@!(/k'$+WNYx+ae' `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Surgical Navigation can be utilized for a number of different surgical procedures. CT Brain Special Protocols Computed tomography special protocols are ordered for specific requirements or surgical planning involving the brain. This unit has both electromagnetic and optical capabilities. CT paranasal sinus (protocol). <> stream At UIHC, this is equipment is kept in a mobile storage unit that can be positioned outside the room prior to the start of the case. A CT scan of the face produces images that also show a patient's paranasal sinus cavities. ENT Navigation Solutions You may feel a need to urinate. They will cover the tiny hole made by the needle with a small dressing. 21151 Pomerantz Family Pavilion J Laryngol Otol. CT scanning protocol 3D SYSTEMS CT scanning protocol A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. 0000052095 00000 n 0000108626 00000 n 0000010968 00000 n 0000052054 00000 n Return toParanasal Sinus Surgery Protocols. CT has been shown to be a cost-effective imaging tool for a wide range of clinical problems. %PDF-1.4 endobj Update my browser now. The patient may also be positioned face-down with the chin elevated. 0000005578 00000 n o Coronal scans from anterior maxilla to sella. /Matrix [1 0 0 -1 0 792] 0000001928 00000 n It is usually performed as a non-contrast study. 0000111362 00000 n xQ_GMBfhf=9uv:'n-bL'7>|_>%QQw? Patient undergoing computed tomography (CT) scan. Ear, Nose & Throat q Image 1: AxiEM System powerbox with cords for connecting to the base unit. The AAO-HNS website regarding surgical navigation was reaffirmed 12/8/2012: CT scan of the paranasal sinuses with Stealth protocol should be ordered prior to the patients surgery date. 0000014254 00000 n In neoplastic, inflammatory and infectious disorders, a CT scan of the paranasal sinuses is performed to demonstrate bony erosions, osteolytic lesions, and calcifications. 0000051976 00000 n 0000132692 00000 n NB: This article aims to frame a general concept of a CT protocol for the assessment of the paranasal sinuses. 0000001396 00000 n NPO four hours prior to exam (no food or drink). A radiologist, a doctor specially trained to supervise and interpret radiology exams, will analyze the images. Risks for a CT scan includes: Being exposed to radiation; Allergic reaction to contrast dye ; CT scans expose you to more radiation than regular x-rays. 2018;46(6):937-941. 0000051941 00000 n The CT paranasal sinus protocolserves as an examination for the assessment of the study of the mucosa and bone system of the sinonasal cavities. Computed tomography special protocols are ordered for specific requirements or surgical planning involving the brain. 0000007874 00000 n <> Acta Oto-Laryngologica, 133:10, 1047-1052, 2013, Stelter K, et al, Evaluation of an image-guided navigation system in the training of functional endoscopic sinus surgeons. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Even though some centers use a unique acquisition protocol, many centers still have a specific 3D navigation protocol and a specific standard CT protocol for sinus CT scans . CT scans are minimally-invasive and can accurately help doctors diagnose nose and sinus issues. Protocol specifics will vary depending . Centrifugal frontal sinus dissection technique: addressing anterior and posterior frontoethmoidal air cells. Image-guided surgery has become an industry standard for many endoscopic sinus surgeries. 0000006508 00000 n 0000051505 00000 n . The doctor may administer contrast material intravenously (by vein), so you will feel a pin prick when the nurse inserts the needle into your vein. Q A typical CT of the paranasal sinus may be as follows: Typical indications include the following: The purpose of a CT scan of the paranasal sinuses is to visualize the possible presence of inflammatory or newly formed tissue in the context of the paranasal cavities. 2006 Apr;116(4):564-72. If you have a hard time staying still, are claustrophobic, or have chronic pain, you may find a CT exam to be stressful. The University of Iowa does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on this web site. 3 0 obj As a separate examination, it is most often performed as a non-contrast study. In our study, 24% (4/17) of pediatric patients and 41% (21/51) of adult patients undergoing 3D navigation sinus CT had already had a sinus CT for the same episode of care. 0000013974 00000 n The CT paranasal sinus protocol serves such in examination for the assessment starting the study of the thick and bone netz of the sinonasal cavities. Rad Director will be notified if this occurs without prior approval. A special computer program processes this large volume of data to create two-dimensional cross-sectional images of your body. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Only one CT contrast study should be scheduled within a 48 hour period. RadiologyInfo.org is not a medical facility. Recognition and utilization of surgical landmarks is imperative for the surgeon. 0000005130 00000 n The technologist begins by positioning patients on the CT examination table. Copyright 2023 Radiological Society of North America, Inc. (RSNA). 0000006544 00000 n Stryker ENT navigation system powered by Scopis software allows the analysis and identification of sinus cells in the complex patient anatomy and planning of the natural drainage pathways through the sinus cavity. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000008479 00000 n Multidetector CT reduces the amount of time that the patient needs to lie still. StealthStation ENT navigation system offers electromagnetic technology that expands what was previously possible with image-guided surgery so you can see more, do more. Image-guided sinus surgery: practical and financial experiences from a UK centre 2001-2009. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ This is accomplished through: Benefits of image-guided navigated surgery include improvements in visualization, enabling surgeons to work within complex sinus anatomy and optimize surgical strategies for their patients.5-9. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000107947 00000 n 0000004165 00000 n After the ostiomeatal complex is accessed through the nostril with a rigid endoscope, the ostia and recesses are targeted, depending on the location and pattern of disease. BUN and creatininemustbe done within 72 hours of the scan. This will pass. Sometimes a follow-up exam further evaluates a potential issue with more views or a special imaging technique. Tell your doctor if there's a possibility you are pregnant and discuss any recent illnesses, medical conditions, medications you're taking, and allergies. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Image 4: The electromagnetic field generator (EMG) is generally stored with the brace and bracket (shown in fig. A person who is very large may not fit into the opening of a conventional CT scanner. However, the technologist will always be able to see, hear and speak with you through a built-in intercom system. However, these are only side effects of the contrast injection, and they subside quickly. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000051668 00000 n Introduction. 0000013731 00000 n World Neurosurg. ADVERTISEMENT: Supporters see fewer/no ads, from the hard palate to above the end of the frontal sinuses, bone kernel (e.g. 0000127121 00000 n CT scans can provide much more detailed information about the anatomy and abnormalities of the paranasal sinuses than plain films. Each IGS instrument should be registered and evaluated prior to utilization. Learn more about our additional products for FESS and their potential benefits for you and your patients. A CT scan of the sinus is first taken to locate the blockages and programmed into the Stryker's computer. Web Privacy Policy | Nondiscrimination Statement. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ A conventional x-ray exam directs a small amount of radiation through the body part under examination. The technologist will be able to hear and talk to you using a speaker and microphone. Some imaging tests and treatments have special pediatric considerations. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The costs for specific medical imaging tests, treatments and procedures may vary by geographic region. Surgeon and OR staff ensure the appropriate equipment are available and present in or near the OR room prior to transport of the patient to the OR. Mert A, et al. This is where the technologist operates the scanner and monitors your exam in direct visual contact. 0000003480 00000 n Thus, it should be utilized as the adjunct and should not be viewed as a substitute for surgical knowledge and anatomical familiarity with the surgical region. endobj 0000007384 00000 n 0000002899 00000 n <]/Prev 546335/XRefStm 1759>> Which test, procedure or treatment is best for me? Image-guided navigation systems used in endoscopic sinus surgery have shown a reduction in the need for revision surgeries. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Treon Plus: Infrared light based unit currently utilized at the VA in Iowa City. University of Iowa It is built on decades of scientific, clinical and engineering research. For children, the radiologist will adjust the CT scanner technique to their size and the area of interest to reduce the radiation dose. 0000003434 00000 n /XObject <>>> 0000005017 00000 n Scanning and registration protocols that enable accuracy StealthMerge ENT software that fuses different imaging modalities (CT, MRI) together for improved visualization Instruments that are designed and calibrated for use in image-guided surgery Benefits of image-guided surgery for ENT procedures 4 0 obj There are four pairs of sinuses, each connected to the nasal cavity by small openings. 0000052286 00000 n 0000008617 00000 n 0000002736 00000 n detect the presence of inflammatory diseases. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ % If you choose to logout it will log you out from all the applications. The use of image-guided surgery in endoscopic sinus surgery: an evidence-based review with recommendations. 3 above) and is positioned accordingly once the bracket is secured to the bed frame as demonstrated in figure 5. CT scans in children should always be done with low-dose technique. Including: CT of the brain (or spine) with stealth protocol. 0000006140 00000 n 0000001403 00000 n `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ To the left of the picture are inputs for the EGM cords (shown in figure 4). Different body parts absorb x-rays in different amounts. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000009151 00000 n 0000111296 00000 n 0000009630 00000 n Air appears black. 0000013851 00000 n 0000014832 00000 n The system displays the images on a computer monitor. Although the standards discussed herein reflect the University of Iowa's head and neck protocols, reliance on any information provided herein is solely at your own risk. These multi-slice (multidetector) CT scanners obtain thinner slices in less time. 0000015016 00000 n <> The technologist may ask you to hold your breath during the scanning. HnS1SN?V6!1 $Rhx{$+M_'KvG:{v`mw?O;8;[__XLw,J.LPhTX(e!/^e# 2"l-0)W[. At the time the article was created Fabio Macori had no recorded disclosures. After a CT exam, the technologist will remove your intravenous line. %PDF-1.4 % Accessed November 17, 2009. They should not have repeated CT exams unless necessary. 2012;126(12):1224-1230. This exam does not commonly require contrast material; however, in some situations your doctor may request that contrast material be given. It is also used to create intraoperative road maps. endstream CT of the brain with Lorenz protocol. endobj Sometimes, the exam table will move during the scan. Better surgical outcome by image-guided navigation system in endoscopic removal of sinonasal inverted papilloma. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Uses a special computer system for image-guided surgeries. 8t4c-mc\XrZkM_L-*p|EbizJ::E;iH82RgU9'Xi) "u$u/LYLfl7mn!. With CT scanning, several x-ray beams and electronic x-ray detectors rotate around you. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The paranasal sinusesare hollow, air-filled spaces located within the bones of the face and surrounding the nasal cavity, a system of air channels connecting the nose with the back of the throat. CT is less sensitive to patient movement than MRI. Computed tomography, more commonly known as a CT or CAT scan, is a diagnostic medical imaging test. Endoscopic sinus surgery with and without computer assisted navigation: A retrospective study. Stryker ENT navigation system powered by Scopis software allows the analysis and identification of sinus cells in the complex patient anatomy and planning of the natural drainage pathways through the sinus cavity. Next, the table will move quickly through the scanner to determine the correct starting position for the scans. endobj For example, sometimes a parent wearing a lead shield may stay in the room with their child. CT is beneficial in studying chronic disease of the paranasal sinuses, not least to assess whether it has spread to surrounding structures. For a CT scan of the sinuses, the patient is most commonly positioned lying flat on the back. 0000014189 00000 n 2013;3(3):236-241. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 1`,n::&a?k4zeCn7|Q6qInl|@@@@@?}6}'7n5~e&>'Sj&1 ;jo/Nv$[fo|wPt&Gspl?So.rE%?;~ > N+[LW{ Tell your doctor about all medications you are taking and if you have any allergies. It is usually performed as a non-contrast study. CrSC^{6`yJ V5//()PgC1!AR $2KifepQ#v? Image-Guided Surgery Products This unit has a variety of software packages available for Neurosurgery, Spine and Orthopedic procedures among others. hbb2a`b``3 n 9 The CT paranasal sinus protocol serves as an examination for the assessment of the study of the mucosa and bone system of the sinonasal cavities. Medtronic offers more than 5,000 products and instruments for ENT specialists. These occur as the CT scanner's internal parts, not usually visible to you, revolve around you during the imaging process. Trade mark is and ctsinus stryker protocol was required for this solution to the anatomic compartments. CT is the most reliable imaging technique for determining if the sinuses are obstructed. Nearly all CT scanners can obtain multiple slices in a single rotation. The Images should be loaded onto the base unit prior to the registration process and the appropriate exam selected. What will I experience during and after the procedure? If so, your doctor will explain why. Surgical Navigation at UIHC is currently achieved with Medtronic Fusion IGS (Image Guided Surgery) system. Any of these conditions may increase the risk of an adverse effect. 0000009020 00000 n If a Stealth protocol CT cannot be obtained, a normal sinus CT can be utilized but may not provide the same level of accuracy. A CT scan of the face produces images that also show a patient's paranasal sinus cavities. With modern CT scanners, you may hear slight buzzing, clicking and whirring sounds. > bjbj00 ZgZg_ V V 8 4 L = ^ . 2023 Cedars-Sinai. Int Forum Allergy Rhinol. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Stryker. There is always a slight chance of cancer from excessive exposure to radiation. Leave them at home or remove them prior to your exam. It is imperative that the correct patient, study from the desired date and the appropriate anatomical study are selected. 2014;82(6 Suppl):S95-105. 0000001759 00000 n d ;w&$@B!Cp "**((((+.x,f_Ut:3==!(/3SzI"D!BHp!~"DC {Wgd\I-[lm/~{C}ac}8qF=zP+{{v!~aaak 7fyw]Z!B,X7x7b\ID@acO?) CT has become a useful diagnostic modality in the evaluation of the paranasal sinuses and an integral part of surgical planning. Strauss G, et al. 0000001941 00000 n Y%~%b+1s6epsK_? 0000052208 00000 n Recommended protocol for medical CT scanners Patient positioning Scan Spacing: Less than 1.25 mm (equal to slice thickness) Slice Thickness: Less than 1.25 mm (equal to scan spacing) . ?=g}G'U8Q9{0vs2~XE` l@ endstream endobj 360 0 obj <> endobj 361 0 obj <> endobj 362 0 obj <> endobj 363 0 obj <> endobj 364 0 obj <>stream Yao WC, et al. Deviated Septum The nasal septum has cartilage and bone that divide your nose's nasal cavity in two. Procedures and Techniques, Whether you're performing functional endoscopic sinus surgery (FESS) or operating in the skull base,meta-analyses on commercial image-guided navigation systems, like StealthStation ENT system, suggest a reduction in major complications during endoscopic sinus surgery compared with non-image guided procedures.1-3. 0000006620 00000 n `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ GE VCT Protocols. /Length 40>> stream 200 Hawkins Drive What are some common uses of the procedure? 0000004568 00000 n This will be determined by the ordering physician and/or the imaging physician. 7 0 obj You may need to remove any piercings, if possible. A 501(c)(3) nonprofit organization, Adler/Nail and Cedars-Sinai Research for Women's Cancers P.E.T. 0000002850 00000 n 0000010404 00000 n Nothing but clear liquid after midnight before the scan. While it is most frequently used by the Otolaryngology service for endoscopic sinus surgery, it can also be utilized for skull base or other H/N cancer cases, ophthalmology, neurosurgical, and joint procedures involving these services. The risk of serious allergic reaction to contrast materials that contain iodine is extremely rare, and radiology departments are well-equipped to deal with them. CTDI: ~10-20 mGy Place skin marker on the patient's right cheek prior to scanning Setup: Head first supine , lateral scout from below the chin through the top of the skull Patient positioned so that the IOML is perpendicular to the table top Only use the flat sponge , NO LENS SHIELD TO BE USED You will be alone in the exam room during the CT scan, unless there are special circumstances. Stereotactic anatomical localization in complex sinus surgery: A systematic review and meta-analysis. Z}8Y.u| u7/K]I2d kBqe|$L0et76+W&7 ]&lc6Mc@i2Y5i*QXGbE:jC9_S|M0-u?0skO'33Lk\e\e!}i! Lower Lip Bump - Mucocele verus Mucus Retention Cyst, The AAO-HNS currently maintains surgical navigation systems are deemed appropriate in "select cases to assist the surgeon in clarifying complex anatomy during sinus and skull base surgery.". With pediatric patients, a parent may be allowed in the room but may need to wear a lead apron to minimize radiation exposure. provide additional information about tumors of the nasal cavity and sinuses. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ o7uFaaL6mlH1$Y{ [) Zz_Ea\[)dZSc;/MmtK}($^E0wbj V-/6&U0AO)&UKl sZX'&V!$Z07d]&O+|^xp9&_o*s+4[[oSqmNuVKmEY~0D_l|hdI$uwC)p/h! `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ CT of the brain (or spine) with stealth protocol. If additional information is needed to determine the extent of soft tissue of the tumor, magnetic resonance imaging (MRI) may be helpful. The IGS serves as a useful tool in assisting with difficult areas, but the system itself is inherent to built in and user error. 0000119634 00000 n Otolaryngol Clin North Am. Head and Neck Imaging - 2 Volume Set. 0000111556 00000 n `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ This loss of image quality can resemble the blurring seen on a photograph taken of a moving object. 0000006850 00000 n 0000003862 00000 n However, the risk from any one scan is very small. The CT lumbar spine or L-spine protocol serves as an examination for the assessment of the lumbar spine. Meta-analyses on commercial image-guided navigation systems suggest a reduction in major complications during endoscopic sinus surgery compared with non-image guided procedures. 0000014919 00000 n hbbe`b``3 ` endstream endobj 349 0 obj <>/Metadata 49 0 R/OpenAction 350 0 R/Pages 48 0 R/StructTreeRoot 51 0 R/Type/Catalog/ViewerPreferences<>>> endobj 350 0 obj <> endobj 351 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 792.0 612.0]/Type/Page>> endobj 352 0 obj <> endobj 353 0 obj <> endobj 354 0 obj <>stream Figure 3A, 3B shows the CT appearance after FESS. The traditional frame-based study demands a compatible head-containing stereotactic system (frame and skull screws) that should be well visualized on images and must be artifact-free. CT STEALTH PROTOCOL (HEAD / FACIAL BONES WITHOUT IV CONTRAST) NOTES: LMP on pts of child-bearing age Shield children when possible Follow GFR and metformin protocol for contrast studies Any deviation from protocol MUST be Radiologist approved. This protocol is mainly used to perform a biopsy of the brain and in some functional neurosurgeries. 0000014497 00000 n It may also see if there has been any change in an issue over time. The StealthStation ENT is a navigation system for your most basic to your most complex cases. CT scanning is painless, noninvasive, and accurate. An advanced navigation protocol for endoscopic transsphenoidal surgery. Keep reading to know what we look for in a CT scan of the sinuses. Image-guided surgery with theStealthStation ENT Navigation Systemcan be used to surgically navigate tumors and lesions affecting the anterior and lateral skull base. CT is usually the first test ordered when a sinus tumor is suspected. This will be determined by the ordering physician and/or the imaging physician. Cq Modern CT scanners can image large sections of the body in just a few seconds, and even faster in small children. The aim of FESS is to preserve mucosa while restoring drainage and ventilation of the sinuses. ]$"D o]\\o:w2qP?O^aAvv]{@o#F 612 0 0 -792 0 792 cm If neoplasia is suspected, the use of an intravenous contrast medium is indicated. 0000110965 00000 n This study should be downloaded from the server or onto a CD to be taken to the OR. endstream ! ?,8!o?:g,96Z9v-:fJ4)0<9(/dJJ_aYKoP;H,Abtx+Sg{tm&.,+d[w9qkM|]"O)s5q>BSM&U[~Y:FR4~ c endstream endobj 356 0 obj <> endobj 357 0 obj <>stream The contents of this web site are for information purposes only, and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Computed tomography (CT) of the sinuses uses special x-ray equipment to evaluate the paranasal sinus cavities hollow, air-filled spaces within the bones of the face surrounding the nasal cavity. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The hand denotes child-specific content. The surgeon should ensure the desired patient, date of study, and anatomical location are obtained. <> stream 0000051427 00000 n The anatomy will certainly change with the progression of the procedure. 0000014366 00000 n 0000002669 00000 n These measure the amount of radiation being absorbed throughout your body. 0000136210 00000 n 0000011190 00000 n hBk$u>ZM5t]Ko=`3]ZPZT"m3nf7,|ddQJIA/dUYr%df-/-N 4~@yhr Then, the table will move slowly through the machine for the actual CT scan. 0000116114 00000 n When the computer software reassembles the image slices, the result is a very detailed multidimensional view of the body's interior. In some protocols we always want to give the maximum dose of 150cc, like when you are looking for a pancreatic carcinoma or liver metastases. Image-guided surgery influences perioperative morbidity from endoscopic sinus surgery: a systematic review and meta-analysis. NB: This article aims to frame a general concept of a CT protocol for the assessment of the paranasal sinuses. Image 3: The equipment shown here is required for the positioning the Electromagnetic Field Generator (EMG seen in figure 4) within the space adjacent to the surgical field. You can return to your normal activities immediately. hb``b``- l@qg 07"L6,. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000014431 00000 n Protocol specifics will vary depending on CT scanner type, specific hardware and software, radiologist and perhaps referrer preference, and patient factors, e.g. 0000011309 00000 n It's also the most reliable imaging technique for determining if the sinuses are obstructed and the best imaging modality for sinusitis. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Avon 35 Nod Road Bloomfield 673 Cottage Grove Road Enfield 9 Cranbrook Blvd Glastonbury 31 Sycamore Street 2021 MRI Scan Exam CPT Codes* Brain / MRA Brain x] xE These special procedures are indicated for specific treatment planning. What is CT (Computed Tomography) of the Sinuses? Fusion: Standalone, electromagnetic based ENT image guidance system. the possible presence of brain aneurysms, tumors, etc. D.:%PyGTz.Rp4*H. If you have a known allergy to contrast material, your doctor may prescribe medications to reduce the risk of an allergic reaction. The StealthStation S8 surgical navigation system has an intuitive interface, improved patient registration software, and advanced visualization to navigate neurosurgery procedures. Like traditional x-rays, it produces multiple images or pictures of the inside of the body. 0000013608 00000 n Evaluation of a navigation system for ENT with surgical efficiency criteria. The paranasal sinuses are hollow, air-filled spaces located within the bones of the face and surrounding the nasal cavity, a system of air channels connecting the nose with the back of the throat. The optical capability refers to the infrared light based camera that monitors reflections from the spheres placed on the surgical instrumentation. 150 to 400 HU). If the exam uses iodinated contrast material, your doctor will screen you for chronic or acute kidney disease. Intra-Operative Use of Computer Aided Surgery. 0000107765 00000 n To help ensure current and accurate information, we do not permit copying but encourage linking to this site.

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