Mariano Giménez1,2,3, Benôit Gallix2,4, Guido Costamagna5, Jean-Nicolas Vauthey6, Michael Moche7, Go Wakabayashi8, Reto Bale9, Lee Swanström2, Jürgen Futterer10, David Geller11, Juan M Verde1,2,3, Alain García Vazquez1,2,3, Ivo Boškoski5, Nicolas Golse12, Beat Müller-Stich13, Bernard Dallemagne1,2,14, Mårten Falkenberg15, Sven Jonas16, Carina Riediger17, Michele Diana1, Niklas Kvarnström18, Bruno C Odisio19, Edgardo Serra3, Christiaan Overduin20, Mariano Palermo3, Didier Mutter1,2,14, Silvana Perretta1,2,14, Patrick Pessaux1,2,14, Luc Soler21, Alexandre Hostettler1, Toby Collins2, Stéphane Cotin22, Michael Kostrzewa2, Amilcar Alzaga23, Martin Smith24, Jacques Marescaux1,2. 1. Research Institute against Cancer of the Digestive System (IRCAD), Strasbourg, France. 2. Institut Hospitalo-Universitaire IHU, University of Strasbourg, Strasbourg, France. 3. DAICIM Foundation, Buenos Aires, Argentina. 4. Department of Radiology, McGill University & Health Centre, Quebec, Canada. 5. Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, and Centre for Endoscopic Research Therapeutics and Training (CERTT), Università Cattolica del Sacro Cuore, Rome, Italy. 6. Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. 7. Department of Interventional Radiology, Helios Park-Klinikum, Leipzig, Germany. 8. Department of Surgery, Ageo Central General Hospital, Saitama, Japan. 9. Interventional Oncology-Microinvasive Therapy (SIP), University Clinic for Radiology, Medical University, Innsbruck, Austria. 10. Radboud University Medical Center, Nijmegen, The Netherlands. 11. Division of Hepatobiliary and Pancreatic Surgery, University of Pittsburgh, Pittsburgh, PA. 12. Centre Hépato-Biliaire, Hôpital Paul Brousse, Villejuif, France. 13. Minimally Invasive Surgery, Surgical Clinic University Hospital, Heidelberg, Germany. 14. Service de Chirurgie Digestive & Endocrinienne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France. 15. Department of Radiology at the Department of Clinical Sciences, Sahlgrenska University Hospital, Gothenburg, Sweden. 16. Department of Visceral Surgery, 310Klinik, Nuremberg, Germany. 17. Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany. 18. Department of Surgery at Institute of Clinical Sciences, Sahlgrenska University Hospital, Gothenburg, Sweden. 19. Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX. 20. Radboud University Medical Centre, Nijmegen, The Netherlands. 21. Visible Patient, Strasbourg, France. 22. INRIA, Strasbourg. France. 23. Advanced Therapies Surgery, Siemens, Forchheim, Germany. 24. ‡‡‡Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.
Abstract
OBJECTIVE: To develop consensus definitions of image-guided surgery, computer-assisted surgery, hybrid operating room, and surgical navigation systems. SUMMARY BACKGROUND DATA: The use of minimally invasive procedures has increased tremendously over the past 2 decades, but terminology related to image-guided minimally invasive procedures has not been standardized, which is a barrier to clear communication. METHODS: Experts in image-guided techniques and specialized engineers were invited to engage in a systematic process to develop consensus definitions of the key terms listed above. The process was designed following review of common consensus-development methodologies and included participation in 4 online surveys and a post-surveys face-to-face panel meeting held in Strasbourg, France. RESULTS: The experts settled on the terms computer-assisted surgery and intervention, image-guided surgery and intervention, hybrid operating room, and guidance systems and agreed-upon definitions of these terms, with rates of consensus of more than 80% for each term. The methodology used proved to be a compelling strategy to overcome the current difficulties related to data growth rates and technological convergence in this field. CONCLUSIONS: Our multidisciplinary collaborative approach resulted in consensus definitions that may improve communication, knowledge transfer, collaboration, and research in the rapidly changing field of image-guided minimally invasive techniques.
OBJECTIVE: To develop consensus definitions of image-guided surgery, computer-assisted surgery, hybrid operating room, and surgical navigation systems. SUMMARY BACKGROUND DATA: The use of minimally invasive procedures has increased tremendously over the past 2 decades, but terminology related to image-guided minimally invasive procedures has not been standardized, which is a barrier to clear communication. METHODS: Experts in image-guided techniques and specialized engineers were invited to engage in a systematic process to develop consensus definitions of the key terms listed above. The process was designed following review of common consensus-development methodologies and included participation in 4 online surveys and a post-surveys face-to-face panel meeting held in Strasbourg, France. RESULTS: The experts settled on the terms computer-assisted surgery and intervention, image-guided surgery and intervention, hybrid operating room, and guidance systems and agreed-upon definitions of these terms, with rates of consensus of more than 80% for each term. The methodology used proved to be a compelling strategy to overcome the current difficulties related to data growth rates and technological convergence in this field. CONCLUSIONS: Our multidisciplinary collaborative approach resulted in consensus definitions that may improve communication, knowledge transfer, collaboration, and research in the rapidly changing field of image-guided minimally invasive techniques.
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