Mediastinal Mass Biospy
A mediastinal mass 3mm of aorta and trachea, posted for biopsy.
Challenge : A 20mm mass, 3mm of aorta and trachea needs precise plan through intercostal space.
Procedure : A mass 3mm of aorta, targeted with targeting device through intercostals space without traumatizing aorta and trachea.
Target Depth : 87mm
Target Size : 20mm
Distance from Aorta: 3mm
Lung Mass Biopsy
A mass in right lung posted for biopsy.
Challenge : Precise trajectory plan needed to reach the lung mass through intercostal space.
Procedure : Biopsy and FNAC done for a lung mass with targeting device in a single pass.
Target Depth : 66mm
Orbital Angle : 27.34°
Mediastinal Biopsy
A patient with mediastinal mass, 3mm of aorta and trachea planned for biopsy
Challenge : Needs posterior approach to reach deep seated mediastinal mass. Overshoot of the needle may traumatize critical blood vessel.
Procedure : FNAC and biopsy done with targeting device for the deep seated mediastinal mass.
Target Depth : 108mm
Distance from Aorta : 3mm
Biopsy of Para Vertebral Lung Mass
A patient with paravertebral lung mass,posted for biopsy
Challenge : Need precise plan through narrow space between rib & vertebra
Procedure : A paravertebral lung mass targeted with targeting device through intercostal without involving lung parenchyma.
Target Depth : 68mm
Orbital Angle : 16.5°
Biopsy of Lower Lobe Lung Mass
A patient with lung mass right lower lobe,planned for core biopsy
Challenge : Since the mass very close to diaphragm, it was moving up and down with respiration. Precise orbital angle needed to avoid lung tissue.
Procedure : Core biopsy of lung mass close to diaphragm performed with targeting device using medspira interactive breath-hold system to synchronize with breath hold.
Target Depth : 62mm
Orbital Angle : 25.84°
Subcentimeter Lung Nodule FNAC
7mm nodule in left lung posted for FNAC
Challenge : Need a precise angle and depth to target 7mm lung nodule.
Procedure : A small 7mm lung lesion targeted with targeting device and FNAC done through intercostal space
Target Depth : 65mm
Target Size : 7mm
Solitary Pulmonary Nodule FNAC
Solitary pulmonary nodule in the right upper lobe, posted for FNAC
Challenge : The nodule surrounded by ribs and scapula. Precise cranio-caudal and orbital angle needed to reach the target.
Procedure : A 12 mm of mass targeted with targeting device through intercostal space with 3D angle (cranio-caudal and orbital).
FNAC of Lung Nodule
FNAC was planned for a 7mm nodule in medial segment of the right middle lobe
Challenge : Targeting a nodule, 3mm of aorta and 6mm of right bronchus needs precise trrajectory.
Procedure : A lung nodule between right bronchus and aorta targeted with targeting device through intercostal space without traumatizing vital structures.
Target Depth : 91mm
Distance from Right Bronchus: 6mm
Distance from Aorta : 3mm
Mediastinal Mass FNAC
A mediastinal mass at subcarinal space, posted for FNAC
Challenge : Precise orbital angle and accurate depth required to reach the mass at subcarinal space, needle over shoot may injure critical blood vessels.
Procedure : A mediastinal mass, 2mm of right bronchus and pulmonary vessels targeted with targeting device through intercostal space without traumatizing pulmonary vessels and right bronchus.
Target Depth : 109mm
Target Size : 5x6mm
Distance from Right Bronchus : 2mm
Orbital Angle : 27.9°
Liver Biopsy with 3D Angle Plan
A liver mass, posted for core biopsy
Challenge : Cranial and orbital angle needed to reach the target without involving lung parenchyma.
Procedure : The biopsy performed carefully with targeting device at 22° orbital and 18° cranial angulations (3D angulations) at mid liver level. Needle tip reached target as per plan without traumatizing lung tissue.
Target Depth : 84mm
Target Size : 20mm
Vertebral Bone Biopsy
Vertebral body lesion posted for bone biopsy
Challenge : Precise planning needed to reach soft tissue component of vertebra through psoas muscle.
Procedure : A lesion within body of the vertebra targeted with targeting device in a single pass, through psoas muscle without traumatizing vital abdominal structures.
Target Depth : 102mm
Distance from Aorta : 3mm
Orbital Angle : 44°
Retrocrural Lesion Biopsy
A lesion at retrocrural region, attached to vertebra posted for biopsy
Challenge : Precise plan needed to reach the lesion without traumatizing abdominal vital structures.
Procedure : Retrocrural mass targeted with targeting device without traumatizing aorta and other vital structures.
Target Depth : 85mm
Target Size : 20mm
Pancreatic Head Lesion
A patient with mass in the pancreatic head, posted for core biopsy
Challenge : Need precise cranio-caudal, orbital angle and accurate depth to reach target without involving critical structures.
Procedure : A pancreatic head lesion precisely targeted with 3D angle with targeting device, without traumatizing blood vessels.
Target Depth : 83mm
Orbital Angle : 30.64°
CC Angle : 10.53°
Vertebral Biopsy
A patient with lytic lesion within the body of vertebra, posted for bone biopsy
Challenge : Precise planning needed to reach the lesion through pedicle.
Procedure : A lytic lesion in body of the vertebra, targeted with targeting device in a single pass.
Target Depth : 108mm
Target Size : 15mm
Para vertebral Lymph Node Biopsy
A patient with multiple para-aortic lymph node, posted for biopsy
Challenge : Precise plan need to reach 22mm mass, surrounded bowel loops and blood vessels.
Procedure : A lymph node targeted with targeting device precisely through psoas muscle without traumatizing vital structures in abdomen.
Target Depth : 97mm
Target Size : 22mm
Distance from Renal Vein : 3mm
Retroperitoneal Mass Biopsy
A mass attached to vertebra in retroperitonealregion, posted for biopsy
Challenge : Precise plan needed through space between kidney and vertebra to reach deep seated retroperitoneal mass.
Procedure : Biopsy done for deep seated mass with targeting device without traumatizing renal vessels.
Target Depth : 97mm
Target Size : 25mm
Biopsy-Renal Mass
SOL in lower pole of kidney planned for biopsy
Challenge : Needs precise trajectory for posterior oblique approach through psoas muscle to reach the target.
Procedure : Renal mass precisely targeted with targeting device through psoas muscle without traumatizing bowel loops.
Target Depth : 114mm
Orbital Angle : 20°
Pelvic Mass Biopsy
A mass in pelvic region, posted for biopsy
Challenge : Precise plan needed with orbital angle between iliac bone and bowel loops.
Procedure : A pelvic mass attached to iliac bone targeted with targeting device without traumatizing pelvic organs.
Target Depth : 87mm
Orbital Angle : 18.79°
Inguinal Lymph Node Biopsy
A lymph node in inguinal region, posted for biopsy
Challenge : Precise plan needed to reach 10mm lymph node, 2mm of femoral artery.
Procedure : A lymph node targeted with targeting device without traumatizing femoral artery.
Target Depth : 53mm
Target Size : 10mm
Vertebral Abscess Drainage
Vertebral body abscess posted for drainage
Challenge : Reaching vertebral body through pedicle needs precise cranial and medial angulations (3D angulation).
Procedure : Vertebral abscess successfully drained through pedicle with 3D angulations by single pass.
Target Depth : 97mm
CC Angle : 10.56°
Orbital Angle : 16.57°