ct sinus stryker protocol

endstream endobj 341 0 obj <>/Metadata 56 0 R/Pages 55 0 R/StructTreeRoot 58 0 R/Type/Catalog/ViewerPreferences<>>> endobj 342 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 841.89 595.276]/Type/Page>> endobj 343 0 obj <> endobj 344 0 obj <> endobj 345 0 obj <>stream A radiologist, a doctor specially trained to supervise and interpret radiology exams, will analyze the images. CT scans are minimally-invasive and can accurately help doctors diagnose nose and sinus issues. Head and Neck Imaging - 2 Volume Set. 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. xQ_GMBfhf=9uv:'n-bL'7>|_>%QQw? 0000107947 00000 n 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. This unit has both electromagnetic and optical capabilities. `l\/ c+f>@@@@@V &x&p'@@@@@sb++ 0000003480 00000 n . Recognition and utilization of surgical landmarks is imperative for the surgeon. Acute Stroke - Brain. In addition, in the case of planned surgery, imaging can provide the surgeon with necessary information regarding any anatomical variants and allow the diagnosis of clinically silent diseases, e.g. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The radiologist will send an official report to the doctor who ordered the exam. 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. Home 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. Web Privacy Policy | Nondiscrimination Statement. However, the benefit of an accurate diagnosis far outweighs the risk involved with CT scanning. 0000002620 00000 n 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. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000004165 00000 n `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ PDF .6 / 0/ 5 /-./ /./ / *-/ [D+tb%r 3@s1e` 0000108025 00000 n The American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS) endorses the use of image-guided surgery for procedures including4: Medtronic offers powered and manual instruments that are specially designed for a broad variety of FESS procedures. 0000014920 00000 n endobj 340 54 0000014254 00000 n Masterson L, et al. 0000111556 00000 n 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. A major advantage of CT is its ability to image bone, soft tissue, and blood vessels all at the same time. At the time the article was last revised Andrew Murphy had With an updated browser, you will have a better Medtronic website experience. CT scans in children should always be done with low-dose technique. Brain (CTA) Brain (helical adult) CTA Carotid and Brain. 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. 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 `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ CT scanning is painless, noninvasive and accurate. 0000006508 00000 n 0000003434 00000 n Your doctor may instruct you to not eat or drink anything for a few hours before your exam if it will use contrast material. CT/MRI Stryker Protocol | Medical Billing and Coding Forum - AAPC x] xE Figure 2A, 2B, 2C, 2D shows the steps of the FESS technique. <> endobj startxref inbqo@O[nF{su:t(//A (hA222=h)D'@/w8}{aaaEB[xxeqJyg-w3h7 . `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 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. Managing Editors: Sarah Elliott, Kay Klein, Claire Davis You will lie on a narrow table that slides in and out of this short tunnel. 8t4c-mc\XrZkM_L-*p|EbizJ::E;iH82RgU9'Xi) "u$u/LYLfl7mn!. Fusion: Standalone, electromagnetic based ENT image guidance system. A CT scan of the sinus is first taken to locate the blockages and programmed into the Stryker's computer. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 6 0 obj Image 5: The power station is secured to the bed with the EMG cord plugged in (shown here), along with the power cord and base unit connection cords (see fig. 0000010404 00000 n CT exams are generally painless, fast, and easy. For example, sometimes a parent wearing a lead shield may stay in the room with their child. The technologist may ask you to hold your breath during the scanning. Image-Guided Surgery Products 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. During surgery, the planned pathways are overlaid in real-time onto the endoscopic image, providing you with unique Scopis augmented reality technology. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Stealth 7 (S7): Utilized in the main OR at UIHC. PDF CT scanning protocol - Stryker CMF RadiologyInfo.org is not a medical facility. (New protocols can be added as requested) ENT CT Protocols* CT Maxillofacial; CT Parathyroid 4D; CT Sinus; CT Surgical Sinus (Fiagon, Medtronic, Stealth, Stryker) CT Soft Tissue Neck; CT Temporal Bone and/or IAC; CTA Brain & Neck; ENT MRI Sequence* MR . The IGS instrumentation and registration protocols will vary with based on the brand and model of the system used. Meta-analyses on commercial image-guided navigation systems suggest a reduction in major complications during endoscopic sinus surgery compared with non-image guided procedures. 0000001746 00000 n `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The quality of the CT or CBCT scan is the most important aspect of creating 0000004204 00000 n The Department of Otolaryngology and the University of Iowa wish to acknowledge the support of those who share our goal in improving the care of patients we serve. 0000052095 00000 n H"BB^{NMMedC=q?oz-R. Computed Tomography (CT or CAT Scan) - RadiologyInfo - The. Scopis is a next-generation solution for navigating functional endoscopic sinus surgery (FESS) offering surgeons highly advanced image guidance and visualization capabilities in a single system. 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. 2019; 46(4): 520-525. The Preoperative Sinus CT: Avoiding a "CLOSE" Call with Surgical The contrast material will be injected through this line. 5 0 obj }d'z Yxs`;Zh_yl6b xref <> stream 0000013851 00000 n Scopis is a next-generation solution for navigating functional endoscopic sinus surgery (FESS) offering surgeons highly advanced image guidance and visualization capabilities in a single system. PDF Ct Sinus Stryker Protocol - uploads.strikinglycdn.com the possible presence of brain aneurysms, tumors, etc. Metal objects, including jewelry, eyeglasses, dentures, and hairpins, may affect the CT images. PDF 3D SYSTEMS - Stryker Corporation `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Learn more about our additional products for FESS and their potential benefits for you and your patients. 200 Hawkins Drive CT of the sinuses is now widely available and is performed in a relatively short time, especially when compared to. /X4 Do NPO four hours prior to exam (no food or drink). However, the technologist will always be able to see, hear and speak with you through a built-in intercom system. Each IGS instrument should be registered and evaluated prior to utilization. 0000052208 00000 n 3 0 obj If you have a known allergy to contrast material, your doctor may prescribe medications to reduce the risk of an allergic reaction. kBqe|$L0et76+W&7 ]&lc6Mc@i2Y5i*QXGbE:jC9_S|M0-u?0skO'33Lk\e\e!}i! 0000006620 00000 n PDF NEURO CT PROTOCOLS - University of California, San Diego Temporal Bones. 0000014590 00000 n `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ CT has become a useful diagnostic modality in the evaluation of the paranasal sinuses and an integral part of surgical planning. 0000014366 00000 n Radiologic Imaging in the Management of Sinusitis | AAFP 0000014682 00000 n hb``b``- l@qg 07"L6,. For any coding inquiry not listed please call us at (860) 969-6400. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Stryker. All Rights Reserved. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ This will be determined by the ordering physician and/or the imaging physician. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Surgical Navigation at UIHC is currently achieved with Medtronic Fusion IGS (Image Guided Surgery) system. Leave jewelry at home and wear loose, comfortable clothing. Contrast may be given, depending on the indications. Ahn S, et al. Speed is especially beneficial for children, the elderly, and critically ill anyone who finds it difficult to stay still, even for the brief time necessary to obtain images. 0000112147 00000 n These special procedures are indicated for specific treatment planning. Brain stereotaxis protocol (MRI) | Radiology Reference Article Image-guided surgery has become an industry standard for many endoscopic sinus surgeries. 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{ 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. 0000116114 00000 n Tell your doctor if there's a possibility you are pregnant and discuss any recent illnesses, medical conditions, medications you're taking, and allergies. 0000107765 00000 n Though the scanning itself causes no pain, there may be some discomfort from having to remain still for several minutes. Patient undergoing computed tomography (CT) scan. Web page review process: This Web page is reviewed regularly by a physician with expertise in the medical area presented and is further reviewed by committees from the Radiological Society of North America (RSNA) and the American College of Radiology (ACR), comprising physicians with expertise in several radiologic areas. With CT scanning, several x-ray beams and electronic x-ray detectors rotate around you. CT paranasal sinus (protocol) | Radiology Reference Article Treon Plus: Infrared light based unit currently utilized at the VA in Iowa City. <> stream CPT CODE AND GUIDELINES FOR CT SCANS SCHEDULE 203-878-2341 FAX 203-878-3429. This results in more detail. In many protocols a standard dose is given related to the weight of the patient: Weight < 75kg : 100cc. Also tell your doctor about any recent illnesses or other medical conditions and whether you have a history of heart disease, asthma, diabetes, kidney disease, or thyroid problems. 0000136210 00000 n HnS1SN?V6!1 $Rhx{$+M_'KvG:{v`mw?O;8;[__XLw,J.LPhTX(e!/^e# 2"l-0)W[. If so, your doctor will explain why. Air appears black. CT Brain Special Protocols | Cedars-Sinai 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. An advanced navigation protocol for endoscopic transsphenoidal surgery. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Straps and pillows may be used to help the patient maintain the correct position and to hold still during the exam. Myeolography CT Prep: NPO 4 hours; may drink clear liquids up to 30 minutes prior to exam Arrival time: 30 minutes prior to exam for registration and prep Myelogram Cervical Myelogram Thoracic Myelogram Lumbar Musculoskeletal CT Prep: NPO 2 hours for all studies w/ contrast Arrival time: 30 minutes prior to exam for registration and prep Otolarnygology. 348 0 obj <> endobj xref 348 55 0000000016 00000 n 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. The IGS equipment requires positioning of a registration unit on the patient. Iowa City, IA 52242-1089, Editor: Henry Hoffman, MD 0000011309 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. Deviated Septum The nasal septum has cartilage and bone that divide your nose's nasal cavity in two. A prospective, randomized clinical study. CT scans can provide much more detailed information about the anatomy and abnormalities of the paranasal sinuses than plain films. 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. These occur as the CT scanner's internal parts, not usually visible to you, revolve around you during the imaging process. 0000051746 00000 n The StealthStation S8 surgical navigation system has an intuitive interface, improved patient registration software, and advanced visualization to navigate neurosurgery procedures. CT of the brain with Lorenz protocol. Medtronic Operational Headquarters 710 Medtronic Parkway Minneapolis, MN 55432-5640 USA, Central/Eastern Europe, Middle East & Africa, Electromagnetic Compatibility Guide for Cardiac Devices, American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS), American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS). /Matrix [1 0 0 -1 0 792] CT scanning is painless, noninvasive, and accurate. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Some CT exams use a contrast material to enhance visibility in the body area under examination. What will I experience during and after the procedure? Total amount of contrast. o Coronal scans from anterior maxilla to sella. 0000009020 00000 n 0000108626 00000 n 0000015162 00000 n Image 1: AxiEM System powerbox with cords for connecting to the base unit. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Image-guided navigation systems used in endoscopic sinus surgery have shown a reduction in the need for revision surgeries. Powered sinus surgery with a microdebrider has several benefits compared to surgery with manual instruments alone: Minimized mucosal damage 5-8. Navigation and non-navigation CT scan of the sinuses: comparison of the Soft tissue, such as the heart or liver, shows up in shades of gray. Galletti, et al. However, the risk from any one scan is very small. 2012;126(12):1224-1230. 0000331031 00000 n Uses a special computer system for image-guided surgeries. Hj[1zyKhB -t\7 }Hq7nl}3hQk^L7~!tZ0wf~z_t{aWdOjC"(FZ@!Z{!KzwKpSLjl%YkP CT is less sensitive to patient movement than MRI. If you choose to logout it will log you out from all the applications. 0000014919 00000 n 5 Common Findings to Look For in a Sinus CT Scan Or, they may be over the weight limitusually 450 poundsfor the moving table. Having many x-rays or CT scans over time may increase your risk for cancer. What are the limitations of CT of the Sinuses? Some imaging tests and treatments have special pediatric considerations. 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. Figure 3A, 3B shows the CT appearance after FESS. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Yao WC, et al. You will be alone in the exam room during the CT scan, unless there are special circumstances. The surgeon should ensure the desired patient, date of study, and anatomical location are obtained. Surgical 3D Head. %PDF-1.4 `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Introduction. H\j0~ Image-Guided Surgery Products - ENT Navigation Solutions 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.