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Operating Room Radiography to Transform Surgery

NewYork-Presbyterian Is Nation's First Hospital to Broadly Use Artis Zeego Imaging System in Treating Conditions of the Brain, Heart, and Vascular and Colorectal Systems

Goal Is Enhancing Safety and Outcomes While Stimulating Innovation

NEW YORK (Mar 30, 2010)

In a move that could change the way many patients undergo surgery, NewYork-Presbyterian Hospital has installed five state-of-the-art Siemens Artis zeego® medical imaging systems that provide faster, more accurate 3-D images of the body with a quality never before attainable. With more complete information, surgeons can better assess a patient's condition, devise a detailed surgical plan, and provide more targeted surgical treatment.

NewYork-Presbyterian has more of these systems installed than any other hospital in the world and is the country's first to use the technology for neurological and colorectal surgical procedures. The Hospital is also using the Artis zeego to advance heart and vascular surgeries.

According to NewYork-Presbyterian surgeons, the radiographic imaging technology promises to transform the care of patients, with improved safety and outcomes, while stimulating innovation. The Artis zeego's robotic C-arm "senses" the location of the operating table, giving surgeons extraordinary flexibility to maneuver the imaging system at almost every angle without moving the patient. As a result, internal organs can be seen from a "fly around" perspective in three dimensions, in minute detail.

"This technology is a major step forward. Previously, to obtain such images, we had to bring patients to a separate radiology suite. Now, high-quality imaging is available right in the operating room, giving us an amazingly clear picture of the patient's anatomy from any angle. This helps us ensure the highest quality of care," says Dr. Jeffrey Milsom, executive director of the Center for Advanced Digestive Care and chief of Colon and Rectal Surgery at NewYork-Presbyterian Hospital/Weill Cornell Medical Center and the Jerome J. DeCosse, M.D., Professor of Surgery at Weill Cornell Medical College. "Going forward, image procurement and analysis in the operating room will open up new avenues for minimally invasive surgical innovation and improved patient outcomes."

The newly opened Leona M. and Harry B. Helmsley Surgical Suite at NewYork-Presbyterian/Weill Cornell is the first in the country to use an Artis zeego system in conjunction with a BrainLAB VectorVision® navigation system for neurological procedures. The system displays real-time 3-D images of preoperative scans on a touch-screen monitor and is equipped with two infrared cameras that track the patient's position in the OR.

"The Artis zeego allows us to image the cervical and cerebral vessels of the brain at the time of surgery. Additionally, we are able to perform CT scan imaging of the brain where we need the information most — in the operating room," says Dr. Howard A. Riina, co-director of Interventional Radiology at NewYork Presbyterian Hospital/Weill Cornell Medical Center, and associate professor of neurological surgery in neurology and radiology at Weill Cornell Medical College. "The goal is a more precise and safer surgery."

The Vivian and Seymour Milstein Family Heart Center, which opened in January at NewYork-Presbyterian Hospital/Columbia University Medical Center, features an Artis zeego–equipped operating room that allows surgery and interventional cardiology procedures to be done consecutively in the same room. The Hospital was the first in the New York area to perform this kind of hybrid procedure.

"What previously involved two separate procedures can now be done in one," says Dr. Mathew Williams, surgical director of cardiovascular transcatheter therapies, and a cardiac surgeon and interventional cardiologist at NewYork-Presbyterian/Columbia; and assistant professor of surgery (in medicine) at Columbia University College of Physicians and Surgeons. "Oftentimes the best approach for a patient involves a combination of coronary artery bypass and stenting. By performing both at the same time, we are not only making it more convenient, but we are reducing the stress of surgery and improving recovery time."

The imaging technology can also be used after a standard bypass to ensure the bypass graft is providing adequate blood flow to the heart. Published research has shown that this approach can reduce the number of complications.

Wall of Knowledge

All of these imaging technologies are coordinated and presented to the surgeon through a "wall of knowledge" — an array of high-definition video monitors that displays patient medical information along with images from the OR. The Patient-Aware Operating Room (PAOR), a new patient safety system from LiveData and Karl Storz Endoscopy-America, also allows for videoconferencing between remote areas of the Hospital, such as surgical pathology, and permits broadcast of live video for teaching purposes.

The technology also helps track and anticipate events. For instance, it will display trends in the patient's vital signs and will prompt the surgeon during the operation and notify the anesthesia team as to timing of a drug dose.

For more information, individuals may call (866) NYP-NEWS.

NewYork-Presbyterian Hospital

NewYork-Presbyterian Hospital, based in New York City, is the nation's largest not-for-profit, non-sectarian hospital, with 2,242 beds. The Hospital has nearly 2 million inpatient and outpatient visits in a year, including more than 230,000 visits to its emergency departments — more than any other area hospital. NewYork-Presbyterian provides state-of-the-art inpatient, ambulatory and preventive care in all areas of medicine at five major centers: NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian Hospital/Columbia University Medical Center, NewYork-Presbyterian Morgan Stanley Children's Hospital, NewYork-Presbyterian Hospital/The Allen Hospital and NewYork-Presbyterian Hospital/Westchester Division. One of the largest and most comprehensive health care institutions in the world, the Hospital is committed to excellence in patient care, research, education and community service. NewYork-Presbyterian is the #1 hospital in the New York metropolitan area and is consistently ranked among the best academic medical institutions in the nation, according to U.S.News & World Report. The Hospital has academic affiliations with two of the nation's leading medical colleges: Weill Cornell Medical College and Columbia University College of Physicians and Surgeons. For more information, visit www.nyp.org.

Columbia University Medical Center

Columbia University Medical Center provides international leadership in basic, pre-clinical and clinical research, in medical and health sciences education, and in patient care. The Medical Center trains future leaders and includes the dedicated work of many physicians, scientists, public health professionals, dentists, and nurses at the College of Physicians and Surgeons, the Mailman School of Public Health, the College of Dental Medicine, the School of Nursing, the biomedical departments of the Graduate School of Arts and Sciences, and allied research centers and institutions. Established in 1767, Columbia's College of Physicians and Surgeons was the first institution in the country to grant the M.D. degree and is now among the most selective medical schools in the country. Columbia University Medical Center is home to the largest medical research enterprise in New York City and state and one of the largest in the United States. For more information, please visit www.cumc.columbia.edu.

Contact

Kathleen Robinson
Phone: (212) 821-0560.
krobinso@med.cornell.edu
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