IntroductionvTitan Corporation introduces India's first shadow-based, CT-guided instrument positioning assistant designed to aid clinicians in performing high-risk and high-precision percutaneous medical interventions. This technology aims to enhance the accuracy of needle placement, which is crucial for diagnostic yield and treatment success, especially in proximity to vulnerable anatomy.
Challenges with Conventional TechniquesTraditional methods often require multiple needle adjustments and intra-procedural imaging, leading to prolonged procedure duration, increased patient pain, radiation exposure, and procedural risk.
Workflow- Mark entry and target point in the planning station.
- Take a CT scan of the patient with markers.
- Insert the needle through the planned entry point using shadow-based guidance.
Clinical Efficacy- Target accuracy: 1 mm
- Angulation error: 2.2 degrees
- Manipulations: 3%
- Time to place needle: 11 minutes
- Average wheel in and out time: 26 minutes (based on 55 patient data)
Advantages- User-friendly planning station with real-time guidance.
- Reduces dependency on physician skill and experience.
- Targets lesions of any size and location.
- Facilitates seamless procedures for beginners.
- Ensures accurate instrument placement with minimal iterations.
- Reduces patient puncture and radiation exposure.
- Improves procedure speed and scanner utilization.
- Enhances patient and clinician comfort.
Three-Level Confirmation- Laser crosshair alignment to the center of the needle hub.
- Alignment of all four needle shadows to the laser crosshair.
- Needle hub alignment to the center of the green circle on the monitor.
Case Studies- Pain Management: Thoracic paravertebral block for intractable pleuritic pain, with precise needle placement between the aorta and T7 vertebra.
- Tru Cut Biopsy: Biopsy of a small FDG avid node in front of the SVC, accessed with craniolateral angulation between internal mammary vessels and aorta.