Facility Innovative operating rooms

About our equipment

Embedded within the Radboudumc central OR suite, three MITeC operating rooms have truly unique layout and equipment. In the center of these three operating rooms (OR’s), the MRI OR homes a large bore 3T MRI (Siemens Skyra). This MRI OR has direct patient transfer options with both an X-ray hybrid OR (Siemens Artis Zeego) and a standard OR that was designed to allow for larger mobile equipment.
 
All three OR’s are fully equipped with:

• Both DICOM and non-DICOM Image handling technologies (manipulation such as image fusion, segmentation and 3D reconstruction, store/retrieve, Video-conference)
• Standard and advanced surgical interventional techniques such as surgical navigation and NIR imaging
• A range of energy delivery techniques (Laser, Cryo, HIFU, RF)

In all three OR’s, all standard and advanced anesthesia techniques can be applied. All equipment is intended for clinical use within the Radboudumc and setup and connected to its clinical data systems; Integration with EPR and other relevant IT systems is standard.
 
This layout and range of techniques perfectly facilitates image guided procures using MRI, 3D X-ray and/or video techniques in any desired combination allowing surgeons and interventional radiologists to optimally control the accuracy of the interventional procedure and pursue innovative, quick and safe new techniques to offer maximum control and thus maximum quality of treatment to the patient.

Skyra 3 Tesla MRI in MITeC’s MRI operating room

Specifications

• Large 70 cm bore
• Dockable examination table & transfer/interventional table w.o. coils
• MR techniques include fMRI, DTI, thermography, needle guidance and real-time sequencing
• Options for adapted sequences available
• MRI contrast agent delivery system
• In-room image monitor
• Robotic needle guidance system (Soteria)
• Cryo ablation with Argon/Helium system (Galil Medical) build in
• 2 entry ports to adjacent control room for connection to mobile equipment (eg Laser, Robotics)
• Facilities for Anesthesia devices include MR compatible anesthesia machine (GE) and monitoring (Philips)
• 4 observational camera’s with full recording facility
• Tools for Videoconferencing built-in
• Healing environment (colored lighting, music, sky ceiling)

Example applications

• Needle guided biopsies (prostate, breast, bone/soft tissue)
• Needle guided ablation (prostate, liver, pancreas) using Cryo / Laser / HIFU / RF
• Thermografic imaging of ablation area (prostate, liver, pancreas)
• USPIO contrast imaging of lymph nodes
• Needle placement verification for HDR Brachy therapy
• Pediatric diagnostic MR imaging 

The above list contains examples of current applications. If you are wondering if another application is possible, please contact us and we can discuss it.

Siemens Artis Zeego in MITeC’s hybrid operating room

Specifications

• C-arm on robotic platform, Floor mounted
• Low dose detector system and radiation shielding options  (from ceiling, OR table and mobile)
• CBCT 3D with multiple software options including measurements, position (needle) guidance and interventional procedure specific support
• 3D reconstruction/fusion system (Siemens) and control computers in adjacent control room
• 2 Large Display’s
• X-ray Contrast agent delivery system
• Integrated OR table (Maquet Magnus, fixed column) with 3tabletops: Full carbon tabletop, MRI compatible (Kevlar) tabletop and standard OR tabletop. Multiple OR table accessories available including carbon Mayfield adapter
• Intra-op MRI access
• Integrated Surgical navigation (Brainlab Curve)
• High power outlets available
• Standard anesthesia tools
• Build-in options for cardiac surgery procedures (Heater-cooler and heart-lung machine)
• Surgical DICOM viewer with fusion, annotation and viewing tools (Brainlab Buzz)
• Live image routing, storage and video conference (via Brainlab Buzz and Siemens Large display)
• Laser safety control built-in
• Healing environment (colored lighting, music)

Example applications

• Neurosurgery: Vascular brain surgery; spine
• Vascular aneurism repair (EVAR, F-EVAR, T-EVAR)
• Navigated bone tumor surgery and needle guided procedures
• Cochleair implant, verification of electrode placement
• PNL completeness of kidney stone removal
• TAVI (trans aortic valve implant)
• Transbronchial EM navigated biopsy of pulmonary lesions 

The above list contains examples of current applications. If you are wondering if another application is possible, please contact us and we can discuss it.

MRI access in MITeC’s standard operating room

Specifications

• Maquet Magnus OR table with mobile column 
• Both standard and MRI-compatible tabletop
• Intra-op MRI access
• Integrated Surgical navigation (Brainlab Curve)
• Built-in extra supply unit for endoscopic (fluorescent) imaging
• Standard anesthesia tools and extra supply unit for ultrasound systems
• Surgical DICOM viewer with fusion, annotation and viewing tools (Brainlab Buzz)
• Live image routing, storage and video conference (via Brainlab Buzz and Siemens Large display)
• Laser safety control built-in
• Healing environment (colored lighting, music)

Example applications

• ENT, oesohphagal and gynaecological fluorescence guided surgery
• Oesophagus resection with verification of lymphnode and resection margins
• HDR Brachy applicator placement with MRI verification  

The above list contains examples of current applications. If you are wondering if another application is possible, please contact us and we can discuss it.