Efficacy and economic impact evaluation of a navigation system for assisted lung biopsy

Healthcare Technology Letters
Sara GiannatiempoE Guglielmelli

Abstract

This Letter reports on the testing and assessment of an optical computed tomography-navigation system for percutaneous lung interventional, SIRIO, showing how the lesion diameter affects the bioptic procedure. Clinical data, relating to 501 patients, were collected at the Department of Interventional Radiology of Policlinico Universitario Campus Bio-Medico. This Letter shows that the diameter of lesion affects only the procedure duration (50.91 ± 18.87 min for lesions of diameter ≤20 mm and 44.98 ± 19.43 min for lesions of diameter >20 and ≤40 mm). For the nodules with a diameter ≤20 mm, there is a significant increase in the duration of the procedure (for each mm less the time increases by 6 s). Other parameters like the mean effective radiation dose and the presence of a diagnostic or non-diagnostic specimen do not depend, instead, on the lesion size. The economic analysis based on the biopsy procedure with SIRIO shows the necessity to adopt a new reimbursement system for percutaneous biopsy performed using navigation systems to stimulate their use to get important non-economic gains such as early diagnosis, reduction of the absorbed dose of X-rays and increasing number of lung cancers in a curable early stage.

References

Apr 2, 2005·Journal of Vascular and Interventional Radiology : JVIR·Bradford J WoodKevin Cleary
Jun 7, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Kevin ClearyDan Stoianovici
Sep 15, 2006·Investigative Radiology·M Fawad KhanThomas J Vogl
May 24, 2008·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·M Meier-MeitingerU Baum
Jan 16, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jason L McMillenMartin J Wood
Jan 28, 2010·The Annals of Thoracic Surgery·Ricardo S SantosHiran C Fernando
Feb 5, 2013·International Journal of Computer Assisted Radiology and Surgery·R F GrassoB Beomonte Zobel
Jan 7, 2016·Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society·C CaparelliE Guglielmelli

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Citations

May 12, 2018·Healthcare Technology Letters·Bruce SharJohn Coucher

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Methods Mentioned

BETA
biopsy
biopsies

Software Mentioned

NeuroMate
MASMEC
eqno
Veran
Medarpa
SIRIO
Polaris
lpar

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