Initial Project Information: EASI
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EASI

European applications in surgical interventions

[ Coordinator(s) ] [ Participants ] [ Project Objectives, ... ] [ Other Characteristics ]

Project Nr: HC 1012 Group: III Project Duration: 36 months
Key words:
Category:Telematics in Image-guided Surgery
Summary: Image aquisition and segmentation for surgery planning and intraoperative imaging.
Mission:EASI uses health care telematics to assist the interdisciplinary tasks of image-guided surgery (IGS), involving professionals from surgery, radiology, and imaging sciences. Established methods for pre-operative surgical planning will be extended to IGS in neuro-and vascular surgery, in which prior three-dimensional viewing of injuries and the surrounding anatomy will underpin a surgical plan for transfer onto patients via registration tools. During surgery, the plan will be tracked and updated in the light of progress and changes in the patient's condition. The project will boost the cost-effectiveness of surgery, while reducing its risks.
URL: home.pi.net/~dilbert/EASI.html

Coordinator(s)

Participants:

Name of InstitutionCity+Postal CodeCountryRegion
Philips Research Laboratory Hamburg Hamburg D-22335 Germany DE 6
Katholieke Universiteit Leuven Research & Development Leuven B-3000 Belgium BE 24
Utrecht University / Imaging Center Utrecht Utrecht NL - 3584 CX Netherlands NL 31
Philips Medical Systems Nederland B.V. Best NL - 5684 PC Netherlands NL 41
Gough-Cooper Dept. of Neurological Surgery, Institute of Neurology, National Hospital London, University of London. London UK - WC1N 3BG GB - United Kingdom UK 55
United Medical and Dental Schools of Guy’s and St. Thomas’ Hospitals London UK - SE1 9RT GB - United Kingdom UK 55

Project Objectives, Summary Description and Anticipated Results

The EASI project uses health care telematics to increase the resources available to the interdisciplinary tasks of Image-Guided Surgery (IGS), involving hospital professionals from surgery, radiology, and imaging sciences. EASI is partly based on available results from the 3rd Framework’s AIM-projects COVIRA A2003 and CAMI A2056. Advanced methods for pre-operative surgical planning (incl. multi-modality segmentation, registration, and visualization) will be extended towards image-guided surgery. Two representative application areas of this generic problem are addressed: Neurosurgery and Vascular Surgery.

  • The following simplified usage scenario applies. The lesion is visualized in 3 dimensions (3D) in its spatial relationship to its anatomical environment (nerves, vessels, organs). A thorough pre-operative surgical plan is made, transferred to the operating room and onto the patient via registration tools. During surgery, this plan needs to be checked and, if necessary, updated using intra-operative information. This is done by using localizer/ motion tracking principles and extending them to include real-time imaging for position verification and/or updating of the plan. Updates of the surgical plan are especially relevant to reduce patient risks and to improve the quality of the intervention when changes have occurred compared to the pre-operative situation, either because of re-oriented anatomy, or as a result of the surgery itself.
  • The project will help to improve effectiveness and quality of surgery while reducing patient risks and overall cost of treatment. This goal is reached via added-value services and systems with tools which enhance the capabilities of relevant clinical healthcare professionals. Telematics services will be developed and integrated to provide an optimal working environment, bridging the gap between radiological diagnosis and new surgical approaches. Advanced techniques will be developed and validated to combine 3-dimensional visualization, virtual environments and advanced navigation tools in therapy planning, quality improvement of surgery and minimally invasive surgery.
  • The world market for Image-Guided Surgery systems for neurosurgery of the head is estimated at 200 M ECU. The market for IGS systems for vascular surgery is potentially much larger, but at present still more risky.

Other Characteristics of the Project:

Users involved
  • Neurosurgeons, involved in the field of brain surgery.
  • Vascular surgeons, involved in Transfemoral Endovascular Aneurysm Management.
  • Radiologists, performing pre- and intra-operative imaging for both kinds of surgery.

Technologies and/or approach used
An optical surgical navigation system using pre-operative CT or MR images will be extended with functionality for stereotactic procedures and open procedures in neurosurgery, and, using intraoperative X-ray, for vascular surgery with aortic grafting.
Expected benefits for the citizen
  • Patients of neurosurgery may benefit though shorter and more accurate procedures.
  • Patients of vascular surgery will benefit through less invasive procedures, shorter procedures and recoveries, and increased success rates.

Expected benefits for the users of the application
For the proposed kinds of surgery, an increase in surgical quality is expected, with a decreased length of the operation, an increase of accuracy and overall outcome, and hence an increase in the confidence of the surgeon.
Expected benefits for the European Industries
Results from the EASI project are expected to be used in future members of the Philips Medical Systems family of EasyGuide surgical navigation systems, for which the neurosurgery market has been the entry market. We expect that penetration in the neurosurgical market can be improved by using functionality resulting from the EASI project. The world market for Image-Guided Surgery systems for neurosurgery of the head is estimated at 200 M ECU. The vascular surgery market is potentially much larger, but at present still more risky. We are not yet certain that the quality and ease of the vascular surgery procedure can indeed be improved by the EASI methods to the extent that routine use (with the resultant large market) becomes possible.
Contribution to EU-policies
  • The project will play a major role in maintaining and increasing the competitiveness of European industry in both EU and global markets - the primary objective of the EU’s industrial policy.
  • The project will promote R&D activities necessary for other common policies (an aim contained in the Treaty on the European Union), more specifically ‘promoting new forms of work organisation’ (in the hospital), ‘improving the quality of life’ (via better quality of surgical treatment), and ‘improving the efficiency and cost-effectiveness of public services’.
  • For two surgical applications, the project aims at covering tasks identified by the EU as important for the healthcare telematics domain: development and validation of improvements of the cooperative working environment of healthcare professionals, enhancements of departmental Systems, and virtual environments, advanced imaging and hypermedia.
  • The work in the project will be based on experience gained under the Third Framework Programme.

Validation Sites

Utrecht University,Imaging Center Utrecht Utrecht Utrecht NL
NHL National Hospital London,Univ. of London, Institute of Neurology London Greater London UK

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