Definitions of Computer-Assisted Surgery and Intervention, Image-Guided Surgery and Intervention, Hybrid Operating Room, and Guidance Systems: Strasbourg International Consensus Study.

OBJECTIVE

To develop consensus definitions of image-guided surgery, computer-assisted surgery, hybrid operating room, and surgical navigation systems.

SUMMARY BACKGROUND DATA

The use of minimally invasive procedures has increased tremendously over the past 2 decades, but terminology related to image-guided minimally invasive procedures has not been standardized, which is a barrier to clear communication.

METHODS

Experts in image-guided techniques and specialized engineers were invited to engage in a systematic process to develop consensus definitions of the key terms listed above. The process was designed following review of common consensus-development methodologies and included participation in 4 online surveys and a post-surveys face-to-face panel meeting held in Strasbourg, France.

RESULTS

The experts settled on the terms computer-assisted surgery and intervention, image-guided surgery and intervention, hybrid operating room, and guidance systems and agreed-upon definitions of these terms, with rates of consensus of more than 80% for each term. The methodology used proved to be a compelling strategy to overcome the current difficulties related to data growth rates and technological convergence in this field.

CONCLUSIONS

Our multidisciplinary collaborative approach resulted in consensus definitions that may improve communication, knowledge transfer, collaboration, and research in the rapidly changing field of image-guided minimally invasive techniques.

Informations de copyright

Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc.

Déclaration de conflit d'intérêts

Disclosure: M.G.: advisor Siemens, Medtronic; B.G.: CEO of IHU; G.C.: Advisory board Olympus, Cook Medical, Grant Research Boston Scientific; L.S.: employee of IHU, being Siemens one of its partners; I.B.: Apollo Endosurgery Research Grant holder and consultant for Boston Scientific, Apollo Endosurgery and Cook Medical; C.R.: Cooperation and invited talks sponsored by Siemens; B.O.: Research Grant: Siemens Healthineers and NIH R01CA235564; R.B.: advisor Cascination, non-financial support from iSys Medizintechnik during the conduct of the study; L.S.o.: is president of Visible Patient; A.H.: IRCAD employee; A.A.: Siemens Healthineers Advanced Therapies employee; J.M.: President of IRCAD and IHU, which are partly funded by Karl Storz, Medtronic, and Siemens Healthcare. During the face-to-face panel meeting, Siemens provided unrestricted academic sponsoring and funded it partially.