What is the difference between C-arm CT and conventional CT in localization and resection of pulmonary nodules?

 In the field of modern medicine, with the continuous progress of technology and the updating of treatment concepts, minimally invasive surgery has received more and more attention due to its advantages of less trauma and faster recovery. As one of the representatives of minimally invasive surgical techniques, thoracoscopic surgery (VATS) has been widely used in the diagnosis and resection of small pulmonary nodules. However, for pure ground glass, mixed ground glass, and small pulmonary nodules that are not adjacent to the pleura and need to be resected for clinical indications, precise preoperative localization is particularly critical. Traditional CT-guided staining or marker localization methods have many inconveniences and risks, while the emerging mobile C-arm CT machine provides a “one-stop” solution, bringing a safer and more comfortable treatment experience for patients.

PLX C7600 Series C-Arm CT Machine

The PLX C7600 series C-arm CT machine is equipped with a 25kW high power, high main inverter frequency generator. It can provide abundant high-quality rays to meet the shooting requirements of various parts, and even obese patients can be clearly imaged. Meanwhile, the 30cm×30cm large-size dynamic flat panel detector with a broad field of view can cover the entire lumbar spine or the entire pelvis, and in clinical use, a single exposure can be localized to the surgical site, which greatly improves surgical efficiency and precision.

Comparative advantages of mobile C-arm CT machine and traditional CT in the localization and resection of small lung nodules

Although CT-guided staining or marker localization solves the localization problem to a certain extent, there are many safety hazards during the transfer of patients between the CT room and the operating room, such as pneumothorax, intrathoracic hemorrhage, and marker dislodgement, etc. These complications undoubtedly increase the risk of the surgery and the psychological pressure on patients. In addition, patients undergoing puncture in the awake state often have to endure greater pain and mental pressure, and may even experience panic, all of which are not conducive to the smooth progress of the surgery.

The emergence of mobile C-arm CT machine provides effective technical support to solve the above problems. It is characterized by small footprint, flexible movement, short scanning time, high efficiency, and high accuracy, and is especially suitable for use in space-restricted operating rooms or endoscopy rooms. Extremely importantly, the mobile C-arm CT machine is able to provide high-quality CT images intraoperatively, ensuring accurate localization and thorough resection. Doctors can complete the localization and minimally invasive resection of lung nodules without leaving the operating room, realizing a true “one-stop” service.

Mobile C-arm CT machine intraoperative picture

The advantages of using a mobile C-arm CT machine are manifold. It avoids the need to transfer patients back and forth between the CT room and the operating room, reduces the risk of complications that may arise during the transfer process, and greatly reduces the pain and mental stress caused by puncture. Patients do not need to go through repeated puncture and positioning processes while awake, which reduces the chances of intraoperative bleeding, pneumothorax and other complications, as well as the incidence of pleural reactions, anaphylaxis and other serious complications of resuscitation. In addition, the application of mobile C-arm CT machine also improves the comfort and safety of patients’ medical treatment, making the whole procedure more humanized and gentle.

It is worth mentioning that the precise localization ability of the mobile C-arm CT machine is of great significance in improving the success rate of surgery. In pulmonary nodule resection surgery, accurately determining the location, size and shape of the nodule is crucial to surgical planning. A mobile C-arm CT machine can provide real-time, high-definition 3D imaging to help surgeons plan the surgical path more accurately, avoid damage to surrounding healthy tissue, and ensure accurate and efficient surgery.

Mobile C-arm CT Imaging

With its unique technical advantages, the mobile C-arm CT machine shows great potential for use in lung nodule localization and resection surgery. It not only improves the accuracy and safety of surgery, but also improves the patient’s experience and reduces the psychological and physical burden of the patient.

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