Development of information guided surgery

Intelligent operating room with new treatment technology

New treatment system to improve patient survival and quality of life for malignant glioma patient are developed. To identify the location of the tumor, we developed intraoperative MRI, navigation system, and nerve monitoring system. Over 2,000 surgeries were performed, and the 5-year survival rate after surgery was dramatically improved to 93% (Grade II malignant brain tumors, TWMU hospital results). In addition, we are challenging technology to provide the surgeon’s “new eyes” that visualize high-quality information necessary for surgery, and researching systems that realize safe and highly accurate information-guided surgery. In addition, the “Intelligent Animal Surgery Room” and “Hyper SCOT” were newly established based on the intraoperative MRI-guided brain tumor surgery system “Intelligent Surgery Room”. We develop innovative medical systems from both clinical and research. This research and development was conducted in collaboration with Hitachi, Ltd., former Toshiba Medical Systems Co., Ltd., and Nihon Kohden Industry Co., Ltd.

Smart Cyber Operating Theater: SCOT®

Most devices in the treatment room are stand-alone, and there is almost no data linkage between devices. In order to solve this problem, the SCOT ® project started in 2014 and the common interface OPeLiNK® for connecting medical devices was developed. The flagship version of “Hyper SCOT ®, which was set up at Tokyo Women‘s Medical University Hospital in February 2019, is the world’s most advanced treatment room that aims to work with robotic operating tables and AI. Information from each medical device / equipment is aggregated and visualized using OPeLiNK® to support the surgeon‘s decision making. In 2019, we won the 1st Japan Open Innovation Award, Minister of Health, Labor and Welfare Award. In the future, we aim to realize “AI Surgery” that uses the accumulated clinical information with high efficiency. This research and development includes Shinshu University, Hiroshima University, Denso Corporation, Mizuho Corporation, Nihon Kohden Industry Co., Ltd., Pioneer Corporation, Canon Medical Systems Corporation, Hitachi, Ltd., Tohoku University, AIR WATER INC., CENTRAL UNI CO., LTD., Tottori University, SOLIZE Corporation, and others.

Surgical support by the surgical strategy desk

Future surgical treatment will change to a consistent system that can manage the surgical process from pre-operative, intra-operative and post-operative, and can manage patients and disease states with an event recorder and event simulator. Specifically, under the management of the surgical strategy system, pre-operative and intra-operative planning and operation status of the surgical device are managed in real time, and the goal is achieved while optimizing the roadmap toward the goal. We are developing technology for an intraoperative information collection system for surgical process analysis, and research and development of a “strategy desk” that supports strategic work of clinical staff as a “new brain”.

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