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In our study, 24% (4/17) of pediatric patients and 41% (21/51) of adult patients undergoing 3D navigation sinus CT had already had a sinus CT for the same episode of care. 0000123602 00000 n `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ NB: This article aims to frame a general concept of a CT protocol for the assessment of the paranasal sinuses. Discuss the fees associated with your prescribed procedure with your doctor, the medical facility staff and/or your insurance provider to get a better understanding of the possible charges you will incur. Acta Oto-Laryngologica, 133:10, 1047-1052, 2013, Stelter K, et al, Evaluation of an image-guided navigation system in the training of functional endoscopic sinus surgeons. The use of image-guided surgery in endoscopic sinus surgery: an evidence-based review with recommendations. endobj Phone: (860) 969-6400 Fax: (860) 969-6392www.rahxray.com *These CPT codes represent the most commonly ordered CT exams. endobj 0000001396 00000 n A prospective, randomized clinical study. 0000051863 00000 n This unit has both electromagnetic and optical capabilities. If the exam uses iodinated contrast material, your doctor will screen you for chronic or acute kidney disease. 0000010968 00000 n What will I experience during and after the procedure? This loss of image quality can resemble the blurring seen on a photograph taken of a moving object. If a Stealth protocol CT cannot be obtained, a normal sinus CT can be utilized but may not provide the same level of accuracy. Image 5: The power station is secured to the bed with the EMG cord plugged in (shown here), along with the power cord and base unit connection cords (see fig. 0000111296 00000 n A major advantage of CT is its ability to image bone, soft tissue, and blood vessels all at the same time. 0000014431 00000 n /X4 Do The technologist or nurse, under the direction of a physician, may offer you some medication to help you tolerate the CT scanning procedure. 0000107765 00000 n Masterson L, et al. 612 0 0 -792 0 792 cm Image-Guided Surgery Products Medtronic and Stryker Sinuses Scan range should begin below the upper teeth and extend through the top of the skull DFOV 25-30 cm DFOV is used for the CD Data set. Lower Lip Bump - Mucocele verus Mucus Retention Cyst, The AAO-HNS currently maintains surgical navigation systems are deemed appropriate in "select cases to assist the surgeon in clarifying complex anatomy during sinus and skull base surgery.". RadiologyInfo.org is not a medical facility. Y%~%b+1s6epsK_? If you have a known allergy to contrast material, your doctor may prescribe medications to reduce the risk of an allergic reaction. 0000052173 00000 n Home 0000006620 00000 n 0000010842 00000 n A CT scan of the face produces images that also show a patient's paranasal sinus cavities. Medical Coding Payer/Health Plan CT/MRI Stryker Protocol mlwitt@uci May 18, 2016 M mlwitt@uci New Messages 1 Best answers 0 May 18, 2016 #1 Aetna and other insurance company's Medical Directors are insisting we get 77021 for MRI and 77001 for CT authorized for Pre-op guidance planning. Although the standards discussed herein reflect the University of Iowa's head and neck protocols, reliance on any information provided herein is solely at your own risk. 0000002100 00000 n This website does not provide cost information. If you choose to logout it will log you out from all the applications. A radiologist, a doctor specially trained to supervise and interpret radiology exams, will analyze the images. The doctor may administer contrast material intravenously (by vein), so you will feel a pin prick when the nurse inserts the needle into your vein. Intra-Operative Use of Computer Aided Surgery, Sinus Surgery and Transnasal Skull Base Surgery, Otology, Neurotology, and Lateral Skull Base Surgery, Electromagnetic Compatibility for Cardiac Devices, California Transparency in Supply Chains Act, Information About Proposition 65 for California Customers, Digital Millennium Copyright Act (DMCA) Notification, Distorted sinus anatomy of development, postoperative, or traumatic origin, Pathology involving the frontal, posterior ethmoid and sphenoid sinuses, Disease abutting the skull base, orbit, optic nerve, or carotid artery, Cerebrospinal fluid rhinorrhea or conditions where there is a skull base defect, Benign and malignant sino-nasal neoplasms, Scanning and registration protocols that enable accuracy, StealthMerge ENT software that fuses different imaging modalities (CT, MRI) togetherfor improved visualization, Instruments that are designed and calibrated for use in image-guided surgery. All Rights Reserved GE VCT Protocols. Though the scanning itself causes no pain, there may be some discomfort from having to remain still for several minutes. 2016;126(1):51-59. Stryker ENT navigation system powered by Scopis software Scopis is a next-generation solution for navigating functional endoscopic sinus surgery (FESS) offering surgeons highly advanced image guidance and visualization capabilities in a single system. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ @w 0>/Filter/FlateDecode/Index[51 297]/Length 32/Size 348/Type/XRef/W[1 1 1]>>stream 0000001746 00000 n Int Forum Allergy Rhinol. The costs for specific medical imaging tests, treatments and procedures may vary by geographic region. With pediatric patients, a parent may be allowed in the room but may need to wear a lead apron to minimize radiation exposure. It might be combined or simultaneously acquired with a CT abdomen. Surgical 3D Head. NPO four hours prior to exam (no food or drink). To avoid unnecessary delays, contact your doctor well before the date of your exam. 2014;82(6 Suppl):S95-105. 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The contrast material will be injected through this line. If additional information is needed to determine the extent of soft tissue of the tumor, magnetic resonance imaging (MRI) may be helpful. You will be alone in the exam room during the CT scan, unless there are special circumstances. The University of Iowa does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on this web site. Tell your doctor about all medications you are taking and if you have any allergies. Introduction. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ (2021). Women should always inform their physician and the CT technologist if there is any possibility that they may be pregnant. Update my browser now. You also may have a metallic taste in your mouth. 0000111824 00000 n Intra-Operative Use of Computer Aided Surgery. HnS1SN?V6!1 $Rhx{$+M_'KvG:{v`mw?O;8;[__XLw,J.LPhTX(e!/^e# 2"l-0)W[. endobj `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Shorter operative times 6,7. The risk of serious allergic reaction to contrast materials that contain iodine is extremely rare, and radiology departments are well-equipped to deal with them. 0000002106 00000 n 0000002899 00000 n In addition, in the case of planned surgery, imaging can provide the surgeon with necessary information regarding any anatomical variants and allow the diagnosis of clinically silent diseases, e.g. Acute Stroke - Brain. World Neurosurg. %PDF-1.4 % `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000005017 00000 n Computed tomography (CT) of the sinuses uses special x-ray equipment to evaluate the paranasal sinus cavities hollow, air-filled spaces within the bones of the face surrounding the nasal cavity. 0000108295 00000 n Carver College of Medicine 0000002850 00000 n For any coding inquiry not listed please call us at (860) 969-6400. It is also used to create intraoperative road maps. Rad Director will be notified if this occurs without prior approval. Sinuses - Landmark Protocol Indications o Pre-surgical planning Sequences IV contrast manufacturers indicate mothers should not breastfeed their babies for 24-48 hours after contrast material is given. 0000052208 00000 n It may also see if there has been any change in an issue over time. It is usually performed as a non-contrast study. Risks for a CT scan includes: Being exposed to radiation; Allergic reaction to contrast dye ; CT scans expose you to more radiation than regular x-rays. Guidance of endoscopic instruments may help you to perform a minimally invasive, accurate and selective surgery. Reference article, Radiopaedia.org (Accessed on 01 May 2023) https://doi.org/10.53347/rID-92692. RadiologyInfo.org, RSNA and ACR are not responsible for the content contained on the web pages found at these links. Some CT exams use a contrast material to enhance visibility in the body area under examination. 0000013974 00000 n Face/Sinus. 1`,n::&a?k4zeCn7|Q6qInl|@@@@@?}6}'7n5~e&>'Sj&1 ;jo/Nv$[fo|wPt&Gspl?So.rE%?;~ > N+[LW{ When the exam is complete, the technologist will ask you to wait until they verify that the images are of high enough quality for accurate interpretation by the radiologist. Medtronic Operational Headquarters 710 Medtronic Parkway Minneapolis, MN 55432-5640 USA, Central/Eastern Europe, Middle East & Africa, Electromagnetic Compatibility Guide for Cardiac Devices, American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS), American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS). `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The Department of Otolaryngology and the University of Iowa wish to acknowledge the support of those who share our goal in improving the care of patients we serve. 0000051976 00000 n In many ways, a CT scan works like other x-ray exams. 0000051505 00000 n 0000003862 00000 n Some imaging tests and treatments have special pediatric considerations. CT scans can provide much more detailed information about the anatomy and abnormalities of the paranasal sinuses than plain films. These lines help ensure that you are in the correct position on the exam table. % endstream 0000013851 00000 n The IGS equipment requires positioning of a registration unit on the patient. provide additional information about tumors of the nasal cavity and sinuses. x@Qhm@0%\&'HD(qQCn,nG>ioR}lwlk~lo x8v?f\[/v]d\m~yKl;~L~~ncOxpb,}0Ng|n}08OSD_@@@@@t2?~axNO|vw7}0sgAew-xW q>6>w7Wrn sm@@@@@g>GnG?'@uX x[o~7|'l_/}@t_c_v@@@@@.5>O7ao/?FA?[c}R}qO?45}O,5G[?n{=]_T_Yo!ISK5h_|0x>h\_TAov/O}yiNn_)4X>y+OW? hbbe`b``3 ` endstream endobj 349 0 obj <>/Metadata 49 0 R/OpenAction 350 0 R/Pages 48 0 R/StructTreeRoot 51 0 R/Type/Catalog/ViewerPreferences<>>> endobj 350 0 obj <> endobj 351 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 792.0 612.0]/Type/Page>> endobj 352 0 obj <> endobj 353 0 obj <> endobj 354 0 obj <>stream 200 Hawkins Drive Treon Plus: Infrared light based unit currently utilized at the VA in Iowa City. 0000005691 00000 n 0000013608 00000 n endobj The CT lumbar spine or L-spine protocol serves as an examination for the assessment of the lumbar spine. The CT paranasal sinus protocol serves as an examination for the assessment of the study of the mucosa and bone system of the sinonasal cavities. Such speed is beneficial for all patients. The technologist may ask you to hold your breath during the scanning. Learn more about our additional products for FESS and their potential benefits for you and your patients. The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. Figure 2A, 2B, 2C, 2D shows the steps of the FESS technique. Contrast may be given, depending on the indications. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000051746 00000 n /XObject <>>> Image 1: AxiEM System powerbox with cords for connecting to the base unit. Any motion, including breathing and body movements, can lead to artifactson the images. 0000001759 00000 n This unit has a variety of software packages available for Neurosurgery, Spine and Orthopedic procedures among others. Doctors do not generally recommend CT scanning for pregnant women unless medically necessary because of potential risk to the unborn baby. CT is less sensitive to patient movement than MRI. There is always a slight chance of cancer from excessive exposure to radiation. CTDI: ~10-20 mGy Place skin marker on the patient's right cheek prior to scanning Setup: Head first supine , lateral scout from below the chin through the top of the skull Patient positioned so that the IOML is perpendicular to the table top Only use the flat sponge , NO LENS SHIELD TO BE USED This will pass. See the CT Safety During Pregnancypage for more information. 0000014366 00000 n These medications must be taken 12 hours prior to your exam. For example, sometimes a parent wearing a lead shield may stay in the room with their child. o Process images with bone algorithm. inbqo@O[nF{su:t(//A (hA222=h)D'@/w8}{aaaEB[xxeqJyg-w3h7 . The quality of the CT or CBCT scan is the most important aspect of creating Scanning and registration protocols that enable accuracy StealthMerge ENT software that fuses different imaging modalities (CT, MRI) together for improved visualization Instruments that are designed and calibrated for use in image-guided surgery Benefits of image-guided surgery for ENT procedures HdAo1+rxccR{@\J](. CT is usually the first test ordered when a sinus tumor is suspected. hb``b``- l@qg 07"L6,. 0000111362 00000 n 2015;5(8):761-763, Bernardeschi D, et al. Trade mark is and ctsinus stryker protocol was required for this solution to the anatomic compartments. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Thus, it should be utilized as the adjunct and should not be viewed as a substitute for surgical knowledge and anatomical familiarity with the surgical region. However, the benefit of an accurate diagnosis far outweighs the risk involved with CT scanning. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000051427 00000 n 0000009020 00000 n Yao WC, et al. Note: we are unable to answer specific questions or offer individual medical advice or opinions. endstream endobj 341 0 obj <>/Metadata 56 0 R/Pages 55 0 R/StructTreeRoot 58 0 R/Type/Catalog/ViewerPreferences<>>> endobj 342 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 841.89 595.276]/Type/Page>> endobj 343 0 obj <> endobj 344 0 obj <> endobj 345 0 obj <>stream This is where the technologist operates the scanner and monitors your exam in direct visual contact. Products Iowa City, IA 52242-1089, Editor: Henry Hoffman, MD Sometimes, the exam table will move during the scan. A conventional x-ray exam directs a small amount of radiation through the body part under examination. 2013;3(3):236-241. A CT scan of the face produces images that also show a patient's paranasal sinus cavities. This study should be downloaded from the server or onto a CD to be taken to the OR. Stealth 7 (S7): Utilized in the main OR at UIHC. 348 0 obj <> endobj xref 348 55 0000000016 00000 n However, the most recent American College of Radiology (ACR) Manual on Contrast Media reports that studies show the amount of contrast absorbed by the infant during breastfeeding is extremely low. The CT paranasal sinus protocolserves as an examination for the assessment of the study of the mucosa and bone system of the sinonasal cavities. It also forms a part of a polytrauma CT or might rarely be done as a CT myelogram in situations . Slope foreducational and safe navigation, and ct of the different sinuses. Siemens Definition AS 20 Protocols. If you have a hard time staying still, are claustrophobic, or have chronic pain, you may find a CT exam to be stressful. %PDF-1.4 ?=g}G'U8Q9{0vs2~XE` l@ endstream endobj 360 0 obj <> endobj 361 0 obj <> endobj 362 0 obj <> endobj 363 0 obj <> endobj 364 0 obj <>stream Including: CT of the brain (or spine) with stealth protocol. During surgery, the planned pathways are overlaid in real-time onto the endoscopic image, providing you with unique Scopis augmented reality technology. Operating with its association, andmedical provider consultations to a single sinus cavities. 0000008040 00000 n Who interprets the results and how do I get them? It can even generate three-dimensional images. 0000327514 00000 n 0000001941 00000 n d ;w&$@B!Cp "**((((+.x,f_Ut:3==!(/3SzI"D!BHp!~"DC {Wgd\I-[lm/~{C}ac}8qF=zP+{{v!~aaak 7fyw]Z!B,X7x7b\ID@acO?) Myeolography CT Prep: NPO 4 hours; may drink clear liquids up to 30 minutes prior to exam Arrival time: 30 minutes prior to exam for registration and prep Myelogram Cervical Myelogram Thoracic Myelogram Lumbar Musculoskeletal CT Prep: NPO 2 hours for all studies w/ contrast Arrival time: 30 minutes prior to exam for registration and prep see full revision history and disclosures, iodinated contrast-induced thyrotoxicosis, saline flush during contrast administration, CT NCAP (neck, chest, abdomen and pelvis), CT angiography of the cerebral arteries (protocol), CT angiography of the circle of Willis (protocol), cardiac CT (prospective high-pitch acquisition), CT transcatheter aortic valve implantation planning (protocol), CT colonography reporting and data system, CT kidneys, ureters and bladder (protocol), CT angiography of the splanchnic vessels (protocol), 1. Guidance of endoscopic instruments may help you to perform a minimally invasive, accurate and selective surgery. Accessed November 17, 2009. 6 0 obj Head and Neck Imaging - 2 Volume Set. The endoscopic view obtained of the surgical field and positioned instrumentation should be the primary focus while performing the surgery. It is the best imaging modality for sinusitis. 0000331031 00000 n CT exams are generally painless, fast, and easy. There are four pairs of sinuses, each connected to the nasal cavity by small openings. StealthStation ENT navigation system offers electromagnetic technology that expands what was previously possible with image-guided surgery so you can see more, do more. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ A special computer program processes this large volume of data to create two-dimensional cross-sectional images of your body. Next, the table will move quickly through the scanner to determine the correct starting position for the scans. Sinuses - Limited Indications o Anosmia, allergic sinusitis Sequences o Coronal sections without contrast Comments o Scans should be perpendicular to the hard palate. Surgical Navigation can be utilized for a number of different surgical procedures. With an updated browser, you will have a better Medtronic website experience. %%EOF Procedures and Techniques, Whether you're performing functional endoscopic sinus surgery (FESS) or operating in the skull base,meta-analyses on commercial image-guided navigation systems, like StealthStation ENT system, suggest a reduction in major complications during endoscopic sinus surgery compared with non-image guided procedures.1-3. 0000014682 00000 n You may need to change into a gown for the procedure. The paranasal sinusesare hollow, air-filled spaces located within the bones of the face and surrounding the nasal cavity, a system of air channels connecting the nose with the back of the throat. /Matrix [1 0 0 -1 0 792] 0000008617 00000 n Preoperative computed tomography (CT) affords radiologists the opportunity to prospectively identify anatomic variants that predispose patients to major surgical complications; however, these critical variants are not consistently evaluated or documented on preoperative imaging reports. The goal of sinus surgery is to restore ventilation and drainage while preserving mucosa. Wear comfortable, loose-fitting clothing to your exam. Mert A, et al. 0000014012 00000 n detect the presence of inflammatory diseases. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. <> Rhinology 49: 429-437, 2011. They should not have repeated CT exams unless necessary. This unit has a smaller footprint and at UIHC is utilized in the ASC. Leave jewelry at home and wear loose, comfortable clothing. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The aim of FESS is to preserve mucosa while restoring drainage and ventilation of the sinuses. Web Privacy Policy | Nondiscrimination Statement. CT Brain Special Protocols Computed tomography special protocols are ordered for specific requirements or surgical planning involving the brain. 4000 HU), soft tissue kernel (e.g. endobj Evaluation of a navigation system for ENT with surgical efficiency criteria. University of Iowa Image-guided surgery with theStealthStation ENT Navigation Systemcan be used to surgically navigate tumors and lesions affecting the anterior and lateral skull base. After a CT exam, the technologist will remove your intravenous line. trailer Fusion: Standalone, electromagnetic based ENT image guidance system. Weight 75-90kg: 120cc. 0000002736 00000 n You may need to change into a gown for the procedure. A 501(c)(3) nonprofit organization, Adler/Nail and Cedars-Sinai Research for Women's Cancers P.E.T. startxref 0000127121 00000 n `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 2019; 46(4): 520-525. It is imperative that the correct patient, study from the desired date and the appropriate anatomical study are selected. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Computed tomography, more commonly known as a CT or CAT scan, is a diagnostic medical imaging test. Patient undergoing computed tomography (CT) scan. 0000001928 00000 n 0000112147 00000 n For the purposes of this protocol, the setup for Endoscopic sinus surgery will be described. CT imaging provides real-time imaging, making it a good tool for guiding. They will cover the tiny hole made by the needle with a small dressing. Uses a special computer system for image-guided surgeries. At the time the article was last revised Andrew Murphy had Scopis is a next-generation solution for navigating functional endoscopic sinus surgery (FESS) offering surgeons highly advanced image guidance and visualization capabilities in a single system. 0000014590 00000 n 0000015162 00000 n A special electronic image recording plate captures the image. 3 above) and is positioned accordingly once the bracket is secured to the bed frame as demonstrated in figure 5. kBqe|$L0et76+W&7 ]&lc6Mc@i2Y5i*QXGbE:jC9_S|M0-u?0skO'33Lk\e\e!}i! Q Avon 35 Nod Road Bloomfield 673 Cottage Grove Road Enfield 9 Cranbrook Blvd Glastonbury 31 Sycamore Street 2021 MRI Scan Exam CPT Codes* Brain / MRA Brain HTRiPSg}/-9yQq#E: "O@!,)")K[D)5V"iE*CmemGm3g9q9.hc0bZ]2V3H,sXgG-B-/ /6U13m&jt;a_X.hI{tR//_i^f" f2%'IhsC\eDf7=s ,6bX$Ec1S`39c_"yivla'=)b'Vg@:YW O;CW#tM}`Ev}UBkk In neoplastic, inflammatory and infectious disorders, a CT scan of the paranasal sinuses is performed to demonstrate bony erosions, osteolytic lesions, and calcifications. <> stream `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The contents of this web site are for information purposes only, and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Or, they may be over the weight limitusually 450 poundsfor the moving table. 0000001403 00000 n CT of the sinuses is now widely available and is performed in a relatively short time, especially when compared to. The patient may also be positioned face-down with the chin elevated. 0000009758 00000 n Image 4: The electromagnetic field generator (EMG) is generally stored with the brace and bracket (shown in fig. The surgeon should ensure the desired patient, date of study, and anatomical location are obtained. xQ_GMBfhf=9uv:'n-bL'7>|_>%QQw? Protocol specifics will vary depending . Laryngoscope. 0000116114 00000 n Women should always tell their doctor and x-ray or CT technologist if there is any chance they are pregnant. 0000009151 00000 n For children, the radiologist will adjust the CT scanner technique to their size and the area of interest to reduce the radiation dose. Check for errors and try again. 0000136210 00000 n CT images of internal organs, bones, soft tissue, and blood vessels provide greater detail than traditional x-rays. 0000014677 00000 n CT scan of the paranasal sinuses with Stealth protocol should be ordered prior to the patients surgery date. 0000003850 00000 n 0000051668 00000 n Powered sinus surgery with a microdebrider has several benefits compared to surgery with manual instruments alone: Minimized mucosal damage 5-8. A CT scan of the sinus is first taken to locate the blockages and programmed into the Stryker's computer. Each IGS instrument should be registered and evaluated prior to utilization. Multidetector CT reduces the amount of time that the patient needs to lie still. 393 0 obj <>stream The computer workstation that processes the imaging information is in a separate control room. 0000007384 00000 n This is especially true for soft tissues and blood vessels. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ It is usually performed as a non-contrast study.NB: This article aims to frame an gen concept o. With modern CT scanners, you may hear slight buzzing, clicking and whirring sounds. q The StealthStation S8 surgical navigation system has an intuitive interface, improved patient registration software, and advanced visualization to navigate neurosurgery procedures. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ %PDF-1.4 % CT scans are minimally-invasive and can accurately help doctors diagnose nose and sinus issues. This protocol is mainly used to perform a biopsy of the brain and in some functional neurosurgeries. 0000011190 00000 n `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000107435 00000 n This study should be downloaded from the server or onto a CD to be taken to the OR. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The University of Iowa appreciates that supporting benefactors recognize the University of Iowa's need for autonomy in the development of the content of the Iowa Head and Neck Protocols. 1 0 obj You may need to remove any piercings, if possible. x] xE Surgical Navigation at UIHC is currently achieved with Medtronic Fusion IGS (Image Guided Surgery) system. . Figure 3A, 3B shows the CT appearance after FESS. Ear, Nose & Throat 0000004568 00000 n 0000002620 00000 n Please type your comment or suggestion into the text box below. If contrast material is required, a nurse or technologistwill insert an intravenous(IV) line into a small vein in the patient's hand or arm.

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