Towards a Successful Clinical Implementation of Fluorescence-Guided Surgery
Towards a Successful Clinical Implementation of Fluorescence-Guided Surgery
复制标题
DOI：
10.1007/s11307-013-0707-y
复制
发表时间：
2014-04-01
影响因子：
3.1
通讯作者：
Vahrmeijer, A. L.
中科院分区：
文献类型：
--
作者：
Snoeks, T. J. A.;van Driel, P. B. A. A.;Vahrmeijer, A. L.
2013年欧洲分子影像会议（EMIM）期间，荧光引导手术研究组召开首次会议，讨论荧光引导手术的临床实施。该研究小组的总体目标是讨论和确定成功、安全地将术中荧光成像引入临床所需的步骤。该焦点小组打算利用感兴趣团体之间的协同作用作为解决欧洲监管和实施障碍的工具，并在世界分子成像协会 (WMIS) 的术中焦点小组内运作，在 WMIS 层面促进相同的利益。研究小组确定的关键实施路径的主要主题是确保准确成像的质量控制和标准以及比较不同研究结果的能力、监管事务以及提高医生、监管机构、保险公司和更广泛受众认识的策略。本报告总结了这些障碍以及为克服这些障碍而讨论的可能采取的行动。此外，还讨论了关于荧光引导研究组未来形态的一些建议。主要的驱动性结论仍然是，术中成像具有巨大的临床潜力，并且所需的许多解决方案最好通过社区共同努力来解决，以最佳地促进和加速荧光成像的临床实施，从而改善手术程序。
During the European Molecular Imaging Meeting (EMIM) 2013, the fluorescence-guided surgery study group held its inaugural session to discuss the clinical implementation of fluorescence-guided surgery. The general aim of this study group is to discuss and identify the steps required to successfully and safely bring intraoperative fluorescence imaging to the clinics. The focus group intends to use synergies between interested groups as a tool to address regulatory and implementation hurdles in Europe and operates within the intraoperative focus group of the World Molecular Imaging Society (WMIS) that promotes the same interests at the WMIS level. The major topics on the critical path of implementation identified within the study group were quality controls and standards for ensuring accurate imaging and the ability to compare results from different studies, regulatory affairs, and strategies to increase awareness among physicians, regulators, insurance companies, and a broader audience. These hurdles, and the possible actions discussed to overcome them, are summarized in this report. Furthermore, a number of recommendations for the future shape of the fluorescence-guided study group are discussed. A main driving conclusion remains that intraoperative imaging has great clinical potential and that many of the solutions required are best addressed with the community working together to optimally promote and accelerate the clinical implementation of fluorescence imaging towards improving surgical procedures.