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PIGA Case Studies
 
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FNAC – Lung Nodule of 8.5mm
  • Plan image
    FNAC of an 8.5 mm lung nodule. Anterior approach with medial trajectory between the ribs planned with medial angulations
  • Check Scan Image
    Precise placement of LP needle into the nodule.
    Manual trial causes lung trauma.PIGA check scan image shows the needle inside the target
  • BIOPSY – Lung Nodule
  • Biopsy Plan
    Biopsy of Lung nodule of size 2.1 cm at a depth of 106mm occluded by the rib. Posterior approach with a combination of orbital and cranial angle planned.
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  • Check Scan Image
    Check scan showing precise placement of needle
  • BIOPSY – Lung Nodule of 1.5cm
  • Biopsy Plan
    Lung nodule of size 1.5 cm situated at a depth of 88mm .
    Posterior straight approach planned for biopsy.
  • Check Scan Image
    Check scan showing precise positioning of needle on the centre of the lesion without a lung trauma target. No multiple entry and manual adjustments
  • BIOPSY – Lung Nodule of 1.1cm
  • Biopsy Plan
    Lung nodule of size 1.1 cm occluded by the rib and attatched with rib inner wall restricts a direct entry and other positions.
    Posterior approach with a combination of orbital and cranial angle planned for biopsy to reach the lesion..
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  • Check Scan Image
    Check scan showing precise positioning of needle on the target PIGA given a hassle free reach. Post Procedure Image Air pockets seen in the lesion
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    BIOPSY - RETROPERITONEAL MASS
  • Biopsy Plan
    9mm left para aortic lymph node mass in retro peritoneum at a depth of 127mm. Posterior approach planed.
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  • Check Scan Image showing precise needle delivery
  • BIOPSY – LIVER MASS
  • Biopsy Plan
    Lesion at the head of Liver. Procedure planned with cranial angulations to avoid puncturing the diaphragm.
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  • Check Scan Image
    Biopsy needle is inserted with a combination of orbital and cranial angulations precisely into the lesion in first pass.
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    BIOPSY – VERTEBRAL BONE MASS
  • Plan
    Patient positioned in lateral to reach a lesion at a depth of 108mm.
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  • Check Scan Image
    Check scan showing precise positioning of needle on the target
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    FNAC- MEDIASTINAL MASS
    Celiac plexus alcohol ablation
    Precise trajectory to reach the deep seated celiac plexus root planned ,without puncturing any bowel loops.
       
    Precise delivery of alcohol in the ganglion without puncturing the aorta..
    RF Ablation-LUNG MASS
  • Plan:
    14G RF needle with 3- 5 cm tentacle length used for the procedure.
    Patient positioned in prone under general anesthesia
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  • Check Scan:
    Precise positioning of the needle into the lesion.
  • FACET JOINT INJECTION
  • Procedure Plan
    Steroid injection at the level of S1 Vertebra.
    Procedure planned with a medial angulations through the narrow space through the foramen to reach the nerve ganglion.
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  • Check Scan Image
    Needle placed precisely to the target after piercing lumbar fascia spill of contrast seen in the nerve root
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  • Procedure Plan
    Steroid injection at level of left L5 vertebra.
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  • Check Scan Image
    Check scan showing precise positioning of needle on the planned target
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    PIGA Clinical Study Report
     
     
    Total time spent decreases by 24%- Click here to read more about clinical case report
     

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