Image Guided Surgeries - From Bench to Bedside and Back

... or - from Bedside to Bench and Back ... and BEYOND!

Summer term 2014

A new type of course:

• you will learn the basics of some intraoperative and minimal-invasive surgeries
• you will work in teams of 3
• you will participate in an actual surgery and record the procedure - from patient anaesthesia to finish
• you will directly talk to the surgeons about the procedure and come up with a defined process including interfaces, logistical approaches, use of technologies
• you will then work in your teams analyzing these processes and come-up with possible improvements (use of diagnostic imaging, logistical improvements, ...)
• ... and try to translate that into an actual proposal for the surgical team
• there will be a presentation to everyone on the procedure itself and
• a final presentation (to everyone) including a proposal for the surgical teams

Participants learn the basics of medical applications in minimally invasive image guided surgery and related hybrid imaging. They gain the knowledge to understand the complex medical environment as well as its challenges in order to improve these procedures (including logistics and imaging in the operating theatre of the future). With knowledge about technology and algorithm they can model and master complex solutions. Besides the medical and technical knowledge, definition of clinical, technical projects in the field of intra operative imaging and navigation for minimal invasive surgery is the core focus during the course. Exposure to real world problems makes this a unique setup for modeling and implementing creative solutions.

Assignments

• Special - relevant - assignments after every lecture to be discussed and presented during the succeeding lecture
• Midterm presentation (Powerpoint or equivalent) of 15 minutes including the medical basics of the procedure, equipment used, evaluation of procedure (logistics, use of equipment, timing, who is involved and individual roles, other relevant informations, and next steps ...)
• Final presentation (Powerpoint or equivalent) of 15 minutes of defined process, engineering and computer science relevant evaluation, identification of process improvement, actual process improvement (pick one topic) with diagnostic imaging (improve quality and surgical accuracy? improve timing of procedure? forensic information? cost improvement? ...)
• Prepare a 10-15 page document on the findings, if possible create a prototype
  

Administrative Info Lecture: affiliate Prof. Dr. Michael Friebe and Dr. Jörg Traub Tutor: Philipp Matthies Type: Lecture + Lab Courses Module IN2286 Programs: Informatics (Bachelor, Master) Biomedical Computing (Master) Information Systems (Wirtschaftsinformatik) (Bachelor, Master) SWS: 2+2 ECTS: 6 Credits Course Language: English

Time, Location & Requirements Lecture: The lecture will be held in 6 afternoon blocks of four hours each (1.30pm to 5.30pm), the dates are: Block 1: April 11, 2014 (MI 03.13.010) Block 2: April 16, 2014 (TUM-IAS conference room 0) -- Please Note: Begin 11:30 with invited lecture GREGOR SCHAEFERS, Finish by 12:15 and after CAMP 2 lecture start again at 14:15 Block 3: May 09, 2014 (MI 01.10.011) -- Lunch break after the talk - begin of normal lecture at 1:30pm with early finish Block 4: May 23, 2014 (TUM-IAS conference room 0) Block 5: June 06, 2014 (TUM-IAS conference room 0) Block 6: July 04, 2014 (Coburger Hütte 3.-5.7.) Locations: Conference room in IAS basement and MI 03.13.010 We will have teams working on NOTES procedures, conventional laparoscopy / bronchoscopy, arthroscopy, stenting interventions, and possibly other. The surgeries will be performed in Munich hospitals. The teams will be asked to contact the head surgeons for an appointment and arrange for a Q&A session before and/or after the surgery. The surgery should be well documented -- please use an engineering approach to analyze the procedures. Please note that the lecturers will be available 30 minutes prior to and 1 hour after the lecture in their office in the TUM-IAS building (Room 2.004), 2nd floor, right, last one on the left. Requirements: The classes and assignments are in English Assignments are to be composed in English only

Announcements Registration is only possible via TUMonline starting March 17, 2014 at 05:00pm. There will be a limit of 15 participants, priority is given by time of registration. Grading will be based on attendance (10%), the midterm presentation (10%), the final group presentation (15%), the proposal document and project work (35%), and a written test (45 minutes) on the technology basics (20%) -- additional bonus points for the special assignments (10%) One excused (E-Mail at least two days prior to lecture with reason) absence will be accepted, two excused absences will cause a "4" in attendance, a non-excused absence equals failure of the course. That includes the attendance of the surgeries and Q&A sessions. The first block is mandatory! Clinical collaborators include Prof. Dr. E. Euler (Trauma Surgery, Navigated Orthopedic Surgery), Dr. Simon Weidert (Trauma Surgery, Navigated Orthopedic Surgery), Dr. med. Reza Ghotbi (Endovascular Surgery), Prof. Dr. Hubertus Feußner (Minimal Invasive, Laparoscopic Surgery), Prof. Dr. Hubert Hautmann (Pneumologie, Navigated Bronchoscopy) ... (more to follow).

Photos Advanced Multimodality Image Guided Operating (AMIGO) Suite Digital OR integration by Brainlab Seminar at Spitzinghaus for last lecture and final presentations

Lecture Schedule

Date	Conducted by	Topic	Slides
April 11th	Dr. Michael Friebe, Dr. Jörg Traub	Introduction to the Lecture, Assignments, Expectations, Basics of Medical Imaging	Slides Part I
April 16th	Dr. Michael Friebe, Dr. Jörg Traub	Medical Procedure Introduction, Basics of Navigation, Tracking & Segmentation	Slides Part II
11:30 (TUM-IAS Lecture Room 0 or Auditorium)	Gregor Schaefers, Dipl.-Ing., CEO MR:comp GmbH, experts for MRI compatibility testing	MRI Innovation
May 9th	Dr. Michael Friebe, Dr. Jörg Traub	Presentation of Lecture I and II assignments, Project Management, Project Preparation, Engineering Approaches, Soft Skill Discussion, Special Topics	Slides Part III MF  Slides Part III JT
12:30	Dr. Ulrich Schreiber, PolyAxNail	EXIST funding for PolyAxNail
May 23rd	Dr. Michael Friebe, Dr. Jörg Traub	Midterm presentations, Pain / Gain Analysis, individual project coaching, German Healthcare in a Nutshell
June 6th	Dr. Michael Friebe, Dr. Jörg Traub	Discussion Assignments Lecture 3 and 4, Conceptual Blockbusting and Innovation Games, Special Topics	Innovation Games
			IG_DT_CB Slides
July 4th	Dr. Michael Friebe, Dr. Jörg Traub	Final Presentation, Examination, Final Discussion and Summary	Review Slides

Readings

• Terry Peters and Kevin Cleary – Image Guided Interventions – Technology and Application – Springer 2008 - ISBN-10: 0387738568
• A. Wolbarst and W. Hendee, Evolving and experimental technologies in medical imaging, Radiology, 238 (2006), pp. 16-39
• PhD Thesis - Chapter 1 & 2 - Joerg Traub, New Concepts for Design and Workflow Driven Evaluation of Computer Assisted Surgery Solutions, 2008, TUM, Munich, Germany
• How Surgeons and Engineers Can Communicate Better
• Selected Workshop and Proceedings of the following congresses: IPCAI/CARS, MICCAI, SMIT
• POWER CARTOON ACCESS -- FOR THE PROJECT: Manuals downloadable at http://www.powtoon.com -- Student Access through here