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Thank you for visiting CIVCO’s Clinical Library. You have access to our growing library of clinical evidence surrounding the use of needle guided ultrasound procedures including:

  • Clinical Case Studies – Practical procedural example describing the use of ultrasound needle guidance.
  • Clinical Publication Briefs – Summaries of recently published research papers and studies demonstrating the use of needle guidance in CT and ultrasound.
  • Educational Exhibits – Recent posters, presentations and educational tools from leading professional congresses.

Search the clinical library to discover how leading physicians are utilizing CIVCO products to improve their practice.

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Case Study: 2D Ultrasound Puncture of Non-Dilated Kidney Using eTRAX™ Needle Tip Tracking

Patient underwent percutaneous nephrostomy. Electromagnetic needle tip tracking allowed continuous visualization of the needle pathway for safe and easy insertion into the kidney.

Anatomical Region of Interest
  • Kidney
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Biopsy of Colon Wall Using PET Image Fusion and eTRAX™ Needle Tip Tracking

Using Volume Navigation on the LOGIQ E9, image fusion of 2D ultrasound and PET slice of the colonic wall was possible. eTRAX Needle Tip Tracking was useful for continuous visualization of the needle tip.

Anatomical Region of Interest
  • GI Tract
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Biopsy of Retroperitoneal Renal Carcinoma Using eTRAX™ Needle Tip Tracking

The patient underwent a sensitive biopsy in a portion of the retroperitoneum. Electromagnetic needle tip tracking allowed continuous visualization of the needle pathway for safe and easy insertion into the kidney.

Anatomical Region of Interest
  • Kidney
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Biopsy of Thorax Metastasis Tumor Using eTRAX™ Needle Tip Tracking Technology

Patient presented with a difficult-to-see lesion using conventional ultrasound. Access was aided with image fusion and the use of eTRAX Needle Tip Tracking through a non-accoustic window. Image fusion using CT and ultrasound data sets was possible with Volume Navigation technology. Needle tip tracking was useful for continuous visualization of the needle tip.

Anatomical Region of Interest
  • Chest
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Costal Lesion Biopsy with RAD-GUIDE

Anatomical Region of Interest
  • Chest
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Cranial Base Mass Biopsy Using RAD-GUIDE

Anatomical Region of Interest
  • Head and Neck
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Deep Pulmonary Nodule Biopsy with RAD-GUIDE

Anatomical Region of Interest
  • Chest
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Difficult Liver Abscess Drainage Using CT Fusion and eTRAX™ Needle Tip Tracking

Patient presented with a difficult-to-see liver abscess using conventional ultrasound. Intercostal access was aided by eTRAX Needle Tip Tracking, image fusion using CT, ultrasound datasets and an ultrasound contrast medium. Needle tip tracking was useful for accurate visualization of the instrument tip.

Anatomical Region of Interest
  • Liver
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Endocavity Quick-Release

55 yo male with perforated appendicitis. Post-operative abscess developed (A) anterior to the rectum (R).

Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • Endocavity Quick-Release

Case Study: eTRAX™ Biopsy of Recurring Prostatic Pelvic Tumor

Patient presented with a recurring prostatic pelvic tumor. Utilizing Volume Navigation on the LOGIQ E9 allowed image fusion of CT and the ultrasound study. eTRAX Needle Tip Tracking software allowed accurate pre-puncture visualization of the path of the biopsy needle and ensured proper entry point selection.

Anatomical Region of Interest
  • Prostate
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: eTRAX™ Needle Tip Tracking Enables Biopsy of Difficult-to-See Pancreatic Lesion

Patient presented with pancreatitis. Using Volume Navigation on the LOGIQ E9, (GE Healthcare), image fusion using CT and ultrasound data sets was possible. eTRAX Needle Tip Tracking (CIVCO Medical Solutions) was useful for continuous visualization of the needle tip.

Anatomical Region of Interest
  • GI Tract
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: eTRAX™ Needle Tip Tracking of Superficial Kidney Biopsy Using Contrast

Patient presented with a small, superficial kidney lesion. The use of Volume Navigation on the LOGIQ E9, image fusion of ultrasound and CT was possible. Using an out-of-plane approach, eTRAX Needle Tip Tracking was useful for continuous visualization of the needle tip.

Anatomical Region of Interest
  • Kidney
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Fiducial Marker Placement in Liver Treatment Planning Using eTRAX™ Needle Tip Tracking

An 86 year-old-male with a history of metastatic colon cancer to the liver underwent multiple courses of chemotherapy over a period of three years. His disease was under control except for one metastasis in the dome of the liver. Despite multiple courses of chemotherapy, this hepatic lesion persisted. His oncologist exhausted all possible treatment options of chemotherapy and feared further toxicity, and unlikely benefit from further treatments.

Anatomical Region of Interest
  • Liver
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Liver Tumor Biopsy Using eTRAX™ Needle Tip Tracking

Patient presented with pancreas carcinoma with liver metastases. eTRAX is useful for visualization in non-neoplastic liver tissue.

Anatomical Region of Interest
  • Liver
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Lung Biopsy Bronchiolo-alve Olar Carcinoma with RAD-GUIDE

Anatomical Region of Interest
  • Chest
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Lung Cavity Lesion Biopsy Using RAD-GUIDE

Anatomical Region of Interest
  • Chest
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Pancreatic Abscess Drainage and Ultrasound Overlay Using eTRAX™ Needle Tip Tracking

Patient presented with a difficult-to-see pancreatic abscess. Accurate access was aided by eTRAX Needle Tip Tracking’s projection and pathway for advancement the needle. Use of an ultrasound overlay with CT revealed the required entry point.

Anatomical Region of Interest
  • GI Tract
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Pericardial Drainage Using RAD-GUIDE

Anatomical Region of Interest
  • Chest
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Postoperative Distal Sciatic Nerve Block

A juvenile patient underwent a complex foot osteomy. Postoperative pain management required the administration of a single-injection distal sciatic nerve block. Ultrasound guidance during needle placement was required to ensure a quick, atraumatic puncture.

Anatomical Region of Interest
  • Extremities
Specialties
  • Anesthesia
Resource Type
  • Case Study
CIVCO Brand Name
  • Infiniti Plus™

Case Study: Pulmonary Biopsy with Angulated Approach Using RAD-GUIDE

Anatomical Region of Interest
  • Chest
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Pulmonary Biopsy with Horizontal Approach Using RAD-GUIDE

Anatomical Region of Interest
  • Chest
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Radiofrequency Ablation of Multiple Renal Masses Using RAD-GUIDE

Anatomical Region of Interest
  • Kidney
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Radiofrequency Ablation of Recurrent Renal Tumor Using RAD-GUIDE

Anatomical Region of Interest
  • Kidney
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Renal Tumor Ablation with Multiple Needle Insertions Using RAD-GUIDE

Anatomical Region of Interest
  • Kidney
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Retroperitoneal Biopsy Using eTRAX™ Needle Tip Tracking

Using Volume Navigation on the LOGIQ E9, image fusion of 2D ultrasound and CT made it possible to visualize a difficult target. Using eTRAX Needle Tip Tracking was beneficial to obtain proper access to the obscurred target and continuously visualize the needle tip as it was advanced.

Anatomical Region of Interest
  • Abdomen
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • eTRAX™

Case Study: Retroperitoneal Biopsy Using RAD-GUIDE

Anatomical Region of Interest
  • Abdomen
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Retroperitoneal Infiltration Biopsy Using RAD-GUIDE

Anatomical Region of Interest
  • Abdomen
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Small Renal Ablation Using RAD-GUIDE

Anatomical Region of Interest
  • Kidney
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • RAD-GUIDE

Case Study: Transhepatic Puncture with VirtuTRAX™ Virtual Tip Tracking

Patient presented with an abscess. Virtual tip tracking was useful for accurate placement and visualization of the instrument tip throughout the procedure.

Anatomical Region of Interest
  • Liver
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • VirtuTRAX™

Clinical Publication Brief : Needle Tip Tracking in Liver Biopsy Reduces Time, Increases Accuracy

The authors compared percutaneous liver biopsy procedures performed using free-hand ultrasound-guidance to those performed using electromagnetic needle tracking (EMT). Thirty percutaneous liver biopsies were performed using conventional free-hand US guidance and 30 using the eTRAX™ Needle Tip Tracking system and the GE Healthcare LOGIQ E9 ultrasound system.

Anatomical Region of Interest
  • Liver
Specialties
  • Radiology
Resource Type
  • Publication Brief
CIVCO Brand Name
  • eTRAX™

Clinical Publication Brief: Needle Guided Long-Axis Approach Improves Needle Visualization in CVC

This study tested the hypothesis that a needle guided technique (NG) would allow faster central venous catheter placement, better success rates and fewer needle sticks than both the short-axis (S-FH) and long-axis (L-FH) free-handed methods. Additionally, the authors postulated the lack of control of needle depth under the short-axis (S-FH) approach contributes to inadvertent arterial puncture.

Anatomical Region of Interest
  • Vascular Access
Specialties
  • Vascular Access
Resource Type
  • Publication Brief
CIVCO Brand Name
  • Infiniti Plus™

Clinical Publication Brief: Needle Guide Contributes to Overcoming Pitfalls Associated with CVC

A clinical study approved by the Chiba Medical Center Ethical Committee was performed to test a three-step method designed to overcome pitfalls associated with ultrasound-guided long-axis central vein catheterization (LAX-IP). Identified pitfalls of this technique include veins that curve and are challenging to approach, utilizing free-hand needling technique requires specific skills and training and lastly, identifying the true center of the view in LAX-IP is challenging with 2D imaging.

Anatomical Region of Interest
  • Vascular Access
Specialties
  • Vascular Access
Resource Type
  • Publication Brief
CIVCO Brand Name
  • Infiniti Plus™

Clinical Publication Brief: Needle Guide Identifies Needle Tip, Reduces Time for Simulated Block

The authors hypothesized the use of an in-plane multi-angle needle guide would assist residents with novice ultrasound skills in performing a phantom simulated nerve block.

Anatomical Region of Interest
  • Extremities
Specialties
  • Anesthesia
Resource Type
  • Publication Brief
CIVCO Brand Name
  • Infiniti Plus™

Clinical Publication Brief: Study Supports Use of Variable Angle Needle Guidance in Nerve Block

Thirty anaesthetists with varying levels of experience in performing regional nerve blocks participated in a crossover simulation study approved by the Melbourne Health Human Research Ethics Committee. Utilizing a porcine phantom model simulation, this study compared ultrasound guided free-hand technique and the use of a variable angle needle guide to test the hypothesis that the needle guide method will increase the percentage of time the needle tip is visualized during a regional blockade.

Anatomical Region of Interest
  • Extremities
Specialties
  • Anesthesia
Resource Type
  • Publication Brief
CIVCO Brand Name
  • Infiniti Plus™

Clinical Publication Brief: Virtual Needle Tracking Helps Accuracy and Efficiency of Liver RFA

The authors evaluated the feasibility of ultrasound-guided virtual needle tracking used to perform percutaneous radiofrequency ablations (RFA) in eight patients with heptatocellular carcinoma.

Anatomical Region of Interest
  • Liver
Specialties
  • Radiology
Resource Type
  • Publication Brief
CIVCO Brand Name
  • VirtuTRAX™

Educational Exhibit - Virtual Biopsy and 3DPan Fusion Imaging for Breast Core Biopsy

Different diagnostic imaging technologies, consolidated and emerging, can nowadays be applied to breast district: Mammography [1], Breast Tomosynthesis [2], Ductography [3], Magnetic Resonance Imaging (MRI) dedicated to breast [4], Automated Breast Ultrasound Systems (ABUS) with the patient in supine [5] or prone position [6] and Molecular Breast Imaging (MBI) [7].

Anatomical Region of Interest
  • Breast
Specialties
  • Women's Health
Resource Type
  • Educational Exhibit
CIVCO Brand Name
  • eTRAX™
  • VirtuTRAX™

Educational Exhibit : Drainage of Poorly Visualized Areas Guided by Image Fusion Involving Ultrasound and Electromagnetic Needle Tracking

Percutaneous drainage is often performed guided by ultrasound (US), which has the advantage of real time images.However, US is unable to visualize structures behind air and bone. The challenges in such areas may be overcome by using image fusion, where a previously recorded CT or MRI examination is co-registered with real time US.

Anatomical Region of Interest
  • Abdomen
Specialties
  • Radiology
Resource Type
  • Educational Exhibit
CIVCO Brand Name
  • eTRAX™

Educational Exhibit : Electromagnetic needle tracking for ultrasound guided nephrostomy

To assess retrospectively if nephrostomy guided by ultrasound (US) and electromagnetic needle tracking was feasible in mild to moderate hydronephrosis.

Anatomical Region of Interest
  • Kidney
Specialties
  • Radiology
Resource Type
  • Educational Exhibit
CIVCO Brand Name
  • eTRAX™

Educational Exhibit : Virtually - tracked Interventional Procedures Under US Guidance

The purpose of our work is to evaluate accuracy, safety, and potential uses of a new needle tracking system when performing US-guided percutaneous procedures that is applicable to commercially available needles.

Anatomical Region of Interest
  • Abdomen
Specialties
  • Radiology
Resource Type
  • Educational Exhibit
CIVCO Brand Name
  • VirtuTRAX™

Educational Exhibit : Virtually-tracked soft tissues interventional procedures under US guidance

The purpose of our work is to describe accuracy, safety and potential uses of a new needle tracking system in musculo-skeletal US-guided percutaneous procedures on a biologic model. The ability to guide the needle when performing US-guided needle percutaneous procedures can be easily improved with a short training on a biological model in order to get familiar with the positioning system and to understand the different approaches that can be used to hit the target lesion.

Anatomical Region of Interest
  • Musculoskeletal
Specialties
  • Radiology
Resource Type
  • Educational Exhibit
CIVCO Brand Name
  • VirtuTRAX™

Educational Exhibit : Virtually-tracked US-guided Radiofrequency Ablation(RFA) of Benign Thyroid Nodules

Benign thyroid nodules represent common findings during clinical examination and US evaluation. Basically they do not represent any serious problem for the patient, anyway, sometimes, may require treatment for associated symptoms and/or because of cosmetic problems

Anatomical Region of Interest
  • Head and Neck
Specialties
  • Radiology
Resource Type
  • Educational Exhibit
CIVCO Brand Name
  • VirtuTRAX™

Educational Exhibit: Ultrasound(US)-guided Fusion Imaging-assisted Facet Joint Injections: A Didactical Approach

Currently, facet joint injections are usually performed using CT guidance or fluoroscopy. The use of a GPS enhanced fusion system allows to combine the precision and panoramic view of these imaging modalities with the US dynamic imaging.

Anatomical Region of Interest
  • Musculoskeletal
Specialties
  • Radiology
Resource Type
  • Educational Exhibit
CIVCO Brand Name
  • VirtuTRAX™

Educational Exhibit: Ultrasound-Guided Vascular Access Standards

Ultrasound guided insertion is recommended for all routes of central venous catheterization. Make ultrasound needle guidance the standard of care in your facility for improved needle visualization, increased first-time success rates, and reduced complications - resulting in increased patient safety and shorter procedure times for all users.

Anatomical Region of Interest
  • Extremities
  • Head and Neck
Specialties
  • Vascular Access
Resource Type
  • Educational Exhibit
CIVCO Brand Name
  • AccuSite™
  • Infiniti Plus™
  • L25 Out-of-Plane

Saphenectomy using CloseFAST and the Ultra-Pro II Needle Guide

Anatomical Region of Interest
  • Extremities
Specialties
  • Radiology
Resource Type
  • Case Study
CIVCO Brand Name
  • Ultra-Pro II™
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Copyright 2013, CIVCO Medical Solutions

Multi-Modality Imaging

Phone: 319.248.6757 / 800.445.6741
Email: info@civco.com
About Us
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Radiation Oncology

Phone: 712.737.8688 / 800.842.8688
Email: roorder@civco.com
About Us
Careers
 

Civco

 

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Copyright 2013, CIVCO Medical Solutions

Radiation Oncology

North American Phone: 800.842.8688
International Phone: 31.10.3036600
Email: roorder@civco.com

Civco

 

  • Facebook
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Copyright 2013, CIVCO Medical Solutions

Multi-Modality Imaging

Phone: 319.248.6757 / 800.445.6741
Email: info@civco.com

Civco