{"id":7812,"date":"2024-06-17T08:44:34","date_gmt":"2024-06-17T06:44:34","guid":{"rendered":"https:\/\/www.icotec-medical.com\/?page_id=7812"},"modified":"2024-06-19T12:55:38","modified_gmt":"2024-06-19T10:55:38","slug":"white-paper-2","status":"publish","type":"page","link":"https:\/\/www.icotec-medical.com\/en-us\/clinical-application\/white-papers\/white-paper-2\/","title":{"rendered":"White Paper 2"},"content":{"rendered":"\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/0293US_ClinicalValueBook_2024-04.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download white paper<\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\"><strong><strong><strong>The Need for Clarity: <\/strong><\/strong><\/strong><br><strong><strong><strong>Optimizing Postoperative Imaging <\/strong><\/strong><\/strong><br><strong><strong><strong>in Spinal Tumor Care<\/strong>&nbsp;<\/strong><\/strong><\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>In the management of spinal tumor care, postoperative imaging plays an important role for the evaluation of surgical outcome, tumor surveillance, and adjuvant radiation therapy.&nbsp; <\/p>\n\n\n\n<p>For patients stabilized with hardware, the presence of titanium implants poses difficulties for precise postoperative evaluation and radiotherapy planning due to the imaging artifacts, especially when employing magnetic resonance imaging (MRI).<\/p>\n<\/div>\n<\/div>\n\n\n<div id=\"quotes\" class=\"large\">\n\n      <div class=\"quote \">\n      <div class=\"container\">\n        \n                \n                \n          <figure style=\"background-image:url(https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/Lador-Ran-e1710229714889.png);\"><\/figure>\n        \n                \n        <div class=\"text\">\n          \n          <blockquote>\n            \u201cSaving the CT myelogram is a significant advantage to the patient\u2019s safety and satisfaction.\u201d           <\/blockquote>\n          <div class=\"author\">\n            <div class=\"name\">Ran Lador, MD<\/div>\n            <div class=\"position\">Orthopedic Surgeon<\/div>\n          <\/div>\n          \n        <\/div>\n        \n              \n      <\/div>\n    <\/div>\n    \n<\/div>\n\n<script>\n\n  jQuery(document).ready( function($){\n  \n    $(\"#quotes\").slick({\n      slidesToShow: 1,\n      slidesToScroll: 1,\n      fade: true,\n      loop: true,\n      infinite: false,\n      arrows: true,\n      adaptiveHeight: true,\n      dots: false,\n      autoplay: false,\n      autoplaySpeed: 4000,\n    });\n    \n  });\n\n<\/script>\n\n\n\n<div class=\"wp-block-getwid-section\"><div class=\"wp-block-getwid-section__wrapper\"><div class=\"wp-block-getwid-section__inner-wrapper\"><div class=\"wp-block-getwid-section__background-holder\"><div class=\"wp-block-getwid-section__background\"><\/div><div class=\"wp-block-getwid-section__foreground\"><\/div><\/div><div class=\"wp-block-getwid-section__content\"><div class=\"wp-block-getwid-section__inner-content\">\n<div class=\"wp-block-getwid-accordion has-icon-left\" data-active-element=\"none\">\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">In Search of a Safer Option: Moving Beyond CT Myelograms for Spinal Tumor Imaging<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>CT myelograms have been introduced to overcome the challenges posed by metal hardware.<span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"1\" data-mfn-post-scope=\"0000000043c2f78d000000001685d2f6_7812\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-0000000043c2f78d000000001685d2f6_7812\">1<\/a><\/sup><span id=\"mfn-content-0000000043c2f78d000000001685d2f6_7812\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"1\">Redmond, K.J., et al., Consensus guidelines for postoperative stereotactic body radiation therapy for spinal metastases: results of an international survey. J Neurosurg Spine, 2017. <strong>26<\/strong>(3): p. 299-306.<\/span><\/span> This diagnostic imaging procedure involves injecting a contrast agent into the subarachnoid space to aid in visualizing the spinal cord and surrounding structures. The invasive nature of the procedure, associated with discomfort, can expose patients to potential risks, including infection, allergic reactions, and cerebrospinal fluid leaks.&nbsp;&nbsp;<\/p>\n\n\n\n<p>The introduction of <a href=\"https:\/\/www.icotec-medical.com\/en-us\/clinical-application\/implants\/\">BlackArmor<sup>\u00ae<\/sup> Carbon\/PEEK implants<\/a> is accompanied by artifact-free MR imaging. These radiolucent spinal implants provide surgeons and radiation oncologists with clear, comprehensive images of the spinal cord and surrounding structures. This not only eliminates the need for invasive CT myelograms<span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"2\" data-mfn-post-scope=\"0000000043c2f78d000000001685d2f6_7812\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-0000000043c2f78d000000001685d2f6_7812\">2<\/a><\/sup><span id=\"mfn-content-0000000043c2f78d000000001685d2f6_7812\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"2\">Fleege, C., et al., Carbon fiber-reinforced pedicle screws reduce artifacts in magnetic resonance imaging of patients with lumbar spondylodesis. Sci Rep, 2020. 10(1): p. 16094.<\/span><\/span>, but also contributes to increased patient safety and streamlines the overall treatment process.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized is-style-default\"><img decoding=\"async\" width=\"995\" height=\"749\" src=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/Meeting-Surgeon.png\" alt=\"Meeting Surgeon\" class=\"wp-image-7820\" style=\"width:498px;height:375px\" srcset=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/Meeting-Surgeon.png 995w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/Meeting-Surgeon-300x226.png 300w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/Meeting-Surgeon-768x578.png 768w\" sizes=\"(max-width: 995px) 100vw, 995px\" \/><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Precision without Risk: BlackArmor<sup>\u00ae<\/sup> Carbon\/PEEK Paves the Way for Advanced Spinal Tumor Imaging<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>A recent study, comparing postoperative imaging measurements between titanium and <a href=\"https:\/\/www.icotec-medical.com\/en-us\/clinical-application\/implants\/\">BlackArmor<sup>\u00ae<\/sup> Carbon\/PEEK implants<\/a>, demonstrated the avoidance of repeating suboptimal CT myelograms in the <a href=\"https:\/\/www.icotec-medical.com\/en-us\/blackarmor\/\">BlackArmor<sup>\u00ae<\/sup><\/a> group, owing to the artifact-free MR imaging achieved.<span class=\"modern-footnote\"><sup class=\"modern-footnotes-footnote modern-footnotes-footnote--expands-on-desktop \" data-mfn=\"3\" data-mfn-post-scope=\"0000000043c2f78d000000001685d2f6_7812\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-0000000043c2f78d000000001685d2f6_7812\">3<\/a><\/sup><span id=\"mfn-content-0000000043c2f78d000000001685d2f6_7812\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"3\">Almeida, R.A.A., et al., Quantification of MRI Artifacts in Carbon Fiber Reinforced Polyetheretherketone Thoracolumbar Pedicle Screw Constructs prior to Spinal Stereotactic Radiosurgery. Pract Radiat Oncol, 2023.<\/span><\/span><\/p>\n\n\n\n<p>In addition, MR images acquired using <a href=\"https:\/\/www.icotec-medical.com\/en-us\/blackarmor\/\">BlackArmor<sup>\u00ae<\/sup> Carbon\/PEEK<\/a> demonstrate the ability to detect epidural spinal cord compression resulting from postoperative fluid collection, helping to differentiate it from residual disease. This distinction contributes valuable insights, empowering healthcare professionals to make informed treatment decisions tailored to individual patient needs.<\/p>\n\n\n\n<figure class=\"wp-block-image alignright size-full is-resized\"><img decoding=\"async\" width=\"1024\" height=\"506\" src=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/image-1024x506-1.jpeg\" alt=\"CT Myelogram\" class=\"wp-image-7846\" style=\"width:768px;height:380px\" srcset=\"https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/image-1024x506-1.jpeg 1024w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/image-1024x506-1-300x148.jpeg 300w, https:\/\/www.icotec-medical.com\/wp-content\/uploads\/2024\/06\/image-1024x506-1-768x380.jpeg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Fluid collection obscuring the CT myelogram. A) Post-op CT myelogram showing epidural compression. B) and C) axial T2 and T1 MRI with BlackArmor<sup>\u00ae<\/sup> Carbon\/PEEK implants confirmed a postoperative fluid collection.<br>Taken from Almeida et al., 2023.<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"has-text-align-center has-small-font-size\">NOTE: Not all icotec implants have been evaluated for safety in the MR environment. <br>Some have not been tested for heating or unwanted movement in the MR environment. <br>The safety of these implants in the MR environment is unknown. Performing an&nbsp;MR exam on <br>a person who has such a medical device may result in injury. Please consult the respective instructions for use&nbsp;regarding information on the safety and compatibility of the individual icotec implants in the MR environment.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.icotec-medical.com\/en-us\/clinical-application\/white-papers\/white-paper-3\/\">Move to next white paper<\/a><\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Need for Clarity: Optimizing Postoperative Imaging in Spinal Tumor Care&nbsp; In the management of spinal tumor care, postoperative imaging plays an important role for the evaluation of surgical outcome, tumor surveillance, and adjuvant radiation therapy.&nbsp; For patients stabilized with hardware, the presence of titanium implants poses difficulties for precise postoperative evaluation and radiotherapy planning [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":7810,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":true,"inline_featured_image":false,"footnotes":""},"class_list":["post-7812","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Optimizing Postoperative Imaging in Spinal Tumor Care | icotec<\/title>\n<meta name=\"description\" content=\"In the management of spinal tumor care, postoperative imaging plays an important role for the evaluation of surgical outcome, tumor surveillance, and adjuvant radiation therapy.\u00a0\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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