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EVAR has progressively replaced open surgical repair (OSR), especially in the infrarenal territory, representing currently over half of the surgeries for abdominal aneurysms. Over the last decades, since the first published results by Juan Parodi in 1991, endovascular aneurysm repair (EVAR) became the vascular surgeon’s most preferential technique to treat aortic aneurysms due to its benefit of early clinical and surgical outcomes with good long-term durability.
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As an alternative, a simpler technique through image manipulation on the software OsiriX/Horos, aiming to reduce both exposures, is presented. Although some studies propose effective strategies to optimize the procedure, they rely on the use of additional specific and advanced equipment, available only in major centers. Thus, a meticulous study of the angio-CT during EVAR preparation allows the reduction of unnecessary radiation exposure, as it also reduces consecutive image acquisition and contrast use (that may be related to renal overload in susceptible patients). The increase of endovascular surgeons’ interest on tomography image edition through software is marked specially when the increasing frequency of these procedures and its complexity have impelled surgeons to face additional and successive risk to occupational radiation exposure. Overall, OsiriX MD is a complex, feature-packed application designed to process DICOM images produced by specialized equipment and is fully certified for usage in clinical environments.It is known that endovascular aneurysm repair (EVAR) requires a precise deployment of the graft and so the anatomical and morphological characteristic study of the aorta and its branches is mandatory. In addition to the already comprehensive functions, OsiriX MD can have its capabilities extended thanks to its support for a complete dynamic plug-in architecture.
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While OsiriX MD is clearly designed to be used by medical professionals and researchers who have some experience in the field, it is intuitive enough not to give any headaches to users who may not be familiar with such applications. Powerful image processing solution that is quite intuitive and supports additional plug-ins It can function as a 2D, 3D, 4D and 5D viewer, while also supporting all modern rendering methods: multiplanar reconstruction, volume rendering, surface rendering and maximum intensity projection.Įssentially, the application is a DICOM PACS workstation for imaging and a processing tool for radiology, nuclear imaging, functional imaging, 3D imaging, molecular imaging and confocal microscopy. OsiriX MD is specially created to aid in the navigation and visualization of multidimensional and multimodality images. Comprehensive application that provides all the features necessary for DICOM image processing OsiriX MD, however, is fully certified for medical imaging, including primary diagnosis, and, as a result, it can be used by specialists in clinical workflow or patient care. It is not FDA/CE certified, therefore, in some regions, such as the United States and Europe, it can only be used for reviewing, research or teaching. It is worth noting that the Demo version of the application available for download, OsiriX Lite, is not designed to be used as a commercial medical device for diagnostic imaging. Fully certified app that can be used for medical imaging in clinical environments OsiriX MD is one such utility, designed to help you open, visualize and navigate multidimensional images, and is capable of receiving files transferred through the DICOM communication protocol. Specialized medical imaging devices produce files that comply to the DICOM standard and require advanced applications that offer support for the respective DICOM class in order to be viewed.
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