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Minimal Invasive Interventional Imaging


Minimally Invasive Interventional Imaging (MI3) project is intended to develop the second generation of Computer Assisted Surgery systems in the domains of dentistry, orthopedics, ENT surgery. MI3 proposes an integrated solution that combines hardware innovative imaging devices (including silicon x-ray sensors), specific augmented reality technology, new imaging algorithms, new integrated knowledge data bases, and optimised surgical protocols. MI3 is managed by 4 fully European SMEs, which have complementary activities and strong commercial synergies. The global strategy is to introduce Information Technologies in the Operating Room using attractive hardware equipment (first market of several ME) in order to propose multiple services and software products in the Future (second market of several tens of ME). 5 universities and 5 clinical centres will provide a unique expertise in innovative software, algorithms and clinical protocols. For 1,000,000 orthopedic interventions per year, reducing the loss of wok-days by only 1% using MI3 could save more than 50 ME per year in the EC. MI3 will also reduce x-ray dose delivered to patients while offering accuracy, reliability and minimally-invasive access.

Objectives of MI3 are to develop an innovative medical integrated system for treatment in the area of orthopaedic surgery, maxillo-facial surgery, ENT surgery and dentistry. The clinical objective of MI3 is to optimise surgical protocols from image acquisition to surgical action in order to reduce the global cost of interventions, the time of each operation, the duration of stay of the patient in the hospital, the x-ray dose delivered to the patients and the medical staff, the complication rates including patient pain, the invasiveness of surgery, the stress of the surgeon, the inaccuracy of surgical acts and the variability of results between different surgeons. The industrial objective of MI3 is to create the second generation of Computer Assists Surgery products, by proposing first very attractive hardware integrated platforms (market of several ME) and then a variety of services and software products (market of several tens of ME). The scientific objective of MI3 is to develop and refine new components necessary to MI3 systems (3D reconstruction algorithms, innovative user interfaces, new surgical protocols, model-based registration methods).

Work description:
MI3 will combine the best technology that can be found in European companies and universities to build MI3 products:
- New digital x-ray imaging detectors of TRIXELL (the only European Company in this highly strategic domain)
- Multi-applications software of PRAXIM for Computer Assisted Surgery (CAS)
- Electro-mechanical systems of QR for 3D imaging systems
- Extended DICOM of GEMETEC for CAS data bases
- 3D reconstruction algorithms of VUB (solving the data truncation problems and enabling randomrajectories)
- Model-based 3D reconstruction and registration methods of UJF and UoL.
- Ergonomic design and evaluation tools of HIA.

MI3 will offer strategic technology. It constitutes the basis of complete solutions, with infinite extensions to integrated knowledge systems and databases on which can be plugged any kind of servicing in the Operating Room. Fully integrated solutions will be a breakthrough that will help Information Technology to penetrate the Operating Rooms at a large scale. This or technology will be fully exploited by designing new surgical protocols adapted to specific cases, indications or techniques. Optimising the surgical protocols from image and data acquisition to surgical acquisition will have tremendous consequences to the patients and the society. MI3 is a project driven by 4 SMEs in collaboration with 5 Universities and 5 Clinical Centres. This consortium represents a unique world wide expertise in this area that should give to Europe a good position with respect of United States who have just invested 35 M$ on a programme of Computer Integrated Surgery merging leading US universities with hospitals and American SMEs. MI3 project is highly innovative and cannot be addressed by other European, American or Japanese groups within the next 5 to 10 years. The project model of MI3 includes the technical specification from user needs and available technology, the development of hardware and software components, the integr

After 12 months, MI3 will show two types of initial results:
- Optimised clinical protocols for dental implant surgery
- A first prototype of intra-operative system with a static digital detector for orthopaedics.

At the end of the project (M36), the MI3 system integrating a dynamic detector will demonstrate on patients its efficiency. The most representative surgical procedures will be tested and evaluated during the clinical validation. SMEs of the consortium have already defined coherent strategies for the final exploitation plans of MI3 highly profitable for all partners.

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Participants (6)