Definitions of Computer-Assisted Surgery and Intervention, Image-Guided Surgery and Intervention, Hybrid Operating Room, and Guidance Systems: Strasbourg International Consensus Study.

Objective: To develop consensus definitions of image-guided surgery, computer-assisted surgery, hybrid operating room, and surgical navigation systems.
Summary Background Data: The use of minimally invasive procedures has increased tremendously over the past 2 decades, but terminology related to image-guided minimally invasive procedures has not been standardized, which is a barrier to clear communication.
Methods: Experts in image-guided techniques and specialized engineers were invited to engage in a systematic process to develop consensus definitions of the key terms listed above. The process was designed following review of common consensus-development methodologies and included participation in 4 online surveys and a post-surveys face-to-face panel meeting held in Strasbourg, France.
Results: The experts settled on the terms computer-assisted surgery and intervention, image-guided surgery and intervention, hybrid operating room, and guidance systems and agreed-upon definitions of these terms, with rates of consensus of more than 80% for each term. The methodology used proved to be a compelling strategy to overcome the current difficulties related to data growth rates and technological convergence in this field.
Conclusions: Our multidisciplinary collaborative approach resulted in consensus definitions that may improve communication, knowledge transfer, collaboration, and research in the rapidly changing field of image-guided minimally invasive techniques.
Competing Interests: Disclosure: M.G.: advisor Siemens, Medtronic; B.G.: CEO of IHU; G.C.: Advisory board Olympus, Cook Medical, Grant Research Boston Scientific; L.S.: employee of IHU, being Siemens one of its partners; I.B.: Apollo Endosurgery Research Grant holder and consultant for Boston Scientific, Apollo Endosurgery and Cook Medical; C.R.: Cooperation and invited talks sponsored by Siemens; B.O.: Research Grant: Siemens Healthineers and NIH R01CA235564; R.B.: advisor Cascination, non-financial support from iSys Medizintechnik during the conduct of the study; L.S.o.: is president of Visible Patient; A.H.: IRCAD employee; A.A.: Siemens Healthineers Advanced Therapies employee; J.M.: President of IRCAD and IHU, which are partly funded by Karl Storz, Medtronic, and Siemens Healthcare. During the face-to-face panel meeting, Siemens provided unrestricted academic sponsoring and funded it partially.
(Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc.)