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National Center for Image Guided Therapy

Advanced Multimodality Image Guided Operating (AMIGO) Suite

The Advanced Multimodal Image-Guided Operating (AMIGO) suite is the clinical translational test-bed for research the National Center for Image-Guided Therapy (NCIGT) at Brigham and Women's Hospital (BWH) and Harvard Medical School. NCIGT and AMIGO are funded under the Biomedical Technology Resource Centers program of the National Institute of Biomedical Imaging and Bioengineering. A unique resource for Image-Guided therapy, AMIGO represents and encourages multidisciplinary cooperation and collaboration among teams of surgeons, interventional radiologists, imaging physicists, computer scientists, biomedical engineers, nurses and technologists to reach the common goal of delivering the safest and the most effective state-of-the-art therapy to patients in a technologically advanced and patient-friendly environment. If you are a patient and would like to understand the offerings of AMIGO, please visit the BWH AMIGO page here.


Launched in 2011, AMIGO is the first operating room-interventional suite facility with a full array of imaging modalities for use during procedures, enabling less invasive, more effective therapy. It covers a 5,700 square foot area divided into three sterile procedure rooms in which multidisciplinary teams treat patients using multiple imaging modalities. The central operating room of AMIGO, with its ceiling-mounted single plane Siemens Artis Zee angiographic x-ray machine, is flanked by a PET/CT room on one side and an MRI room on the other. Each room has a separate entrance to the control corridor and support spaces.

In the MRI room is a high-field (3 Tesla) wide-bore (70 cm) MRI scanner (Siemens Magnetom Verio, Erlangen, Germany) integrated with full OR-grade medical gases, MRI-compatible anesthesia delivery and monitoring system, and therapy delivery equipment. The MR scanner is mounted on the ceiling and can traverse on ceiling rails to a fully draped patient on the OR table, a typical scenario for brain tumor surgery. The central OR is equipped with MRI-compatible anesthesia delivery and monitoring systems, a surgical microscope with near-infrared capability, surgical navigation systems that track handheld tools, a ceiling-mounted single plane angiographic x-ray system, and ultrasound imagers. A unique feature of AMIGO is the inclusion of PET in the surgical environment. The PET/CT scanner is stationary and fixed to the floor. There is a shuttle system for transferring patients between the PET/CT table for imaging and the OR table for surgery.

Over 200 patients per year are being diagnosed or treated in AMIGO for diseases of the brain, spine, thyroid, lungs, breast, liver, kidney, prostate, and cervix.

AMIGO Procedures

623 Procedures were performed in AMIGO
before 09/12/2014
Neuro 124
  • 82 Craniotomies/Biopsies
  • 22 Transsphenoidals
  • 11 Deep Brain Stimulation Electrodes Placement
  • 7 Laser Ablations
  • 1 Epilepsy Electrode Placement
  • 1 Skull Base
Head and Neck 7
  • 5 Parathyroidectomies/Hemithyroidecotmies
  • 2 MR Guided Soft Tissue Neck
  • 1 PET/CT Guided Biopsy of Tongue/Mouth
Skeletal 3
  • 1 MR Cryoablation/Biopsy (Spinal Tumor Mass)
  • 1 MR Biopsy (Femur)
  • 1 Biopsy PET/CT Guided (Spine)
Thorax 58
  • 22 Video Assisted Thoracoscopic Surgeries (iVats)
  • 10 Breast Lumpectomies
  • 8 Biopsy PET/CT Guided (Lung)
  • 7 EP Cardiac Ablations
  • 7 Microwave Ablations PET/CT Guided (Lung)
  • 3 Cryoablations PET/CT Guided (Lung, Rib)
  • 1 Cryoablation MR Guided (Paraspinal met)
Abdomen 192
  • 116 Cryoablations MRI Guided (Liver, Kidney)
  • 27 Biopsies MR Guided (Liver, Kidney)
  • 18 Cryoablations PET/CT Guided (liver, kidney)
  • 18 Microwave Ablations PET/CT Guided (liver, kidney)
  • 9 Cryoablations & Biopsies MR Guided (Liver, Kidney)
  • 3 FDG PET/CT Guided Interventions (Liver)
  • 1 Cryoablation & Biopsy PET/CT Guided (Liver)
Pelvis 238
  • 149 Prostate Biopsies
  • 73 Gynecologic Cancer Brachytherapy
  • 7 Prostate Brachytherapy
  • 5 Cryoablations MR Guided (Iliac, Prostate)
  • 1 Biopsy MR Guided (Penile)
  • 1 Biopsy/Cryoablation Combo MR Guided
  • 1 Biopsy PET/CY Guided (Penile)
  • 1 Cryoablation PET/CT Guided (Pelvic Tumor)

More About AMIGO

May 6, 2014: Tina Kapur: Open Source Software for Image Guided Therapy: 3D Slicer. MIT HST Guest Lecture.
March 20, 2014; Tina Kapur: Underatanding Biomarker Science: from Molecules to Images. Harvard Catalyst Talk.
November 5, 2012: Tina Kapur: Gynecologic Brachytherapy in AMIGO: A collaboration between Radiology and Radiation Oncology. First Monday Seminar, Brigham and Women's Hospital, Boston, MA.
August 2012: A review of the first year of AMIGO
April 2012: Advanced Multimodality Image-Guided Operating (AMIGO) Suite Designed to Enhance Procedures and Enable New Interventions. The new AMIGO suite is a state-of-the-art medical and surgical research environment that facilitates collaboration among multidisciplinary teams of specialists and houses a complete array of advanced imaging equipment and interventional surgical systems. More...

March 2013: Friends of Amigo Newsletter Issue 4
November 2012: Friends of Amigo Newsletter Issue 3
July 2011: Friends of Amigo Newsletter Issue 2
March 2011: Friends of Amigo Newsletter Issue 1

The History of Image-Guided Therapy at Brigham and Women’s Hospital