IGT logo

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.

image:AMIGO-SuiteComp.png


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

656 Procedures have been performed in AMIGO
(as of 10/24/2014)
129 Neurosurgery 253 Pelvic Biopsy, Ablation, Brachytherapy

84 MR and Ultrasound Guided Brain Tumor Resections
22 MR Guided Transsphenoidal Resections for Pituitary Tumors
12 MR Guided Deep Brain Stimulation Electrodes Placements
7 MR Guided Laser Brain Tumor Ablations
1 MR Guided Epilepsy Electrode Placement
3 MR Guided Skull Base Surgery

161 MR Guided Prostate Biopsies
76 Multi-modal imaging-based Gynecologic Cancer Brachytherapy
7 MR and Ultrasound Guided Prostate Brachytherapy
6 MR Guided Cryoablations of Prostate Tumors
1 MR Guided Biopsy of Penile Tumor
1 PET/CT Guided Penile Biopsy
1 PET/CT Guided Cryoablation of Pelvic Tumor

61 Thoracic Surgery, Biopsy, Ablation201 Abdominal Tumor Ablation and Biopsy

24 Video Assisted Thoracoscopic Surgeries (iVats)
11 Breast Lumpectomies
8 PET/CT Guided Lung Biopsies
7 Cardiac EP Ablations
7 PET/CT Guided Microwave Ablations of Lung Tumors
3 PET/CT Guided Cryoablations of Lung or Rib Tumors
1 MR Guided Cryoablation of Metastatic Paraspinal Tumors

132 MRI Guided Cryoablations of Liver or Kidney Tumors
27 MR Guided Biopsies of Liver or Kidney Tumors
19 PET/CT Guided Microwave Ablations of Liver or Kidney Tumors
23 PET/CT Guided Cryoablations of Liver or Kidney Tumors

9 Head and Neck Surgery3 Skeletal Biopsy and Ablation

5 Parathyroidectomies/Hemithyroidecotmies
2 MR-guided Cryotherapy of Neck Tumors
2 PET/CT Guided Biopsy of Tongue/Mouth

1 MR Guided Cryoablation of Spinal Tumor
1 MR Guided Biopsy of Femoral Tumor
1 PET/CT Guided Biopsy of Spine 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