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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.

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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.


577 Procedures in AMIGO
08/31/2011-07/18/2014
Neuro 119
  • 78 Craniotomies/Biopsies
  • 22 Transsphenoidals
  • 10 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
Skeletal 3
  • 1 MR Cryoablation/Biopsy (Spinal Tumor Mass)
  • 1 MR Biopsy (Femur)
  • 1 Biopsy PET/CT guided (Spine)
Thorax 54
  • 21 Video Assisted Thoracoscopic Surgeries (iVats)
  • 8 Breast Lumpectomies
  • 7 EP Cardiac Ablations
  • 7 Microwave Ablations PET/CT Guided (Lung)
  • 7 Biopsy PET/CT Guided (Lung)
  • 3 Cryoablations PET/CT Guided (Lung, Rib)
  • 1 Cryoablation MR guided (Paraspinal met)
Abdomen 176
  • 106 Cryoablations MRI guided (Liver, Kidney)
  • 25 Biopsies MR guided (Liver, Kidney)
  • 18 Cryoablations PET/CT guided (liver, kidney)
  • 16 Microwave Ablations PET/CT guided (liver, kidney)
  • 9 Cryoablations & Biopsies MR guided (Liver, Kidney)
  • 1 Cryoablation & Biopsy PET/CT guided (Liver)
  • 1 FDG PET/CT Guided Interventions (Liver)
Pelvis 218
  • 134 Prostate Biopsies
  • 69 Gynecologic Cancer Brachytherapy
  • 7 Prostate Brachytherapy
  • 5 Cryoablations MR guided (Iliac, Prostate)
  • 1 Biopsy MR Guided (Penile)
  • 1 Biopsy/Cryoablation Combo MR Guided
  • 1 Cryoablation PET/CT Guided (Pelvic Tumor)


More About AMIGO

A review of the first year of AMIGO
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.
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