"I think this is the best technology that we have had to date to get a tissue diagnosis of these hard to reach spots," says Richard H. Maley, M.D., a board certified thoracic surgeon at St. Clair Hospital.
"As far as diagnosing, this is state-of-the-art," he
says, noting that the system provides an answer approximately 80 percent of the time.
On a recent afternoon in a Hospital operating room, Dr. Maley
used the iLogic system to obtain a sample from a lymph node in the right lung of 63-year-old Donald Drew of Bridgeville.
Lymph nodes in the chest, though, are not directly accessible via the windpipe, explains Dr. Maley
"So we're going to use the navaigational system to find the lymph node right outside of the windpipe.
Once we find it, I'll use a needle in the catheter to stick it through the windpipe and into the lymph node and extract some cells for biopsy."
Using the iLogic system and a high resolution image of Donald's lungs and chest cavity, which earlier had been captured by a St. Clair CT Technologist using the Hospital's 64 Slice Computed Tomography (CT) Scanner, Dr. Maley
steers the catheter toward the lymph node.
collects a sample of the lymph node, it is placed on a sterile microscope slide and examined by a team from the Hospital's Pathology Department who quietly slip into the operating room during the procedure.
Dr. Maley and fellow St. Clair Hospital physicians Mathew A. VanDeusen, M.D., Stephen G. Basheda, D.O. and Evan R. Restelli, D.O. are the first doctors to use the iLogic Inreach system in Pittsburgh.
For more information on the iLogic Inreach system, you can reach Dr. Richard Maley
at (412) 359-6137.