The mission of the Surgical Day Hospital and Center for Image Guided Intervention is to provide a surgical environment to support new image guided and complex composite surgical, endoscopy and interventional radiology procedures, to integrate the clinical program with novel and evolving technologies and, ultimately, to translate them into practical clinical applications for the treatment of cancer. Bringing radiologists, surgeons and endoscopists together in sterile OR environments with advanced imaging capability that provides image guidance in all of the major diagnostic modalities, Memorial Sloan-Kettering Cancer Center (MSKCC) allows these disciplines to work collaboratively to develop new processes, tools and procedures in their own areas of practice as well as composite procedures that transcend the boundaries of a single specialty. To support these new cancer therapies that replace surgery to remove tumors, JBA designed the Center for Image Guided Intervention where live diagnostic images reside in sterile hybrid OR’s, each with essential equipment for interventional minimally invasive, open and combined procedures.
The primary challenge was to design a facility and work process with physicians in disparate disciplines which required understanding the processes of each well enough to design a facility that accommodates each specialty. The design of the rooms themselves also posed particular challenges for JBA. The layouts and room sizes had to be designed to maintain sterile fields and work areas while taking equipment infrastructure into account.
JBA worked collaboratively with GE Healthcare and MSKCC to transform standard diagnostic imaging equipment so that it could function in a sterile interventional OR room, adding infrastructure and integrating the components where required to make these new work environments compatible with MSKCC’s standard OR protocols. JBA developed interventional MRI-guided OR’s at 3.0T and 1.5T.
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