Left side:Regular View-No Disease Seen
Right Side:new system-disease is dark indigo and bright green
the “firefly effect” Disease glows green!
BREAKING NEWS FROM DOCINTHEMACHINE-Reported Here First
Docinthemachine creator Steven F. Palter, MD, Medical and Scientific Director of Gold Coast IVF, has won First Prize for Technical Achievement in Video for his study of a new laparoscopic technology that can be used to diagnose endometriosis. The prize was awarded today during the 62nd annual meeting of the American Society of Reproductive Medicine (ASRM) on October 23rd at the New Orleans Convention Center
Gold Coast IVF press release of system and award
The new “keyhole” surgery technique enables surgeons to see tumors and other pathologies, including endometriosis not otherwise visible. In traditional laparoscopy, the telescope provides the same view as would be seen with the naked eye. In the new method, highly specific filters are incorporated into the light system and telescope so that surgeons can see the tiny amounts of fluorescent light that all living human tissues give off when illuminated, a phenomenon called “autofluorescence”.
The system illuminates tissues with short wavelength blue light (380-450 nm). The tissues absorb this light and then release it as longer wavelength green light (>470 nm).
Normal and diseased tissues give off different amounts of light. Areas of disease that block fluorescence are seen as dark indigo areas, whereas those that emit fluorescence glow like a firefly. With this new surgical technique I can see disease that is otherwise invisible and treat the patient more effectively.
My study reported on the use of the autofluorescence system for the diagnosis of endometriosis, a potentially debilitating disease that affects 5.5 million women in the United States, causing infertility and chronic pelvic pain. We found additional disease using the system in 63% of the women with endometriosis examined.
The system, manufactured by Karl Storz Endoscopy-America, is based on technology that has previously been used to detect lung cancer. This study represents its first use for laparoscopic examination of the pelvic and abdominal cavities in the US. It is not yet approved for general use in the US. The next step I have planned are further ther studies to evaluate the system as a potential diagnostic tool for ovarian cancer and its metastases – a silent killer of women.
Related Posts and Videos of System:
Initial post on system with surgical photos
Description of how autofluorescence laparoscopy works
Video of how AF laparoscopy works
Surgical Video of how systems works- fluorescent views
First ever video of the “firefly effect”
Additional intraoperative video fluorescent vs. white light
Another Update: More awards! I am honored to report my follow-up work on this technology has won three additional medical society prizes: First Place at the Society of Laparoendoscopic Surgeons (SLS), First Place Best New Instrument Kott award at AAGL, and Golden Laparoscope award at AAGL
Still Another Update- Next Generation: Read more on the augmented abilities of surgeons and the future revolution in surgery here.
More original research from DITM on new cause of infertility
Related Articles
26 users responded in this post
[…] Initial post on system with surgical photos […]
[…] Initial post on system with surgical photos […]
[…] Initial post on system with surgical photos […]
[…] Initial post on system with surgical photos […]
These are incredible photos. I have had 3 scope type surgeries for endometriosis and in the last one my ob/gyn (who did all 3 over a 15 year period) said he did not find much. Makes me wonder if there were lesions he could not visualize and that he might have seen had he had this technology.
Ok, this is just down-right sexy technology!
Granted, the tumors, not so much. But finding them with the light… Definitely.
Thaks for sharing!
[…] This is another exciting first for DITM. I previously posted about my award winning research presented on the development of autofluorescent laparoscopy. Now here is onformation about my latest research just presented last week at the AAGL 35th Global Internation Congress on Gyn Endoscopy. […]
[…] I’ve been a busy little doc the last two weeks. My research on the development of the autofluorescent laparoscope was awarded a prize paper at the SLS (Society of Laparoendoscopic Surgeons), the American Society for Reproductive Medicine (ASRM), and 2 prizes at the AAGL (”Advancing Minimally Invasive Gynecology Worldwide”). I am truly honored by the recognition of my work. […]
[…] This is another exciting first for DITM. I previously posted about my award winning research presented on the development of autofluorescent laparoscopy. Now here is information about my latest research just presented last week at the AAGL 35th Global International Congress on Gyn Endoscopy. […]
[…] One example of this is the autofluorescent laparoscope I used for my recently reported research on endometriosis. Previously used in the lung, I figured out a way to use this system in the pelvis where it allowed the visualization of otherwise invisible endometriosis disease. Another Example will be the use of infrared imaging systems next in the series… […]
[…] Endoscopy had transformed medicine by allowing surgery to become less invasive with quicker recovery and lowered costs. Almost 100% of the surgery I perform is laparoscopic or hysteroscopic. The technology is mature now and little major progress can likely be made with current configurations. Back in 2000 I performed the world’s first HDTV laparoscopy– this pushed image quality to the resolution of the human eye. I also worked on developing tinier and tinier microlaparoscopes (down to 0.5 mm). I predict one of the major next areas of revolution in endoscopic surgery will be waht I call alternate visualization systems. The concept is to develop scopes that can see beyond what our native eyes can see. When this is achieved the scope becomes not just an extension of our human abilities and senses but augments our native abilities — enabling new and unimagined procedures. One example of this is the autofluorescent laparoscope I used for my recently reported research on endometriosis. Previously used in the lung, I figured out a way to use this system in the pelvis where it allowed the visualization of otherwise invisible endometriosis disease. Another Example will be the use of infrared imaging systems next in the series…Another Example will be the use of infrared imaging systems next in the series… […]
[…] Link - Thanks Dr. Palter! […]
This BLOGS are very fine and all the parts are very good.
[…] This is another exciting first for DITM. I previously posted about my award winning research presented on the development of autofluorescent laparoscopy. Now here is information about my latest research just presented last week at the AAGL 35th Global International Congress on Gyn Endoscopy. […]
[…] Thanks to Nick for including not one but two posts from yours truly docinthemachine right up there as the first set of links!. As Nick writes: Bloggers are renowned for their abilities to comment on the news (often, in pajamas) but on a few memorable occasions, bloggers can report news, too. Such is the case with Dr. Steven Palter of Doc in the Machine, who announced his award-winning endometriosis diagnosis technology on his blog. It’s part of a series Dr. Palter has written, on the radical transformation of surgery. […]
[…] Another exclusive docinthemachine first. Here is a link to view the prize winning video of my research on the development of an autofluorescent endoscopy system. The details of the research can be found here. […]
[…] Another exclusive docinthemachine first. Here is a link to view the prize winning video of my research on the development of an autofluorescent endoscopy system. The details of the research can be found here. […]
[…] For more information, you can read Palter's thoughts about The Coming Radical Transformation of Surgery and watch several short videos available on this page about this new "X-Ray vision" tumor surgery technique. […]
[…] I came across this last night and thought it was definitely worth sharing with you all. […]
Thi photo in indescrivible, the prograss become , the future is near…
[…] using special fluoresent light system, the diease glows! link includes photos and surgical videoshttp://docinthemachine.com/2006/10/23/first-report-new-xray-vision-surgery/Health awareness days, weeks and months Health observances are days, weeks, or months devoted to […]
gulp! these are up close shots! whew!
I wonder how it feels to operate those.. hehe
X-Ray make a doctor more easy to diagnose the patient. Amazing stuff.
well, hi admin adn people nice forum indeed. how’s life? hope it’s introduce branch
deoylwfmdixlhcjuwell, hi admin adn people nice forum indeed. how’s life? hope it’s introduce branch
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