Case planning
in minutes

Import 3D data sets

Today, preoperative 3D imaging facilitates the diagnosis and treat­ment of vascular disease. It provides the basis for image fusion during surgery. EndoSize flexibly imports DICOM image series from various sources such as Picture Archiving and Com­mu­ni­ca­tion Systems (PACS), medical cloud sys­tems, file hosting services, or physi­cal storage media such as CD-ROMs and hard disks. The image data is then con­verted into high-resolu­tion 3D models that visualize anatom­i­cal struc­tures in detail.

3D data management

Efficient man­age­ment of data volumes is also becoming increas­ingly impor­tant in health­care. EndoSize’s dedicated filters and key­word search allow for quick access to the required data sets. With the help of book­marks, you can mark impor­tant informa­tion and find it again later. This saves valuable time and mini­mizes potential sources of error prior to the procedure.

Selecting the surgical field

Once the data is imported and the endo­vascular treat­ment needs are identi­fied, the plan­ning phase begins by opting for the appropriate workflow.

Automated 3D segmentation of the target volume

An adaptive algorithm isolates the relevant anato­mical region within the image data and high­lights it from the sur­round­ing structures. Surgeons benefit from a clear visual repre­sen­ta­tion of the sur­gical field. Vascular anomalies such as aneu­rysms and steno­ses can be reliably identified.

Centerline for precise measurements

With just a few clicks, the intelli­gent soft­ware quickly and easily calcu­lates the center­line. This is dis­played as a virtual axis running along the main arteries. It can also be extended to include relevant arteries. It is the starting point for automated and accurate gener­ation of relevant measure­ments such as length, angle, volume, dia­meter and clock position.

Meaningful measurements for informed decisions

The measure­ments provide important information for deriving appro­pri­ate surgical procedures. Integrating measure­ments into the planning process helps avoid poor decisions and increases patient safety.

Flexibility with manual adjustments

If you want to take a closer look at certain aspects of the sur­gical field, you can manually add or adjust measure­ments with just a few clicks.

Selecting the appropriate endograft

EndoSize contains a comprehensive data­base of all major endo­grafts on the market. Detailed infor­ma­tion, technical speci­fi­cations, and order numbers can be accessed directly. Based on the previously determined measure­ments and the manu­fac­turer’s guide­lines, the user selects the optimal size of the implant. In this way, EndoSize reduces the risk of misj­udg­ments during planning and ensures the best possible selection of implants.

Creating optimal conditions

With the help of simulated anatomical views, the ideal posi­tion of the C‑arm can be determined before the pro­ce­dure. This helps to avoid parallax errors, unnec­es­sary radiation expo­sure and con­trast agent admin­is­tra­tion during surgery. After planning, EndoSize enables the crea­tion of clear digital reports con­taining all relevant infor­ma­tion such as measure­ments, selected endo­grafts, snap­shots and videos for upcoming pro­ce­dures. The reports allow for early detec­tion of poten­tial risks and can be securely stored in the PACS sys­tem. The innovative EndoSizeMe app also allows reports to be shared with the sur­gical team to facili­tate col­lab­o­ra­tion in com­plex surgical situations.

Advanced measurement tools to support implant positioning and insertion

For intraoperative navigation, EndoSize plan­ning data, including 3D volumes and simu­la­tions of anatom­ical deforma­tions that may occur during the proce­dure, can option­ally be imported into the EndoNaut² 3D image fusion system.

In addition to the Vascular Edition with the appli­ca­tion modules aorto-iliac, thoracic, thoraco-abdominal and peri­pheral, EndoSize is also available as a Cardio Edition. This enables the plan­ning of cardiac proce­dures such as TAVIs and mitral valve replace­ments in just a few minutes.