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Papers of the Week

2020 Nov 14

Clin Imaging


“The eye sees only what the mind is prepared to comprehend”: Unrecognized incidental findings on intraoperative computed tomography during spine instrumentation surgery.



Intraoperative computed tomography (CT) is becoming more widely utilized in spine fusion surgeries. The use of CT-based image guidance has been shown to increase the accuracy in instrumentation placement and to reduce the rate of reoperation. However, incidental findings that are obvious in retrospect are still missed in spinal fusion surgeries due to the concept of inattentional blindness and surgeons' preoccupation with the main objective of intraoperative CT (i.e. instrumentation accuracy).