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About

Akira Isoshima is a pioneering figure in the advancement of intraoperative imaging and robotic-assisted surgery, with a primary focus on neurosurgery and vascular surgery. His most impactful work centers on the integration of high-end robotic digital subtraction angiography (DSA) systems within the hybrid operating room (OR), a concept he helped bring to clinical reality. His seminal 2011 paper, "Robotic Digital Subtraction Angiography Systems Within the Hybrid Operating Room," with 74 citations, detailed the initial clinical experience with this transformative technology, establishing a new standard for real-time, high-resolution vascular imaging during complex procedures. More recently, Isoshima has refined the precision of spinal surgery, demonstrating in a 2023 study that intraoperative cone-beam CT (CBCT) provides full agreement with postoperative CT for assessing pedicle screw placement. This work, comparing first- and second-generation robotic C-arms, underscores his commitment to improving surgical accuracy and patient safety. Through his research, Isoshima has not only advanced the technical capabilities of the hybrid OR but has also provided the evidence base for its adoption, solidifying his reputation as a key innovator in the field of image-guided surgery.