Intraoperative Imaging with Mobile Robotics: What Loop-X Changes in the OR

· NJM Medical Editorial Team

Robotic, non-isocentric imaging brings 2D and 3D scans directly into navigated surgery. Here is what that means for workflow and patient positioning.

Navigation is only as good as its registration — the link between the patient on the table and the images on the screen. Intraoperative imaging removes much of the manual work by scanning the patient in the final surgical position.

What makes a robotic imaging device different

Brainlab’s Loop-X is a mobile imaging robot. Its source and detector move independently, allowing non-isocentric imaging: the device can adapt to the patient and the OR setup rather than forcing the patient into a fixed position.

  • 2D and 3D imaging from one device.
  • A large gantry opening that accommodates different patient positions, including prone.
  • Scalable scan volumes and low-dose protocols, with dynamic collimation to protect sensitive anatomy.

Automatic registration

Images acquired intraoperatively transfer directly to navigation, so the system knows where the patient is without surface matching or landmark picking. That saves time and supports accuracy, especially in spine and cranial procedures (see Loop-X cranial navigation).

Verification before the patient leaves the OR

A final scan can confirm implant or screw positions and the extent of a resection before closing, reducing the need for postoperative imaging and potential revision surgery.

Is it right for your hospital?

Intraoperative imaging delivers the most value in departments with a high volume of navigated spine and cranial cases. NJM Medical can help you evaluate workflow, space and training requirements — contact us for a consultation.

This article is for general information for healthcare professionals and is not medical advice. Device selection and settings must always follow the manufacturer’s instructions for use and the treating clinician’s judgement.