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National Center for Image Guided Therapy

Advanced Multimodality Image Guided Operating (AMIGO) Suite

The Advanced Multimodal Image-Guided Operating (AMIGO) suite is a clinical translational test-bed for research of the National Center for Image-Guided Therapy (NCIGT) at Brigham and Women's Hospital (BWH) and Harvard Medical School. NCIGT and AMIGO are funded under the Biomedical Technology Resource Centers program of the National Institute of Biomedical Imaging and Bioengineering. A unique resource for Image-Guided therapy, AMIGO represents and encourages multidisciplinary cooperation and collaboration among teams of surgeons, interventional radiologists, imaging physicists, computer scientists, biomedical engineers, nurses, and technologists to achieve the common goal of delivering the safest and the most effective state-of-the-art therapy to patients in a technologically advanced and patient-friendly environment. If you are a patient and would like to learn about the offerings of AMIGO, please visit the BWH AMIGO page here.


Launched in 2011, AMIGO is one of the first operating suites in the world with a full array of imaging modalities for use during procedures, enabling less invasive, more effective therapy. Encompassing 5,700 square feet, divided into three separate, yet integrated sterile procedure rooms in which multidisciplinary teams treat patients using multiple imaging modalities. Each room has a separate entrance to the control corridor and support spaces.

MRI Room

The Magnetic Resonance Imaging (MRI) room of AMIGO includes a high-performance high-field (3 Tesla) wide-bore (70 cm) MRI scanner (Siemens Magnetom Verio, Erlangen, Germany) integrated with full OR-grade medical gases, MRI-compatible anesthesia delivery and monitoring system, and therapy delivery equipment. The MR scanner is mounted and can traverse on ceiling rails to a fully draped patient on the OR table, a typical scenario for brain tumor surgery. The scanner is used for:
  • laser removal of brain tumors
  • cerebrovascular and endovascular interventions
  • biopsies
  • needle insertion-based procedures
  • minimally invasive removal of soft tissue tumors by using freezing or heating technologies

Operating Room

The center of the image-guided operating suite, the operating room (OR), is equipped with:
  • MRI-compatible anesthesia delivery and monitoring systems
  • a surgical microscope with near-infrared capability
  • surgical navigation systems that track handheld tools
  • a ceiling-mounted single plane Siemens Artis Zee angiographic C-Arm X-Ray system
  • 3D ultrasound devices


A unique feature of AMIGO is the inclusion of PET (Positron Emission Tomography) in the surgical environment. The PET/CT (Positron Emission Tomography/Computed Tomography) scanner is stationary and fixed to the floor. There is a shuttle system for transferring patients between the PET/CT table for imaging and the OR table for surgery.

More than 200 patients per year are being diagnosed or treated in AMIGO for diseases of the brain, spine, thyroid, lungs, breast, liver, kidney, prostate, and cervix.

AMIGO Procedures

965 Procedures have been performed in AMIGO
(as of 11/06/2015)
161 Neurosurgery 400 Pelvic Biopsy, Ablation, Brachytherapy

106 MR and Ultrasound Guided Brain Tumor Resections
22 MR Guided Transsphenoidal Resections for Pituitary Tumors
16 MR Guided Deep Brain Stimulation Electrodes Placements
9 MR Guided Laser Brain Tumor Ablations
5 MR Guided Skull Base Surgery
1 MR Guided Epilepsy Electrode Placement
1 AVM Repair using Angiography
1 Burr Hole for Subdural Hematoma

291 MR Guided Prostate Biopsies
88 Multi-modal Imaging-based Gynecologic Cancer Brachytherapy
8 MR and Ultrasound Guided Prostate Brachytherapy
7 MR Guided Cryoablations of Prostate Tumors
2 MR Guided Biopsy & Cryoablation of Pelvis
2 MR Guided Biopsy of Penile Tumor, Perirectal Mass
1 PET/CT Guided Penile Biopsy
1 PET/CT Guided Cryoablation of Pelvic Tumor

88 Thoracic Surgery, Biopsy, Ablation281 Abdominal Tumor Ablation and Biopsy

30 Video Assisted Thoracoscopic Surgeries (iVats)
20 Breast Conserving Surgery
17 PET/CT Guided Lung Biopsies
7 Cardiac EP Ablations
7 PET/CT Guided Microwave Ablations of Lung Tumors
3 PET/CT Guided Cryoablations of Lung or Rib Tumors
3 PET/CT Guided Cryoablation of Metastatic Tumors
1 MR Guided Cryoablation of Metastatic Tumors

176 MRI Guided Cryoablations of Liver and Kidney Tumors
40 MR Guided Biopsies of Liver and Kidney Tumors
35 PET/CT Guided Microwave Ablations of Liver and Kidney Tumors
30 PET/CT Guided Cryoablations of Liver and Kidney Tumors

20 Head and Neck Surgery15 Skeletal Biopsy and Ablation

8 MR Guided Cryotherapy of Head & Neck Tumor
5 Parathyroidectomies/Hemithyroidecotmies
3 PET/CT Guided Biopsy of Head & Neck Tumor
2 MR Guided Face Transplant Intervention
1 MR Guided Biopsy of Head & Neck
1 MR Guided Nerve Ablation

7 MR Guided Cryoablation of Spine Tumor
3 PET/CT Guided Biopsy of Spine Tumor
3 MR Guided Cyroablation of Degenerative Spine Disease
1 MR Guided Biopsy of Femoral Tumor
1Musculoskeletal MR Guided Cryoablation (Elbow)

More About AMIGO

May 5, 2015: Tina Kapur: Open Source Software for Image Guided Therapy: 3D Slicer. MIT HST Guest Lecture.
May 6, 2014: Tina Kapur: Open Source Software for Image Guided Therapy: 3D Slicer. MIT HST Guest Lecture.
March 20, 2014: Tina Kapur: Underatanding Biomarker Science: from Molecules to Images. Harvard Catalyst Talk.
November 5, 2012: Tina Kapur: Gynecologic Brachytherapy in AMIGO: A collaboration between Radiology and Radiation Oncology. First Monday Seminar, Brigham and Women's Hospital, Boston, MA.
August 2012: A review of the first year of AMIGO
April 2012: Advanced Multimodality Image-Guided Operating (AMIGO) Suite Designed to Enhance Procedures and Enable New Interventions. The new AMIGO suite is a state-of-the-art medical and surgical research environment that facilitates collaboration among multidisciplinary teams of specialists and houses a complete array of advanced imaging equipment and interventional surgical systems. More...

March 2013: Friends of Amigo Newsletter Issue 4
November 2012: Friends of Amigo Newsletter Issue 3
July 2011: Friends of Amigo Newsletter Issue 2
March 2011: Friends of Amigo Newsletter Issue 1

The History of Image-Guided Therapy at Brigham and Women’s Hospital