Cleveland Clinic Weston Adds MediView XR90 Platform
Cleveland Clinic Weston Hospital has become the first medical centre in Florida to offer access to the MediView XR90 surgical navigation and intelligence platform. The hospital is using the extended reality technology for image-guided care and minimally invasive procedures.
The MediView platform allows physicians to view and combine multiple imaging modalities during procedures. It uses extended reality to present imaging information through a headset while physicians continue to look directly at the patient. This lets physicians view information from different imaging sources during the same procedure.
At Cleveland Clinic Weston Hospital, the technology is initially being used for biopsies. One of its main applications combines computed tomography (CT) and ultrasound. CT images acquired before a procedure can create a holographic three-dimensional image of a patient’s anatomy. Physicians can view that image through the headset while looking at the patient and using ultrasound during the procedure.
The system combines CT and ultrasound in real time. A biopsy that would normally rely on a single imaging modality can use information from both during the same intervention. The approach also allows physicians to use CT information obtained before the procedure without exposing the patient to radiation from a CT scan during the intervention itself.
Using more than one imaging guidance method at the same time provides access to information from both CT and ultrasound throughout the procedure. The technology is intended to support visualisation during image-guided interventions while keeping the physician’s view centred on the patient.
Cleveland Clinic Weston Hospital plans to use the system first for biopsies, particularly in complex cases where additional imaging detail may be valuable. The hospital also expects to explore broader applications as the technology develops. These include treatment procedures such as thermal ablation.
The first case using the technology at Cleveland Clinic Weston Hospital involved a patient with a small liver lesion in a difficult-to-reach area. Physicians used CT and ultrasound simultaneously to visualise the lesion and perform the biopsy.
The headset also provides an alternative to relying on monitors placed around the procedure room. Physicians can access imaging through the headset instead of turning away from the patient to view a separate screen. This supports direct visual attention to the patient while keeping critical imaging information available during the procedure.
The system is also being used for clinical care and research at Cleveland Clinic Weston Hospital. The hospital expects it to support future work in physician education and collaboration, including opportunities for physicians to work with colleagues across the Cleveland Clinic system.
Using pre-acquired CT images alongside live ultrasound is central to the platform’s application at the hospital. CT data provides a three-dimensional representation of the patient’s anatomy, while ultrasound remains available during the intervention. The extended reality system displays both imaging modalities together in real time.
This differs from a biopsy that uses only one form of image guidance. Ultrasound may normally guide the procedure, while the MediView system incorporates previously acquired CT information into the same procedure. Physicians can therefore access both imaging sets while performing the biopsy.
The first liver biopsy provided an early clinical application of this approach. The lesion was small and located in a difficult-to-reach area. By using CT and ultrasound simultaneously, physicians could visualise the lesion during the procedure and complete the biopsy using the combined imaging information.
Cleveland Clinic Weston Hospital will continue to use the MediView system in clinical care and research, starting with biopsies. The hospital also plans to examine other uses, including thermal ablation, as the technology evolves. Its work with the platform also includes possible applications in physician education and collaboration across the Cleveland Clinic system.
