Picture guided percutaneous backbone procedures utilizing an optical see-through head mounted show: proof of idea and rationale.
J Neurointerv Surg. 2018 Could 30;:
Authors: Deib G, Johnson A, Unberath M, Yu Okay, Andress S, Qian L, Osgood G, Navab N, Hui F, Gailloud P
BACKGROUND AND PURPOSE: Optical see-through head mounted shows (OST-HMDs) supply a combined actuality (MixR) expertise with unhindered procedural web site visualization throughout procedures utilizing excessive decision radiographic imaging. This technical observe describes our preliminary expertise with percutaneous backbone procedures using OST-HMD as a substitute for conventional angiography suite screens.
METHODS: MixR visualization was achieved utilizing the Microsoft HoloLens system. Numerous backbone procedures (vertebroplasty, kyphoplasty, and percutaneous discectomy) have been carried out on a lumbar backbone phantom with commercially out there gadgets. The HMD created an actual time MixR surroundings by superimposing digital posteroanterior and lateral views onto the interventionalist’s area of view. The procedures have been filmed from the operator’s perspective. Movies have been reviewed to evaluate whether or not key anatomic landmarks and supplies have been reliably visualized. Dosimetry and procedural instances have been recorded. The operator accomplished a questionnaire following every process, detailing advantages, limitations, and visualization mode preferences.
RESULTS: Percutaneous vertebroplasty, kyphoplasty, and discectomy procedures have been efficiently carried out utilizing OST-HMD picture steerage on a lumbar backbone phantom. Dosimetry and procedural time in contrast favorably with typical procedural instances. Typical and MixR visualization modes have been equally efficient in offering picture steerage, with key anatomic landmarks and supplies reliably visualized.
CONCLUSION: This preliminary examine demonstrates the feasibility of using OST-HMDs for picture steerage in interventional backbone procedures. This novel visualization method could function a priceless adjunct device throughout minimally invasive percutaneous backbone therapy.
PMID: 29848559 [PubMed – as supplied by publisher]