1
|
Galyfos G, Pikula M, Skalski A, Vagena S, Filis K, Sigala F. Using a novel three-dimensional holographic technology to perform open vascular surgery procedures. J Vasc Surg Cases Innov Tech 2024; 10:101440. [PMID: 38464890 PMCID: PMC10924202 DOI: 10.1016/j.jvscit.2024.101440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 01/11/2024] [Indexed: 03/12/2024] Open
Abstract
Augmented reality technology has been introduced during recent years into everyday clinical practice. Several surgical specialties have begun using such technology for preoperative planning as well as intraoperatively. Regarding vascular surgery, a limited number of reports have described the benefits, mainly for endovascular procedures. We aim to present a novel three-dimensional holographic system we used to perform an open vascular procedure.
Collapse
Affiliation(s)
- George Galyfos
- Vascular Unit, First Propedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration Hospital, Athens, Greece
| | - Marcel Pikula
- Vascular Unit, First Propedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration Hospital, Athens, Greece
| | - Andrzej Skalski
- Vascular Unit, First Propedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration Hospital, Athens, Greece
| | - Sylvia Vagena
- Vascular Unit, First Propedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration Hospital, Athens, Greece
| | - Konstantinos Filis
- Vascular Unit, First Propedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration Hospital, Athens, Greece
| | - Frangiska Sigala
- Vascular Unit, First Propedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration Hospital, Athens, Greece
| |
Collapse
|
2
|
Saruwatari MS, Nguyen TN, Talari HF, Matisoff AJ, Sharma KV, Donoho KG, Basu S, Dwivedi P, Bost JE, Shekhar R. Assessing the Effect of Augmented Reality on Procedural Outcomes During Ultrasound-Guided Vascular Access. ULTRASOUND IN MEDICINE & BIOLOGY 2023; 49:2346-2353. [PMID: 37573178 PMCID: PMC10658651 DOI: 10.1016/j.ultrasmedbio.2023.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 06/16/2023] [Accepted: 07/11/2023] [Indexed: 08/14/2023]
Abstract
OBJECTIVE Augmented reality devices are increasingly accepted in health care, though most applications involve education and pre-operative planning. A novel augmented reality ultrasound application, HoloUS, was developed for the Microsoft HoloLens 2 to project real-time ultrasound images directly into the user's field of view. In this work, we assessed the effect of using HoloUS on vascular access procedural outcomes. METHODS A single-center user study was completed with participants with (N = 22) and without (N = 12) experience performing ultrasound-guided vascular access. Users completed a venipuncture and aspiration task a total of four times: three times on study day 1, and once on study day 2 between 2 and 4 weeks later. Users were randomized to use conventional ultrasound during either their first or second task and the HoloUS application at all other times. Task completion time, numbers of needle re-directions, head adjustments and needle visualization rates were recorded. RESULTS For expert users, task completion time was significantly faster using HoloUS (11.5 s, interquartile range [IQR] = 6.5-23.5 s vs. 18.5 s, IQR = 11.0-36.5 s; p = 0.04). The number of head adjustments was significantly lower using the HoloUS app (1.0, IQR = 0.0-1.0 vs. 3.0, IQR = 1.0-5.0; p < 0.0001). No significant differences were identified in other measured outcomes. CONCLUSION This is the first investigation of augmented reality-based ultrasound-guided vascular access using the second-generation HoloLens. It demonstrates equivalent procedural efficiency and accuracy, with favorable usability, ergonomics and user independence when compared with traditional ultrasound techniques.
Collapse
Affiliation(s)
- Michele S Saruwatari
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA; Department of Surgery, MedStar Georgetown University Hospital and Washington Hospital Center, Washington, DC, USA
| | | | - Hadi Fooladi Talari
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA
| | - Andrew J Matisoff
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Karun V Sharma
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Kelsey G Donoho
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Sonali Basu
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Pallavi Dwivedi
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA
| | - James E Bost
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Raj Shekhar
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA; IGI Technologies, Silver Spring, MD, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
| |
Collapse
|
4
|
Hatzl J, Böckler D, Meisenbacher K, Barb A, Hartmann N, Henning D, Uhl C. Mixed Reality in der Gefäßchirurgie – ein Scoping Review. Zentralbl Chir 2022; 147:439-446. [DOI: 10.1055/a-1939-7686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Zusammenfassung
Hintergrund „Mixed Reality“ (MR) erlaubt die Projektion von virtuellen Objekten in das Sichtfeld des Anwenders durch ein Head-mounted Display (HMD). Im gefäßchirurgischen
Behandlungsspektrum könnten MR-Anwendungen in Zukunft einen Nutzen darstellen. Im folgenden Scoping Review soll eine Orientierung über die aktuelle Anwendung der genannten Technologien im
Bereich der Gefäßchirurgie gegeben und Forschungsziele für die Zukunft definiert werden. Material und Methoden Es erfolgte eine systematische Literaturrecherche in PubMed (MEDLINE)
mit den Suchbegriffen „aorta“, „intervention“, „endovsacular intervention“, „vascular surgery“, „aneurysm“, „endovascular“, „vascular access“ jeweils in Kombination mit „mixed reality“ oder
„augmented reality“. Die Suche erfolgte nach PRISMA-Leitlinie (Preferred Reporting Items for Systematic reviews and Meta-Analyses) für Scoping Reviews. Ergebnisse Aus 547
Literaturstellen konnten 8 relevante Studien identifiziert werden. Die Suchergebnisse konnten in 2 Anwendungskategorien eingeteilt werden: (1) MR mit dem Ziel des Informationsmanagements und
zur Verbesserung der periprozeduralen Ergonomie gefäßchirurgischer Eingriffe (n = 3) sowie (2) MR mit dem Ziel der intraoperativen Navigation bei gefäßchirurgischen Eingriffen (n = 5). Die
Registrierung des physischen Patienten mit dem virtuellen Objekt und das Tracking von Instrumenten in der MR-Umgebung zur intraoperativen Navigation ist dabei im Fokus des wissenschaftlichen
Interesses und konnte technisch erfolgreich am Phantom- und Tiermodell gezeigt werden. Die bisher vorgestellten Methoden sind jedoch mit hohem infrastrukturellem Aufwand und relevanten
Limitationen verbunden. Schlussfolgerung Der Einsatz von MR im Bereich der Gefäßchirurgie ist grundsätzlich vielversprechend. Für die Zukunft sollten alternative, pragmatische
Registrierungsmethoden mit entsprechender Quantifizierung des Positionierungsfehlers angestrebt werden. Die entwickelten Soft- und Hardwarelösungen sollten auf das Anforderungsprofil der
Gefäßchirurgie angepasst werden. Das elektromagnetische Instrumenten-Tracking erscheint als sinnvolle, komplementäre Technologie zur Umsetzung der MR-assistierten Navigation.
Collapse
Affiliation(s)
- Johannes Hatzl
- Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, UniversitätsKlinikum Heidelberg, Heidelberg, Deutschland
| | - Dittmar Böckler
- Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, UniversitätsKlinikum Heidelberg, Heidelberg, Deutschland
| | - Katrin Meisenbacher
- Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, UniversitätsKlinikum Heidelberg, Heidelberg, Deutschland
| | - Alexandru Barb
- Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, UniversitätsKlinikum Heidelberg, Heidelberg, Deutschland
| | - Niklas Hartmann
- Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, UniversitätsKlinikum Heidelberg, Heidelberg, Deutschland
| | - Daniel Henning
- Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, UniversitätsKlinikum Heidelberg, Heidelberg, Deutschland
| | - Christian Uhl
- Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, UniversitätsKlinikum Heidelberg, Heidelberg, Deutschland
| |
Collapse
|