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Mehralivand S, Kolagunda A, Hammerich K, Sabarwal V, Harmon S, Sanford T, Gold S, Hale G, Romero VV, Bloom J, Merino MJ, Wood BJ, Kambhamettu C, Choyke PL, Pinto PA, Türkbey B. A multiparametric magnetic resonance imaging-based virtual reality surgical navigation tool for robotic-assisted radical prostatectomy. Turk J Urol 2019; 45:357-365. [PMID: 31509508 PMCID: PMC6739087 DOI: 10.5152/tud.2019.19133] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Accepted: 07/16/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Increased computational power and improved visualization hardware have generated more opportunities for virtual reality (VR) applications in healthcare. In this study, we test the feasibility of a VR-assisted surgical navigation system for robotic-assisted radical prostatectomy. MATERIAL AND METHODS The prostate, all magnetic resonance imaging (MRI) visible tumors, and important anatomic structures like the neurovascular bundles, seminal vesicles, bladder, and rectum were contoured on a multiparametric MRI using an in-house segmentation software. Three-dimensional (3-D) VR models were rendered and evaluated in a side room of the operating room. While interacting with the VR platform, a real-time stereo video capture of the in situ prostate was obtained to render a second 3-D model. The MRI-based model was then overlaid on the real-time model by using an automated alignment algorithm. RESULTS Ten patients were included in this study. All MRI-based VR models were examined by surgeons immediately prior to surgery and at important steps where visualization of the tumors and their proximity to surrounding anatomic structures were critical. This was mainly during the preparation of the prostatic pedicles, neurovascular plexus, the apex, and bladder neck. All participants found the system useful, especially for tumors with locally aggressive growth patterns. For small and centrally located tumors, the system was not considered beneficial due to lack of integration into the robotic console. A fully integrated system with real-time overlays within the robotic stereo viewer was found to be the ideal scenario. CONCLUSION We deployed a preliminary VR-assisted surgical navigation tool for robotic-assisted radical prostatectomies.
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Affiliation(s)
- Sherif Mehralivand
- Department of Urology and Pediatric Urology, University Medical Center, Mainz, Germany
- Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
- Molecular Imaging Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Abhishek Kolagunda
- Department of Computer and Information Sciences, University of Delaware, Newark, DE, USA
| | - Kai Hammerich
- Bristol Hospital Multi-Specialty Group- Urology, Bristol, CT, USA
| | - Vikram Sabarwal
- George Washington School of Medicine & Health Sciences, Washington, DC, USA
| | - Stephanie Harmon
- Clinical Research Directorate/Clinical Monitoring Research Program, Leidos Biomedical Research, Inc., NCI Campus at Frederick, Frederick, Maryland
| | - Thomas Sanford
- Molecular Imaging Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Samuel Gold
- Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Graham Hale
- Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Vladimir Valera Romero
- Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Jonathan Bloom
- Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Maria J. Merino
- Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Bradford J. Wood
- Center for Interventional Oncology, National Cancer Institute and Radiology and Imaging Sciences, Clinical Center, National Institutes of Health, Bethesda, MD, USA
| | - Chandra Kambhamettu
- Department of Computer and Information Sciences, University of Delaware, Newark, DE, USA
| | - Peter L. Choyke
- Molecular Imaging Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Peter A. Pinto
- Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Barış Türkbey
- Molecular Imaging Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
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Mehralivand S, Kolagunda A, Kambhamettu C, Hammerich K, Cobb K, Valera Romero V, Bloom J, Pena Lagrave G, Sabarwal V, Gold S, Hale G, Rayn K, Harmon S, Smith C, Czarniecki M, Wood B, Choyke P, Turkbey B, Pinto P. V12-07 IMPLEMENTATION OF MULTIPARAMETRIC MAGNETIC RESONANCE IMAGING INTO ROBOTIC – ASSISTED RADICAL PROSTATECTOMY USING VIRTUAL REALITY. J Urol 2018. [DOI: 10.1016/j.juro.2018.02.3015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mehralivand S, Kolagunda A, Kambhamettu C, Hammerich K, Cobb K, Valera Romero V, Bloom J, Pena Lagrave G, Sabarwal V, Gold S, Hale G, Rayn K, Czarniecki M, Wood B, Choyke P, Turkbey B, Pinto P. PD40-09 A MULTIPARAMETRIC MAGNETIC RESONANCE IMAGING – BASED VIRTUAL REALITY SURGICAL AID FOR ROBOTIC – ASSISTED RADICAL PROSTATECTOMY. J Urol 2018. [DOI: 10.1016/j.juro.2018.02.1934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Krane L, Railkar R, Sanford T, Gibbs B, Sourbier C, Ricketts C, Wei D, Hammerich K, Sidana A, Scroggins B, Guha R, Wilson K, Thomas C, Agarwal PK. MP98-10 UTILITY OF HIGH THROUGHPUT SCREENING IN IDENTIFYING AND REPURPOSING SMALL MOLECULE INHIBITORS FOR UROTHELIAL CARCINOMA. J Urol 2017. [DOI: 10.1016/j.juro.2017.02.3075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Krane L, Railkar R, Hsu I, Sidana A, Hammerich K, Vocke C, Meltzer P, Thomas C, Ferrer M, Agarwal P. MP61-04 ALTERATIONS IN CELL LINE SENSITIVITY TO SMALL MOLECULE INHIBITORS BETWEEN UROTHELIAL CANCER LINES AND THEIR METASTATIC DERIVATIVES. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Verma H, Hammerich K, Mandeville J, Flacke S, Sterling M. Refractory choledocholithiasis treated with combination of ERCP and percutaneous biliary laser lithotripsy with flexible ureteroscope. Gastrointest Endosc 2015; 82:758-9; discussion 759-60. [PMID: 25975526 DOI: 10.1016/j.gie.2015.03.1985] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2015] [Accepted: 03/31/2015] [Indexed: 02/08/2023]
Affiliation(s)
- Himanshu Verma
- Lahey Hospital and Medical Center, Burlington, Massachusetts, USA
| | - Kai Hammerich
- Lahey Hospital and Medical Center, Burlington, Massachusetts, USA
| | | | - Sebastian Flacke
- Lahey Hospital and Medical Center, Burlington, Massachusetts, USA
| | - Mark Sterling
- Lahey Hospital and Medical Center, Burlington, Massachusetts, USA
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