Augmented Reality Application to Enhance Training of Lumbar Puncture Procedure: Preliminary Results

Sargsyan, Nikolay; Bassy, Robertson; Wei, Xin; Akula, Sathish; Liu, Jueting; Seals, Cheryl; White, Jeremy

doi:10.29007/cthk

Cited by 4 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…viewing educational content using a head-mounted device) was not considered specific to teaching neuraxial procedures. [20] The characteristics of the included evidence are displayed in table 2. Clinical use of XR was infrequent, with only four of 38 completed studies reporting the use of XR in patient care.…”

Section: Resultsmentioning

confidence: 99%

“…viewing educational content using a head-mounted device) was not considered specific to teaching neuraxial procedures. [20]…”

Section: Resultsmentioning

confidence: 99%

“…A total of 13 articles were excluded. [4,[9][10][11][12][13][14][15][16][17][18][19][20] Three were deemed irrelevant as XR was not utilized. [9][10][11] One article was not available in English and was excluded.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Extended Reality for Neuraxial Anesthesia and Pain Procedures: A Scoping Review

Cho,

Thaker,

Jotwani

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Extended reality technology, encompassing augmented reality, mixed reality, and virtual reality, has the potential to enhance the teaching and performance of neuraxial procedures. The diverse applications of extended reality include immersive simulations and novel modes of procedural navigation. Objectives This scoping review aims to explore the preclinical, clinical, and educational applications of extended reality for neuraxial procedures while suggesting directions for future research. Evidence review A systematic search was conducted across PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar until December 2023. Additional sources were identified via citation searching of relevant articles. The findings are reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Findings 41 studies, including three pending clinical trials were included. The majority of included studies were published after 2015. Extended reality technology was applied in diverse ways for teaching, simulation, and navigation, but only four of the completed studies described clinical use. For the display of visuals, computer screens were most commonly used, followed by head-mounted devices, laser projectors, and semi-transparent mirrors. Conclusions Interest in utilizing extended reality technology for neuraxial procedures is growing. Preliminary work shows promise for this technology in both education and clinical practice, but achieving accurate image registration without disrupting existing workflows remains an ongoing barrier to clinical testing. Additional research is needed to assess the cost-effectiveness and reliability of this technology.

show abstract

Section: Resultsmentioning

confidence: 99%

“…viewing educational content using a head-mounted device) was not considered specific to teaching neuraxial procedures. [20]…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Extended Reality for Neuraxial Anesthesia and Pain Procedures: A Scoping Review

Cho,

Thaker,

Jotwani

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…In recent years, with the development of science and technology and the progress of medicine, MR technology has been gradually applied in several medical fields, such as diagnosis, surgery, rehabilitation treatment, education, and training. [21][22][23][24][25][26] Freschi et al found that MR could improve ultrasound probe manipulation training, with a success rate for visualizing the target structure of 78% in the hybrid group versus 45% in the physical group (P=0.04). 27 Wang et al presented an augmented reality navigation system for dental surgery based on a 3D image overlay.…”

Section: Discussionmentioning

confidence: 99%

Accuracy Evaluation Trial of Mixed Reality-Guided Spinal Puncture Technology

Wu¹,

Gao²,

Qiao³

et al. 2023

TCRM

View full text Add to dashboard Cite

To evaluate the accuracy of mixed reality (MR)-guided visualization technology for spinal puncture (MRsp). Methods: MRsp involved the following three steps: 1. Lumbar spine computed tomography (CT) data were obtained to reconstruct virtual 3D images, which were imported into a HoloLens (2nd gen). 2. The patented MR system quickly recognized the spatial orientation and superimposed the virtual image over the real spine in the HoloLens. 3. The operator performed the spinal puncture with structural information provided by the virtual image. A posture fixation cushion was used to keep the subjects' lateral decubitus position consistent. 12 subjects were recruited to verify the setup error and the registration error. The setup error was calculated using the first two CT scans and measuring the displacement of two location markers. The projection points of the upper edge of the L3 spinous process (L3↑), the lower edge of the L3 spinous process (L3↓), and the lower edge of the L4 spinous process (L4↓) in the virtual image were positioned and marked on the skin as the registration markers. A third CT scan was performed to determine the registration error by measuring the displacement between the three registration markers and the corresponding real spinous process edges. Results:The setup errors in the position of the cranial location marker between CT scans along the left-right (LR), anterior-posterior (AP), and superior-inferior (SI) axes of the CT bed measured 0.09 ± 0.06 cm, 0.30 ± 0.28 cm, and 0.22 ± 0.12 cm, respectively, while those of the position of the caudal location marker measured 0.08 ± 0.06 cm, 0.29 ± 0.18 cm, and 0.18 ± 0.10 cm, respectively. The registration errors between the three registration markers and the subject's real L3↑, L3↓, and L4↓ were 0.11 ± 0.09 cm, 0.15 ± 0.13 cm, and 0.13 ± 0.10 cm, respectively, in the SI direction. Conclusion: This MR-guided visualization technology for spinal puncture can accurately and quickly superimpose the reconstructed 3D CT images over a real human spine.

show abstract

“…The lumbar puncture (LP) is an invasive procedure where the physician inserts a thin needle into in the lumbar region, passing through different tissues, piercing the dura and accessing to the subarachnoid space [1]. This procedure is used for treatment, such as drug delivery or cerebrospinal fluid (CSF) removal to decrease intracranial pressure; and for diagnosis through the CSF sampling [1], [2].…”

Section: Introductionmentioning

confidence: 99%

Virtual lumbar puncture simulators: where are we today?

Ríos‐Hernández

Jacinto‐Villegas

Vilchis-González

et al. 2022

2022 IEEE Mexican International Conference on Computer Science (ENC)

View full text Add to dashboard Cite

The lumbar puncture is an important procedure used in different specialties in medicine, such as neurology and anesthesiology. This procedure is considered complex, and the medical students believe they have not enough experience and confidence to perform it. That is the reason why some researchers are interested in proposing to create solutions to provide a better training of this procedure. This review aims to present a comparison between 10 virtual lumbar puncture simulators developed since 2000, where nine of them use a haptic device to represent a realistic procedure. In addition, the physical and virtual components are discussed, including the haptic device, the haptic algorithm, the virtual environment and the evaluations of the simulators. The contribution of this review is to recognize the limitations and strengths to identify some optimal requirements for the design, development, or selection of the software/hardware for the next generation of virtual lumbar puncture simulators.

show abstract

Augmented Reality Application to Enhance Training of Lumbar Puncture Procedure: Preliminary Results

Cited by 4 publications

References 7 publications

Extended Reality for Neuraxial Anesthesia and Pain Procedures: A Scoping Review

Extended Reality for Neuraxial Anesthesia and Pain Procedures: A Scoping Review

Accuracy Evaluation Trial of Mixed Reality-Guided Spinal Puncture Technology

Virtual lumbar puncture simulators: where are we today?

Contact Info

Product

Resources

About