Bone biopsies guided by augmented reality: a pilot study

Albano, Domenico; Messina, Carmelo; Gitto, Salvatore; Chianca, Vito; Sconfienza, Luca Maria

doi:10.1186/s41747-023-00353-w

Cited by 7 publications

(6 citation statements)

References 38 publications

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“…Technical success was defined as the ability to complete the procedure as initially planned [ 17 , 18 ] to reach the disc. Technical efficacy was based O 2 /O 3 intradiscal diffusion adequacy, as demonstrated by the last CT scan.…”

Section: Methodsmentioning

confidence: 99%

US/CT fusion imaging and virtual navigation to guide lumbar intradiscal oxygen-ozone therapy: a pilot study

Albano,

Messina,

Gitto

et al. 2023

J Ultrasound

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Purpose To test the feasibility of US/CT fusion imaging to guide lumbar intradiscal O2/O3 therapy to treat discogenic degenerative low back pain due to lumbar disc herniation (LDH). Methods We retrospectively included consecutive patients affected by low back pain and/or sciatica due to LDH resistant to conservative therapies, who underwent to lumbar intradiscal O2/O3 injection under CT/US fusion imaging guidance (Fusion Group) and standard CT guidance (Control Group). For each procedure, we collected procedure operative time, room utilization time, number of CT passes, complications, and O2/O3 intradiscal diffusion adequacy. Technical success was defined as the ability to complete the procedure as initially planned to reach the disc. Technical efficacy was based on O2/O3 intradiscal diffusion adequacy, as demonstrated by the last CT scan. Results Six patients (4 males; mean age: 68 ± 15 years) were included in the Fusion group, six (4 males; mean age: 66 ± 12 years) in Control group. No complications were observed in both groups. In Fusion group we found significantly lower room utilization time (30 ± 6 min vs. 46 ± 10 min, p = 0.008), procedure operative time (14 ± 3 min vs. 24 ± 6 min, p = 0.008), and number of CT passes (2 [2,2] vs. 3 [3,3], p = 0.006) than in Control Group, respectively. Technical success and efficacy were 100% in both Groups. Conclusion CT/US fusion imaging seems to be a feasible and safe guidance for intradiscal O2/O3 injections, allowing decrease of procedure time and number of CT passes.

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Section: Methodsmentioning

confidence: 99%

US/CT fusion imaging and virtual navigation to guide lumbar intradiscal oxygen-ozone therapy: a pilot study

Albano,

Messina,

Gitto

et al. 2023

J Ultrasound

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“…Solbiati et al [ 64 ] reported the first in vivo study of an AR system for the guidance of percutaneous interventional oncology procedures. Recently, Albano et al [ 65 ] performed bone biopsies guided by AR in eight patients with 100% technical success.…”

Section: Ultrasoundmentioning

confidence: 99%

Artificial intelligence in interventional radiology: state of the art

Glielmo,

Fusco,

Gitto

et al. 2024

Eur Radiol Exp

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Artificial intelligence (AI) has demonstrated great potential in a wide variety of applications in interventional radiology (IR). Support for decision-making and outcome prediction, new functions and improvements in fluoroscopy, ultrasound, computed tomography, and magnetic resonance imaging, specifically in the field of IR, have all been investigated. Furthermore, AI represents a significant boost for fusion imaging and simulated reality, robotics, touchless software interactions, and virtual biopsy. The procedural nature, heterogeneity, and lack of standardisation slow down the process of adoption of AI in IR. Research in AI is in its early stages as current literature is based on pilot or proof of concept studies. The full range of possibilities is yet to be explored.Relevance statement Exploring AI’s transformative potential, this article assesses its current applications and challenges in IR, offering insights into decision support and outcome prediction, imaging enhancements, robotics, and touchless interactions, shaping the future of patient care.Key points• AI adoption in IR is more complex compared to diagnostic radiology.• Current literature about AI in IR is in its early stages.• AI has the potential to revolutionise every aspect of IR. Graphical Abstract

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“…By using AR goggles, the physician can very rapidly see the superimposed 3D reconstruction of organs and lesions on the patient in the correct location with very high precision. Moreover, the fiducials placed on the needle show when the needle reaches the target lesion with high accuracy [ 19 , 20 , 21 ]. Improvements were reported for depth perception and understanding of spatial anatomic relationships [ 22 ].…”

Section: Basics Of Navigation and Robotic Systemsmentioning

confidence: 99%

“…The EM field is incompatible with MRI [11,13,35], and large metallic objects may decrease the localization accuracy. fiducials placed on the needle show when the needle reaches the target lesion with high accuracy [19][20][21]. Improvements were reported for depth perception and understanding of spatial anatomic relationships [22].…”

Section: Basics Of Navigation and Robotic Systemsmentioning

confidence: 99%

“…Technical success was obtained in all cases with no complications or operator cybersickness (Figure 4). The same AR system was employed for bone biopsies in eight patients and proved to decrease radiation exposure, and the number of CT passes compared to the traditional CT guidance [21]. Globally, the need for medical imaging studies is increasing, with the number of Radiologists remaining the same.…”

Section: Clinical Applications and The Literature Evidencementioning

confidence: 99%

See 1 more Smart Citation

Navigation and Robotics in Interventional Oncology: Current Status and Future Roadmap

Charalampopoulos,

Bale,

Filippiadis

et al. 2023

Diagnostics

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Interventional oncology (IO) is the field of Interventional Radiology that provides minimally invasive procedures under imaging guidance for the diagnosis and treatment of malignant tumors. Sophisticated devices can be utilized to increase standardization, accuracy, outcomes, and “repeatability” in performing percutaneous Interventional Oncology techniques. These technologies can reduce variability, reduce human error, and outperform human hand-to-eye coordination and spatial relations, thus potentially normalizing an otherwise broad diversity of IO techniques, impacting simulation, training, navigation, outcomes, and performance, as well as verification of desired minimum ablation margin or other measures of successful procedures. Stereotactic navigation and robotic systems may yield specific advantages, such as the potential to reduce procedure duration and ionizing radiation exposure during the procedure and, at the same time, increase accuracy. Enhanced accuracy, in turn, is linked to improved outcomes in many clinical scenarios. The present review focuses on the current role of percutaneous navigation systems and robotics in diagnostic and therapeutic Interventional Oncology procedures. The currently available alternatives are presented, including their potential impact on clinical practice as reflected in the peer-reviewed medical literature. A review of such data may inform wiser investment of time and resources toward the most impactful IR/IO applications of robotics and navigation to both standardize and address unmet clinical needs.

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Bone biopsies guided by augmented reality: a pilot study

Cited by 7 publications

References 38 publications

US/CT fusion imaging and virtual navigation to guide lumbar intradiscal oxygen-ozone therapy: a pilot study

US/CT fusion imaging and virtual navigation to guide lumbar intradiscal oxygen-ozone therapy: a pilot study

Artificial intelligence in interventional radiology: state of the art

Navigation and Robotics in Interventional Oncology: Current Status and Future Roadmap

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