Smartglass augmented reality‐assisted targeted prostate biopsy using cognitive point‐of‐care fusion technology

Abstract

Introduction MRI‐guided targeted biopsy has become standard of care for diagnosis of prostate cancer, with establishment of several biopsy techniques and platforms. Augmented reality smart glasses have emerged as novel technology to support image‐guided interventions. We aimed to investigate its usage while prostate biopsy. Methods MRI with PIRADS‐lesions ≥3 was uploaded to smart glasses (Vuzix BladeR) and augmented reality smart glasses‐assisted targeted biopsy (SMART‐TB) of the prostate was performed using cognitive fusion technology at the point of care. Detection rates were compared to systematic biopsy. Feasibility for SMART‐TB was assessed (10 domains from bad [1] to excellent [10]). Results SMART‐TB was performed for four patients. Prostate cancer detection was more likely for SMART‐TB (46%; 13/28) than for systematic biopsy (27%; 13/48). Feasibility scores were high [8–10] for practicality, multitasking, execution speed, comfort and device weight and low [1–4] for handling, battery and image quality. Median execution time: 28 min; Investment cost smart glass: 1017 USD. Conclusion First description of SMART‐TB demonstrated convenient feasibility. This novel technology might enhance diagnosis of prostate cancer in future.

The design and validation of a low-cost trans perineal (TP) prostate biopsy simulator for training: improving trainees’ confidence and cognitive targeting skills

“…Most of the prostate biopsy simulator found in literature used more advanced technology including virtual reality and augmented reality [19][20][21][22][23]. The only bench model simulator was by Caldwell et al [24].…”

The use of advanced imaging in guiding the further investigation and treatment of primary prostate cancer

“…An innovative way to integrate prior imaging into real-time biopsy is augmented reality. Through ‘smart glasses’, prior mpMRI was matched with real-time TRUS images at standard template fusion biopsy [ 45 ]. This approach yielded in a higher PC detection rate of 46% than standard biopsy at 27%.…”

Preliminary study of prehospital use of smart glasses

“…Previous reports have suggested the usefulness of smart glasses in surgical operations, rehabilitation, and medical education. 3 , 4 , 5 , 6 , 7 , 8 , 9 However, there have been no reports on the use of smart glasses in the prehospital setting involving collaboration among fire department, receiving hospital, and private company staff. Earlier and more precise recognition of the patient's status at the receiving hospital using smart glasses in comparison to a cellular phone may result in earlier preparation to accept patients and improve patient outcomes.…”

“…These capabilities are essential for delivering the benefits of advanced sensor technology, artificial intelligence and remote training, patient care, and providing support to first responders and medical personnel. Previous reports have suggested the usefulness of smart glasses in surgical operations, rehabilitation, and medical education 3–9 . However, there have been no reports on the use of smart glasses in the prehospital setting involving collaboration among fire department, receiving hospital, and private company staff.…”