The utility of virtual reality and augmented reality in spine surgery

Yoo, Joon S; Patel, Dillon S.; Hrynewycz, Nadia M; Brundage, Thomas S; Singh, Kern

doi:10.21037/atm.2019.06.38

Cited by 60 publications

(44 citation statements)

References 17 publications

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“…Therefore, a simple presentation method may be used to extend reality, and head-mounted displays and other such means are used to present the visual information [20,21]. In the medical field, VR is applied as a way to present information for surgical support and diagnostic imaging [16][17][18][19][20][21]23].…”

Section: Resultsmentioning

confidence: 99%

“…On the other hand, augmented reality (AR) is a new technology that provides new awareness by using a computer to extend the real environment perceived by humans, that is, by superimposing information on objects in the reality space [14,15]. AR was introduced in the medical field in recent years, and there are reports of its use for diagnostic imaging and surgical support [16][17][18][19][20][21]. Optical see-through head-mounted displays (OST-HMD) are worn on the head and can faithfully generate an AR image by wearing the device on the head as a spectacle-type device [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Optical see-through head-mounted display (OST-HMD)–assisted needle biopsy for breast tumor: a technical innovation

Kashiwagi¹,

Asano²,

Morisaki³

et al. 2020

Preprint

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Background: Histological examinations using needle biopsy in ultrasound-guided intervention are widely performed to detect lesions by ultrasound. On the other hand, augmented reality (AR) is a new technology that provides new awareness by using a computer to extend the real environment perceived by humans. AR was introduced in the medical field in recent years. Optical see-through head-mounted displays (OST-HMD) are worn on the head and can faithfully generate an AR image by wearing the device on the head as a spectacle-type device. Here, we developed an ultrasound-guided needle biopsy technique using OST-HMD for breast tumors.Methods: Moverio BT-35E (Seiko Epson Corp, Nagano, Japan) was used as the OST-HMD device. This technique involves performing needle biopsy under direct vision via the gap at the bottom of the display while the ultrasound images are projected on the display of the OST-HMD worn on the head. In conventional ultrasound-guided procedures, needle biopsy is performed while maintaining a posture facing the monitor of a fixed ultrasonic device, which restricts the examination doctor’s posture and movement. However, with this technique, needle biopsy can be executed smoothly with no posture restrictions. A flip shade affixed to the OST-HMD has 2% transmittance, which enables clearer projection of the images.Conclusions: This article outlines the ultrasound-guided needle biopsy using OST-HMD. Here we established a safe and accurate biopsy technique with technological innovations using AR.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Optical see-through head-mounted display (OST-HMD)–assisted needle biopsy for breast tumor: a technical innovation

Kashiwagi¹,

Asano²,

Morisaki³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In the last decade, numerous AR systems have been described in the literature regarding the treatment of degenerative cervical, thoracic and lumbar spine diseases, vertebroplasty, kyphoplasty, spine deformities, and biopsies. 49 AR is based on computer-generated data that becomes superimposed on the real world through the projection of digital images on special screens or wearable devices, thus being able to "augment" the quantity of information that can be inferred by the sole surgeon's eyes. For example, AR may assist surgeons in transpedicular screw placement by visualizing the patient anatomy and preplanned drilling trajectories on a visor in real time.…”

Section: Augmented Reality In Spine Surgerymentioning

confidence: 99%

“…For example, AR may assist surgeons in transpedicular screw placement by visualizing the patient anatomy and preplanned drilling trajectories on a visor in real time. 49,50 In 2 cadaveric studies, Elmi-Terander et al 51 utilized a hybrid system involving both navigation and AR and thus called augmented reality surgical navigation (ARSN). After acquiring a 3D CT scan, a 3D reconstruction of the spine with automatic detection the pedicles allowed the planning of screw insertion.…”

Section: Augmented Reality In Spine Surgerymentioning

confidence: 99%

Robotic Spine Surgery and Augmented Reality Systems: A State of the Art

et al. 2020

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Instrumented spine procedures have been performed for decades to treat a wide variety of spinal disorders. New technologies have been employed to obtain a high degree of precision, to minimize risks of damage to neurovascular structures and to diminish harmful exposure of patients and the operative team to ionizing radiations. Robotic spine surgery comprehends 3 major categories: telesurgical robotic systems, robotic-assisted navigation (RAN) and virtual augmented reality (AR) systems, including AR and virtual reality. Telesurgical systems encompass devices that can be operated from a remote command station, allowing to perform surgery via instruments being manipulated by the robot. On the other hand, RAN technologies are characterized by the robotic guidance of surgeon-operated instruments based on real-time imaging. Virtual AR systems are able to show images directly on special visors and screens allowing the surgeon to visualize information about the patient and the procedure (i.e., anatomical landmarks, screw direction and inclination, distance from neurological and vascular structures etc.). The aim of this review is to focus on the current state of the art of robotics and AR in spine surgery and perspectives of these emerging technologies that hold promises for future applications.

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“…On the other hand, augmented reality (AR) is a new technology that provides new awareness by using a computer to extend the real environment perceived by humans, that is, by superimposing information on objects in the reality space [14,15]. AR was introduced in the medical eld in recent years, and there are reports of its use for diagnostic imaging and surgical support [16][17][18][19][20][21]. Optical see-through head-mounted displays (OST-HMD) are worn on the head and can faithfully generate an AR image by wearing the device on the head as a spectacle-type device [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Optical See-Through Head-Mounted Display (OST-HMD)–Assisted Needle Biopsy for Breast Tumor: A Technical Innovation

Kashiwagi

Asano

Morisaki

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Histological examinations using needle biopsy in ultrasound-guided intervention are widely performed to detect lesions by ultrasound. On the other hand, augmented reality (AR) is a new technology that provides new awareness by using a computer to extend the real environment perceived by humans. AR was introduced in the medical field in recent years. Optical see-through head-mounted displays (OST-HMD) are worn on the head and can faithfully generate an AR image by wearing the device on the head as a spectacle-type device. Here, we developed an ultrasound-guided needle biopsy technique using OST-HMD for breast tumors.Methods: Moverio BT-35E (Seiko Epson Corp, Nagano, Japan) was used as the OST-HMD device. This technique involves performing needle biopsy under direct vision via the gap at the bottom of the display while the ultrasound images are projected on the display of the OST-HMD worn on the head. Results: In conventional ultrasound-guided procedures, needle biopsy is performed while maintaining a posture facing the monitor of a fixed ultrasonic device, which restricts the examination doctor’s posture and movement. However, with this technique, needle biopsy can be executed smoothly with no posture restrictions. A flip shade affixed to the OST-HMD has 2% transmittance, which enables clearer projection of the images.Conclusions: This article outlines the ultrasound-guided needle biopsy using OST-HMD. Here we established a safe and accurate biopsy technique with technological innovations using AR.

show abstract

The utility of virtual reality and augmented reality in spine surgery

Cited by 60 publications

References 17 publications

Optical see-through head-mounted display (OST-HMD)–assisted needle biopsy for breast tumor: a technical innovation

Optical see-through head-mounted display (OST-HMD)–assisted needle biopsy for breast tumor: a technical innovation

Robotic Spine Surgery and Augmented Reality Systems: A State of the Art

Optical See-Through Head-Mounted Display (OST-HMD)–Assisted Needle Biopsy for Breast Tumor: A Technical Innovation

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