A Novel Augmented Reality-Based Navigation System in Perforator Flap Transplantation - A Feasibility Study

Annals of Plastic Surgery
Taoran JiangQingfeng Li

Abstract

In perforator flap transplantation, dissection of the perforator is an important but difficult procedure because of the high variability in vascular anatomy. Preoperative imaging techniques could provide substantial information about vascular anatomy; however, it cannot provide direct guidance for surgeons during the operation. In this study, a navigation system (NS) was established to overlie a vascular map on surgical sites to further provide a direct guide for perforator flap transplantation. The NS was established based on computed tomographic angiography and augmented reality techniques. A virtual vascular map was reconstructed according to computed tomographic angiography data and projected onto real patient images using ARToolKit software. Additionally, a screw-fixation marker holder was created to facilitate registration. With the use of a tracking and display system, we conducted the NS on an animal model and measured the system error on a rapid prototyping model. The NS assistance allowed for correct identification, as well as a safe and precise dissection of the perforator. The mean value of the system error was determined to be 3.474 ± 1.546 mm. Augmented reality-based NS can provide precise navigation information b...Continue Reading

References

Nov 1, 1989·British Journal of Plastic Surgery·I Koshima, S Soeda
Nov 2, 2002·Journal of Magnetic Resonance Imaging : JMRI·Shigehiro MorikawaMasaki Fujimura
Jul 15, 2005·Minimally Invasive Neurosurgery : MIN·R MarmullaJ Mühling
Feb 19, 2008·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Heinz-Theo LuebbersFelix Matthews
Mar 7, 2009·Surgical and Radiologic Anatomy : SRA·Warren Matthew RozenMark W Ashton
Oct 3, 2009·Journal of Hepato-biliary-pancreatic Sciences·Maki SugimotoTakeshi Azuma
May 1, 2012·Plastic and Reconstructive Surgery·Frederick DurdenErgun Kocak
Jun 30, 2012·Plastic and Reconstructive Surgery·Warren M RozenMark W Ashton
Aug 2, 2013·Annals of Plastic Surgery·Haizhou LiQingfeng Li
Aug 15, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ettore MarzanoPatrick Pessaux
Aug 24, 2013·Journal of Hepato-biliary-pancreatic Sciences·Shinji OndaKatsuhiko Yanaga
Nov 13, 2013·Stereotactic and Functional Neurosurgery·Weiwei DengZhijian Song
Dec 3, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Giovanni BadialiClaudio Marchetti
Dec 4, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Miao QuGang Chai

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Citations

Sep 14, 2018·Annals of Plastic Surgery·Jonathan KanevskyMirko Gilardino
Feb 13, 2019·Aesthetic Surgery Journal·Lohrasb R SayadiAlan D Widgerow
Apr 18, 2020·Journal of Medical Internet Research·Taoran JiangQingfeng Li
Jul 31, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Philipp WinnandAli Modabber

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