Image guided percutaneous spine procedures using an optical see-through head mounted display: proof of concept and rationale

Journal of Neurointerventional Surgery
Gerard DeibPhilippe Gailloud

Abstract

Optical see-through head mounted displays (OST-HMDs) offer a mixed reality (MixR) experience with unhindered procedural site visualization during procedures using high resolution radiographic imaging. This technical note describes our preliminary experience with percutaneous spine procedures utilizing OST-HMD as an alternative to traditional angiography suite monitors. MixR visualization was achieved using the Microsoft HoloLens system. Various spine procedures (vertebroplasty, kyphoplasty, and percutaneous discectomy) were performed on a lumbar spine phantom with commercially available devices. The HMD created a real time MixR environment by superimposing virtual posteroanterior and lateral views onto the interventionalist's field of view. The procedures were filmed from the operator's perspective. Videos were reviewed to assess whether key anatomic landmarks and materials were reliably visualized. Dosimetry and procedural times were recorded. The operator completed a questionnaire following each procedure, detailing benefits, limitations, and visualization mode preferences. Percutaneous vertebroplasty, kyphoplasty, and discectomy procedures were successfully performed using OST-HMD image guidance on a lumbar spine phantom. Do...Continue Reading

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Citations

Nov 23, 2018·Healthcare Technology Letters·Mathias UnberathNassir Navab
Apr 29, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ming-Hsien HuPei-Yuan Lee
Jun 23, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Francis X CreightonJohn Carey
Jul 14, 2019·Acta neurochirurgica·Barbara CarlChristopher Nimsky
Mar 14, 2019·International Journal of Computer Assisted Radiology and Surgery·Javad FotouhiNassir Navab
Dec 4, 2019·The Bone & Joint Journal·Carl LaverdièrePaul A Martineau
Jun 13, 2020·Global Spine Journal·Barbara CarlChristopher Nimsky
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Oct 8, 2020·Translational Vision Science & Technology·Hein Min HtikeParisa Eslambolchilar
Dec 17, 2020·Expert Review of Medical Devices·Christopher F Dibble, Camilo A Molina
Mar 29, 2021·The Spine Journal : Official Journal of the North American Spine Society·Hamid GhaedniaJoseph H Schwab
May 12, 2021·Journal of Neurointerventional Surgery·Joshua A HirschJames M Milburn

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