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Preclinical Application of Augmented Reality in Pediatric Craniofacial Surgery: An Accuracy Study

Background: Augmented reality (AR) allows the overlapping and integration of virtual information with the real environment. The camera of the AR device reads the object and integrates the virtual data. It has been widely applied to medical and surgical sciences in recent years and has the potential...

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Autores principales: Ruggiero, Federica, Cercenelli, Laura, Emiliani, Nicolas, Badiali, Giovanni, Bevini, Mirko, Zucchelli, Mino, Marcelli, Emanuela, Tarsitano, Achille
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095377/
https://www.ncbi.nlm.nih.gov/pubmed/37048777
http://dx.doi.org/10.3390/jcm12072693
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author Ruggiero, Federica
Cercenelli, Laura
Emiliani, Nicolas
Badiali, Giovanni
Bevini, Mirko
Zucchelli, Mino
Marcelli, Emanuela
Tarsitano, Achille
author_facet Ruggiero, Federica
Cercenelli, Laura
Emiliani, Nicolas
Badiali, Giovanni
Bevini, Mirko
Zucchelli, Mino
Marcelli, Emanuela
Tarsitano, Achille
author_sort Ruggiero, Federica
collection PubMed
description Background: Augmented reality (AR) allows the overlapping and integration of virtual information with the real environment. The camera of the AR device reads the object and integrates the virtual data. It has been widely applied to medical and surgical sciences in recent years and has the potential to enhance intraoperative navigation. Materials and methods: In this study, the authors aim to assess the accuracy of AR guidance when using the commercial HoloLens 2 head-mounted display (HMD) in pediatric craniofacial surgery. The Authors selected fronto-orbital remodeling (FOR) as the procedure to test (specifically, frontal osteotomy and nasal osteotomy were considered). Six people (three surgeons and three engineers) were recruited to perform the osteotomies on a 3D printed stereolithographic model under the guidance of AR. By means of calibrated CAD/CAM cutting guides with different grooves, the authors measured the accuracy of the osteotomies that were performed. We tested accuracy levels of ±1.5 mm, ±1 mm, and ±0.5 mm. Results: With the HoloLens 2, the majority of the individuals involved were able to successfully trace the trajectories of the frontal and nasal osteotomies with an accuracy level of ±1.5 mm. Additionally, 80% were able to achieve an accuracy level of ±1 mm when performing a nasal osteotomy, and 52% were able to achieve an accuracy level of ±1 mm when performing a frontal osteotomy, while 61% were able to achieve an accuracy level of ±0.5 mm when performing a nasal osteotomy, and 33% were able to achieve an accuracy level of ±0.5 mm when performing a frontal osteotomy. Conclusions: despite this being an in vitro study, the authors reported encouraging results for the prospective use of AR on actual patients.
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spelling pubmed-100953772023-04-13 Preclinical Application of Augmented Reality in Pediatric Craniofacial Surgery: An Accuracy Study Ruggiero, Federica Cercenelli, Laura Emiliani, Nicolas Badiali, Giovanni Bevini, Mirko Zucchelli, Mino Marcelli, Emanuela Tarsitano, Achille J Clin Med Article Background: Augmented reality (AR) allows the overlapping and integration of virtual information with the real environment. The camera of the AR device reads the object and integrates the virtual data. It has been widely applied to medical and surgical sciences in recent years and has the potential to enhance intraoperative navigation. Materials and methods: In this study, the authors aim to assess the accuracy of AR guidance when using the commercial HoloLens 2 head-mounted display (HMD) in pediatric craniofacial surgery. The Authors selected fronto-orbital remodeling (FOR) as the procedure to test (specifically, frontal osteotomy and nasal osteotomy were considered). Six people (three surgeons and three engineers) were recruited to perform the osteotomies on a 3D printed stereolithographic model under the guidance of AR. By means of calibrated CAD/CAM cutting guides with different grooves, the authors measured the accuracy of the osteotomies that were performed. We tested accuracy levels of ±1.5 mm, ±1 mm, and ±0.5 mm. Results: With the HoloLens 2, the majority of the individuals involved were able to successfully trace the trajectories of the frontal and nasal osteotomies with an accuracy level of ±1.5 mm. Additionally, 80% were able to achieve an accuracy level of ±1 mm when performing a nasal osteotomy, and 52% were able to achieve an accuracy level of ±1 mm when performing a frontal osteotomy, while 61% were able to achieve an accuracy level of ±0.5 mm when performing a nasal osteotomy, and 33% were able to achieve an accuracy level of ±0.5 mm when performing a frontal osteotomy. Conclusions: despite this being an in vitro study, the authors reported encouraging results for the prospective use of AR on actual patients. MDPI 2023-04-04 /pmc/articles/PMC10095377/ /pubmed/37048777 http://dx.doi.org/10.3390/jcm12072693 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ruggiero, Federica
Cercenelli, Laura
Emiliani, Nicolas
Badiali, Giovanni
Bevini, Mirko
Zucchelli, Mino
Marcelli, Emanuela
Tarsitano, Achille
Preclinical Application of Augmented Reality in Pediatric Craniofacial Surgery: An Accuracy Study
title Preclinical Application of Augmented Reality in Pediatric Craniofacial Surgery: An Accuracy Study
title_full Preclinical Application of Augmented Reality in Pediatric Craniofacial Surgery: An Accuracy Study
title_fullStr Preclinical Application of Augmented Reality in Pediatric Craniofacial Surgery: An Accuracy Study
title_full_unstemmed Preclinical Application of Augmented Reality in Pediatric Craniofacial Surgery: An Accuracy Study
title_short Preclinical Application of Augmented Reality in Pediatric Craniofacial Surgery: An Accuracy Study
title_sort preclinical application of augmented reality in pediatric craniofacial surgery: an accuracy study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095377/
https://www.ncbi.nlm.nih.gov/pubmed/37048777
http://dx.doi.org/10.3390/jcm12072693
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