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Evaluation of Augmented Reality Surgical Navigation in Percutaneous Endoscopic Lumbar Discectomy: Clinical Study

Background: The puncture procedure in percutaneous endoscopic lumbar discectomy (PELD) is non-visual, and the learning curve for PELD is steep. Methods: An augmented reality surgical navigation (ARSN) system was designed and utilized in PELD. The system possesses three core functionalities: augmente...

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Autores principales: Huang, Xin, Liu, Xiaoguang, Zhu, Bin, Hou, Xiangyu, Hai, Bao, Li, Shuiqing, Yu, Dongfang, Zheng, Wenhao, Li, Ranyang, Pan, Junjun, Yao, Youjie, Dai, Zailin, Zeng, Haijun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10669401/
https://www.ncbi.nlm.nih.gov/pubmed/38002421
http://dx.doi.org/10.3390/bioengineering10111297
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author Huang, Xin
Liu, Xiaoguang
Zhu, Bin
Hou, Xiangyu
Hai, Bao
Li, Shuiqing
Yu, Dongfang
Zheng, Wenhao
Li, Ranyang
Pan, Junjun
Yao, Youjie
Dai, Zailin
Zeng, Haijun
author_facet Huang, Xin
Liu, Xiaoguang
Zhu, Bin
Hou, Xiangyu
Hai, Bao
Li, Shuiqing
Yu, Dongfang
Zheng, Wenhao
Li, Ranyang
Pan, Junjun
Yao, Youjie
Dai, Zailin
Zeng, Haijun
author_sort Huang, Xin
collection PubMed
description Background: The puncture procedure in percutaneous endoscopic lumbar discectomy (PELD) is non-visual, and the learning curve for PELD is steep. Methods: An augmented reality surgical navigation (ARSN) system was designed and utilized in PELD. The system possesses three core functionalities: augmented reality (AR) radiograph overlay, AR puncture needle real-time tracking, and AR navigation. We conducted a prospective randomized controlled trial to evaluate its feasibility and effectiveness. A total of 20 patients with lumbar disc herniation treated with PELD were analyzed. Of these, 10 patients were treated with the guidance of ARSN (ARSN group). The remaining 10 patients were treated using C-arm fluoroscopy guidance (control group). Results: The AR radiographs and AR puncture needle were successfully superimposed on the intraoperative videos. The anteroposterior and lateral AR tracking distance errors were 1.55 ± 0.17 mm and 1.78 ± 0.21 mm. The ARSN group exhibited a significant reduction in both the number of puncture attempts (2.0 ± 0.4 vs. 6.9 ± 0.5, p = 0.000) and the number of fluoroscopies (10.6 ± 0.9 vs. 18.5 ± 1.6, p = 0.000) compared with the control group. Complications were not observed in either group. Conclusions: The results indicate that the clinical application of the ARSN system in PELD is effective and feasible.
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spelling pubmed-106694012023-11-09 Evaluation of Augmented Reality Surgical Navigation in Percutaneous Endoscopic Lumbar Discectomy: Clinical Study Huang, Xin Liu, Xiaoguang Zhu, Bin Hou, Xiangyu Hai, Bao Li, Shuiqing Yu, Dongfang Zheng, Wenhao Li, Ranyang Pan, Junjun Yao, Youjie Dai, Zailin Zeng, Haijun Bioengineering (Basel) Article Background: The puncture procedure in percutaneous endoscopic lumbar discectomy (PELD) is non-visual, and the learning curve for PELD is steep. Methods: An augmented reality surgical navigation (ARSN) system was designed and utilized in PELD. The system possesses three core functionalities: augmented reality (AR) radiograph overlay, AR puncture needle real-time tracking, and AR navigation. We conducted a prospective randomized controlled trial to evaluate its feasibility and effectiveness. A total of 20 patients with lumbar disc herniation treated with PELD were analyzed. Of these, 10 patients were treated with the guidance of ARSN (ARSN group). The remaining 10 patients were treated using C-arm fluoroscopy guidance (control group). Results: The AR radiographs and AR puncture needle were successfully superimposed on the intraoperative videos. The anteroposterior and lateral AR tracking distance errors were 1.55 ± 0.17 mm and 1.78 ± 0.21 mm. The ARSN group exhibited a significant reduction in both the number of puncture attempts (2.0 ± 0.4 vs. 6.9 ± 0.5, p = 0.000) and the number of fluoroscopies (10.6 ± 0.9 vs. 18.5 ± 1.6, p = 0.000) compared with the control group. Complications were not observed in either group. Conclusions: The results indicate that the clinical application of the ARSN system in PELD is effective and feasible. MDPI 2023-11-09 /pmc/articles/PMC10669401/ /pubmed/38002421 http://dx.doi.org/10.3390/bioengineering10111297 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
Huang, Xin
Liu, Xiaoguang
Zhu, Bin
Hou, Xiangyu
Hai, Bao
Li, Shuiqing
Yu, Dongfang
Zheng, Wenhao
Li, Ranyang
Pan, Junjun
Yao, Youjie
Dai, Zailin
Zeng, Haijun
Evaluation of Augmented Reality Surgical Navigation in Percutaneous Endoscopic Lumbar Discectomy: Clinical Study
title Evaluation of Augmented Reality Surgical Navigation in Percutaneous Endoscopic Lumbar Discectomy: Clinical Study
title_full Evaluation of Augmented Reality Surgical Navigation in Percutaneous Endoscopic Lumbar Discectomy: Clinical Study
title_fullStr Evaluation of Augmented Reality Surgical Navigation in Percutaneous Endoscopic Lumbar Discectomy: Clinical Study
title_full_unstemmed Evaluation of Augmented Reality Surgical Navigation in Percutaneous Endoscopic Lumbar Discectomy: Clinical Study
title_short Evaluation of Augmented Reality Surgical Navigation in Percutaneous Endoscopic Lumbar Discectomy: Clinical Study
title_sort evaluation of augmented reality surgical navigation in percutaneous endoscopic lumbar discectomy: clinical study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10669401/
https://www.ncbi.nlm.nih.gov/pubmed/38002421
http://dx.doi.org/10.3390/bioengineering10111297
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