Cargando…

The Utility of Augmented Reality in Spinal Decompression Surgery Using CT/MRI Fusion Image

In spine surgery, instrumentation surgery using augmented reality (AR) and navigation systems have become widespread, while decompression surgery using those applications is not so common. However, we sometimes encounter intraoperative problems such as excessive blood loss or bony resection in decom...

Descripción completa

Detalles Bibliográficos
Autores principales: Aoyama, Ryoma, Anazawa, Ukei, Hotta, Hiraku, Watanabe, Itsuo, Takahashi, Yuichiro, Matsumoto, Shogo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8459800/
https://www.ncbi.nlm.nih.gov/pubmed/34589373
http://dx.doi.org/10.7759/cureus.18187
_version_ 1784571602682249216
author Aoyama, Ryoma
Anazawa, Ukei
Hotta, Hiraku
Watanabe, Itsuo
Takahashi, Yuichiro
Matsumoto, Shogo
author_facet Aoyama, Ryoma
Anazawa, Ukei
Hotta, Hiraku
Watanabe, Itsuo
Takahashi, Yuichiro
Matsumoto, Shogo
author_sort Aoyama, Ryoma
collection PubMed
description In spine surgery, instrumentation surgery using augmented reality (AR) and navigation systems have become widespread, while decompression surgery using those applications is not so common. However, we sometimes encounter intraoperative problems such as excessive blood loss or bony resection in decompression surgery. Therefore, a practical navigation system is needed for safer spinal decompression surgery. Furthermore, the cost of AR and navigation systems has been expensive. In this study, we report the utility of applying the AR system of the head-mounted display (HMD) at a lower cost to identify the osteotomy area of laminectomy for spinal decompression surgery. 3D CT/MRI fusion images are created preoperatively to generate 3D data consisting of the nerve elements, a dural tube and nerve roots, and the bony elements of the spine. Then, we made the 3D data of the bone after decompression by 3D editing free software. Uploading the created 3D data of both 3D CT/MRI fusion and preoperative planned laminectomy images to the AR software in the HMD, we could confirm the proper decompression area with the 3D images projected through the HMD. This system was useful for cervical and lumbar decompression for confirming the proper decompression area preoperatively. We could perform decompression surgery just designed with this system. This system is a preoperative planning system that allows 3D HMD visualization to keep track of surgical orientation. It does not allow preoperative verification so far. However, this system has various possible applications and is considered a promising system for the future.
format Online
Article
Text
id pubmed-8459800
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-84598002021-09-28 The Utility of Augmented Reality in Spinal Decompression Surgery Using CT/MRI Fusion Image Aoyama, Ryoma Anazawa, Ukei Hotta, Hiraku Watanabe, Itsuo Takahashi, Yuichiro Matsumoto, Shogo Cureus Neurosurgery In spine surgery, instrumentation surgery using augmented reality (AR) and navigation systems have become widespread, while decompression surgery using those applications is not so common. However, we sometimes encounter intraoperative problems such as excessive blood loss or bony resection in decompression surgery. Therefore, a practical navigation system is needed for safer spinal decompression surgery. Furthermore, the cost of AR and navigation systems has been expensive. In this study, we report the utility of applying the AR system of the head-mounted display (HMD) at a lower cost to identify the osteotomy area of laminectomy for spinal decompression surgery. 3D CT/MRI fusion images are created preoperatively to generate 3D data consisting of the nerve elements, a dural tube and nerve roots, and the bony elements of the spine. Then, we made the 3D data of the bone after decompression by 3D editing free software. Uploading the created 3D data of both 3D CT/MRI fusion and preoperative planned laminectomy images to the AR software in the HMD, we could confirm the proper decompression area with the 3D images projected through the HMD. This system was useful for cervical and lumbar decompression for confirming the proper decompression area preoperatively. We could perform decompression surgery just designed with this system. This system is a preoperative planning system that allows 3D HMD visualization to keep track of surgical orientation. It does not allow preoperative verification so far. However, this system has various possible applications and is considered a promising system for the future. Cureus 2021-09-22 /pmc/articles/PMC8459800/ /pubmed/34589373 http://dx.doi.org/10.7759/cureus.18187 Text en Copyright © 2021, Aoyama et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Aoyama, Ryoma
Anazawa, Ukei
Hotta, Hiraku
Watanabe, Itsuo
Takahashi, Yuichiro
Matsumoto, Shogo
The Utility of Augmented Reality in Spinal Decompression Surgery Using CT/MRI Fusion Image
title The Utility of Augmented Reality in Spinal Decompression Surgery Using CT/MRI Fusion Image
title_full The Utility of Augmented Reality in Spinal Decompression Surgery Using CT/MRI Fusion Image
title_fullStr The Utility of Augmented Reality in Spinal Decompression Surgery Using CT/MRI Fusion Image
title_full_unstemmed The Utility of Augmented Reality in Spinal Decompression Surgery Using CT/MRI Fusion Image
title_short The Utility of Augmented Reality in Spinal Decompression Surgery Using CT/MRI Fusion Image
title_sort utility of augmented reality in spinal decompression surgery using ct/mri fusion image
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8459800/
https://www.ncbi.nlm.nih.gov/pubmed/34589373
http://dx.doi.org/10.7759/cureus.18187
work_keys_str_mv AT aoyamaryoma theutilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT anazawaukei theutilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT hottahiraku theutilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT watanabeitsuo theutilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT takahashiyuichiro theutilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT matsumotoshogo theutilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT aoyamaryoma utilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT anazawaukei utilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT hottahiraku utilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT watanabeitsuo utilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT takahashiyuichiro utilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage
AT matsumotoshogo utilityofaugmentedrealityinspinaldecompressionsurgeryusingctmrifusionimage