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Practical Application of Augmented/Mixed Reality Technologies in Surgery of Abdominal Cancer Patients

The technology of augmented and mixed reality (AR/MR) is useful in various areas of modern surgery. We considered the use of augmented and mixed reality technologies as a method of preoperative planning and intraoperative navigation in abdominal cancer patients. Practical use of AM/MR raises a range...

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Autores principales: Ivanov, Vladimir M., Krivtsov, Anton M., Strelkov, Sergey V., Smirnov, Anton Yu., Shipov, Roman Yu., Grebenkov, Vladimir G., Rumyantsev, Valery N., Gheleznyak, Igor S., Surov, Dmitry A., Korzhuk, Michail S., Koskin, Valery S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319177/
https://www.ncbi.nlm.nih.gov/pubmed/35877627
http://dx.doi.org/10.3390/jimaging8070183
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author Ivanov, Vladimir M.
Krivtsov, Anton M.
Strelkov, Sergey V.
Smirnov, Anton Yu.
Shipov, Roman Yu.
Grebenkov, Vladimir G.
Rumyantsev, Valery N.
Gheleznyak, Igor S.
Surov, Dmitry A.
Korzhuk, Michail S.
Koskin, Valery S.
author_facet Ivanov, Vladimir M.
Krivtsov, Anton M.
Strelkov, Sergey V.
Smirnov, Anton Yu.
Shipov, Roman Yu.
Grebenkov, Vladimir G.
Rumyantsev, Valery N.
Gheleznyak, Igor S.
Surov, Dmitry A.
Korzhuk, Michail S.
Koskin, Valery S.
author_sort Ivanov, Vladimir M.
collection PubMed
description The technology of augmented and mixed reality (AR/MR) is useful in various areas of modern surgery. We considered the use of augmented and mixed reality technologies as a method of preoperative planning and intraoperative navigation in abdominal cancer patients. Practical use of AM/MR raises a range questions, which demand suitable solutions. The difficulties and obstacles we encountered in the practical use of AR/MR are presented, along with the ways we chose to overcome them. The most demonstrative case is covered in detail. The three-dimensional anatomical model obtained from the CT scan needed to be rigidly attached to the patient’s body, and therefore an invasive approach was developed, using an orthopedic pin fixed to the pelvic bones. The pin is used both similarly to an X-ray contrast marker and as a marker for augmented reality. This solution made it possible, not only to visualize the anatomical structures of the patient and the border zone of the tumor, but also to change the position of the patient during the operation. In addition, a noninvasive (skin-based) marking method was developed that allows the application of mixed and augmented reality during operation. Both techniques were used (8 clinical cases) for preoperative planning and intraoperative navigation, which allowed surgeons to verify the radicality of the operation, to have visual control of all anatomical structures near the zone of interest, and to reduce the time of surgical intervention, thereby reducing the complication rate and improving the rehabilitation period.
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spelling pubmed-93191772022-07-27 Practical Application of Augmented/Mixed Reality Technologies in Surgery of Abdominal Cancer Patients Ivanov, Vladimir M. Krivtsov, Anton M. Strelkov, Sergey V. Smirnov, Anton Yu. Shipov, Roman Yu. Grebenkov, Vladimir G. Rumyantsev, Valery N. Gheleznyak, Igor S. Surov, Dmitry A. Korzhuk, Michail S. Koskin, Valery S. J Imaging Article The technology of augmented and mixed reality (AR/MR) is useful in various areas of modern surgery. We considered the use of augmented and mixed reality technologies as a method of preoperative planning and intraoperative navigation in abdominal cancer patients. Practical use of AM/MR raises a range questions, which demand suitable solutions. The difficulties and obstacles we encountered in the practical use of AR/MR are presented, along with the ways we chose to overcome them. The most demonstrative case is covered in detail. The three-dimensional anatomical model obtained from the CT scan needed to be rigidly attached to the patient’s body, and therefore an invasive approach was developed, using an orthopedic pin fixed to the pelvic bones. The pin is used both similarly to an X-ray contrast marker and as a marker for augmented reality. This solution made it possible, not only to visualize the anatomical structures of the patient and the border zone of the tumor, but also to change the position of the patient during the operation. In addition, a noninvasive (skin-based) marking method was developed that allows the application of mixed and augmented reality during operation. Both techniques were used (8 clinical cases) for preoperative planning and intraoperative navigation, which allowed surgeons to verify the radicality of the operation, to have visual control of all anatomical structures near the zone of interest, and to reduce the time of surgical intervention, thereby reducing the complication rate and improving the rehabilitation period. MDPI 2022-06-30 /pmc/articles/PMC9319177/ /pubmed/35877627 http://dx.doi.org/10.3390/jimaging8070183 Text en © 2022 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
Ivanov, Vladimir M.
Krivtsov, Anton M.
Strelkov, Sergey V.
Smirnov, Anton Yu.
Shipov, Roman Yu.
Grebenkov, Vladimir G.
Rumyantsev, Valery N.
Gheleznyak, Igor S.
Surov, Dmitry A.
Korzhuk, Michail S.
Koskin, Valery S.
Practical Application of Augmented/Mixed Reality Technologies in Surgery of Abdominal Cancer Patients
title Practical Application of Augmented/Mixed Reality Technologies in Surgery of Abdominal Cancer Patients
title_full Practical Application of Augmented/Mixed Reality Technologies in Surgery of Abdominal Cancer Patients
title_fullStr Practical Application of Augmented/Mixed Reality Technologies in Surgery of Abdominal Cancer Patients
title_full_unstemmed Practical Application of Augmented/Mixed Reality Technologies in Surgery of Abdominal Cancer Patients
title_short Practical Application of Augmented/Mixed Reality Technologies in Surgery of Abdominal Cancer Patients
title_sort practical application of augmented/mixed reality technologies in surgery of abdominal cancer patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319177/
https://www.ncbi.nlm.nih.gov/pubmed/35877627
http://dx.doi.org/10.3390/jimaging8070183
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