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Preliminary Study on the Clinical Application of Augmented Reality Neuronavigation

Preliminary Study on the Clinical Application of Augmented Reality Neuronavigation
Inoue, D[Inoue, D.]Cho, B[Cho, B.]Mori, M[Mori, M.]Kikkawa, Y[Kikkawa, Y.]Amano, T[Amano, T.]Nakamizo, A[Nakamizo, A.]Yoshimoto, K[Yoshimoto, K.]Mizoguchi, M[Mizoguchi, M.]Tomikawa, M[Tomikawa, M.]Hong, J[Hong, J.]Hashizume, M[Hashizume, M.]Sasaki, T[Sasaki, T.]
DGIST Authors
Hong, J[Hong, J.]
Issue Date
Journal of Neurological Surgery, Part A: Central European Neurosurgery, 74(2), 71-76
Article Type
AdultAugmented RealityAugmented Reality Neuronavigation SystemBrain CortexBrain NeoplasmsBrain TumorCameraCamera DevicesCase ReportChemoradiotherapyComputer Assisted SurgeryComputer Assisted Surgery SystemComputer ProgramCraniotomyDiffusion Tensor ImagingDigital Imaging and Communications In MedicineEquipmentEvaluationEvoked Muscle ResponseExternal EarEye TrackingFeasibility StudiesFeasibility StudyFemaleGlioblastomaHumanHumansInfrared RadiationMeningiomaMethodologyMiddle AgedNeuroimagingNeuronavigationNeurosurgeryNeurosurgical ProceduresNuclear Magnetic Resonance ImagingNuclear Magnetic Resonance ScannerPathologyPyramidal TractSensorSkin IncisionSuperimpositionSurgery, Computer-AssistedThree Dimensional ImagingTractographyTreatment Outcome
Objective To develop an augmented reality (AR) neuronavigation system with Web cameras and examine its clinical utility. Methods The utility of the system was evaluated in three patients with brain tumors. One patient had a glioblastoma and two patients had convexity meningiomas. Our navigation system comprised the open-source software 3D Slicer (Brigham and Women's Hospital, Boston, Massachusetts, USA), the infrared optical tracking sensor Polaris (Northern Digital Inc., Waterloo, Canada), and Web cameras. We prepared two different types of Web cameras: a handheld type and a headband type. Optical markers were attached to each Web camera. We used this system for skin incision planning before the operation, during craniotomy, and after dural incision. Results We were able to overlay these images in all cases. In Case 1, accuracy could not be evaluated because the tumor was not on the surface, though it was generally suitable for the outline of the external ear and the skin. In Cases 2 and 3, the augmented reality error was ∼2 to 3 mm. Conclusion AR technology was examined with Web cameras in neurosurgical operations. Our results suggest that this technology is clinically useful in neurosurgical procedures, particularly for brain tumors close to the brain surface. © 2013 Georg Thieme Verlag KG.
Thieme Medical Publishers
Related Researcher
  • Author Hong, Jaesung Surgical Robotics Lab
  • Research Interests Surgical Navigation; Surgical Robot; Medical Imaging; 영상유도수술로봇; 수술네비게이션
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Department of Robotics EngineeringSurgical Robotics Lab1. Journal Articles

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