克服支持肝脏病灶经皮消融的混合现实图像引导导航系统的临床应用障碍

IF 4.4 3区 计算机科学 Q1 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS
Dominik Spinczyk, Grzegorz Rosiak, Krzysztof Milczarek, Dariusz Konecki, Jarosław Żyłkowski, Jakub Franke, Maciej Pech, Karl Rohmer, Karol Zaczkowski, Ania Wolińska-Sołtys, Piotr Sperka, Dawid Hajda, Ewa Piętka
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引用次数: 0

摘要

近年来,治疗肝脏肿瘤的微创手术越来越受欢迎,经皮热消融术就是其中之一。然而,这种方法的应用需要对所使用的系统进行充分的培训。在我们的研究中,我们评估了哪些技能是进行此类手术的最大挑战。文章提出了一个以创新方法为特点的培训模块:可以在腹腔放射模型上练习诊断、计划、执行阶段以及执行阶段的物理可能性。通过设计一套与上述 3 个阶段相对应的 4 个练习,对所提出的方法进行了评估。研究小组包括 10 名放射科医生和 5 名住院医生。根据 20 例接受经皮热消融术的肝脏肿瘤临床病例,我们制定了评估任务,对四个技能类别进行评估:头戴式显示器(HMD)、超声(US)/计算机断层扫描(CT)图像融合判读、跟踪系统使用和插针能力。研究结果采用李克特量表。我们的研究结果表明,对于放射科专家来说,最具挑战性的方面是适应 HMD 手势控制,而住院医生则指出术中图像融合和肝脏呼吸运动是最棘手的问题。在提高对新患者进行手术的能力方面,该模块还允许您为不同的临床病例创建新的全息图。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Towards overcoming barriers to the clinical deployment of mixed reality image-guided navigation systems supporting percutaneous ablation of liver focal lesions

Towards overcoming barriers to the clinical deployment of mixed reality image-guided navigation systems supporting percutaneous ablation of liver focal lesions

In recent years, we have observed a rise in the popularity of minimally invasive procedures for treating liver tumours, with percutaneous thermoablation being one of them, conducted using image-guided navigation systems with mixed reality technology. However, the application of this method requires adequate training in using the employed system. In our study, we assessed which skills pose the greatest challenges in performing such procedures. The article proposes a training module characterized by an innovative approach: the possibility of practicing the diagnosis, planning, execution stages and the physical possibility of performing the execution stage on the radiological phantom of the abdominal cavity. The proposed approach was evaluated by designing a set of 4 exercises corresponding to the 3 phases mentioned. To the research group included 10 radiologists and 5 residents in the study. Based on 20 clinical cases of liver tumors subjected to percutaneous thermoablation, we developed assessment tasks evaluating four skill categories: head-mounted display (HMD), ultrasound (US)/computed tomography (CT) image fusion interpretation, tracking system use, and the ability to insert a needle. The results were presented using the Likert scale. The results of our study indicate that the most challenging aspect for radiology specialists is adapting to HMD gesture control, while residents point to intraoperative images of fusion and respiratory movements in the liver as the most problematic. In terms of improving the ability to perform procedures on new patients, the module also allows you to create a new hologram for a different clinical case.

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来源期刊
Virtual Reality
Virtual Reality COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS-COMPUTER SCIENCE, SOFTWARE ENGINEERING
CiteScore
8.30
自引率
14.30%
发文量
95
审稿时长
>12 weeks
期刊介绍: The journal, established in 1995, publishes original research in Virtual Reality, Augmented and Mixed Reality that shapes and informs the community. The multidisciplinary nature of the field means that submissions are welcomed on a wide range of topics including, but not limited to: Original research studies of Virtual Reality, Augmented Reality, Mixed Reality and real-time visualization applications Development and evaluation of systems, tools, techniques and software that advance the field, including: Display technologies, including Head Mounted Displays, simulators and immersive displays Haptic technologies, including novel devices, interaction and rendering Interaction management, including gesture control, eye gaze, biosensors and wearables Tracking technologies VR/AR/MR in medicine, including training, surgical simulation, rehabilitation, and tissue/organ modelling. Impactful and original applications and studies of VR/AR/MR’s utility in areas such as manufacturing, business, telecommunications, arts, education, design, entertainment and defence Research demonstrating new techniques and approaches to designing, building and evaluating virtual and augmented reality systems Original research studies assessing the social, ethical, data or legal aspects of VR/AR/MR.
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