介入放射学中的混合现实技术:聚焦 XR90 增强现实可视化和导航平台的首次临床应用。

Expert review of medical devices Pub Date : 2024-08-01 Epub Date: 2024-07-25 DOI:10.1080/17434440.2024.2379925
Kyle Finos, Sanjit Datta, Art Sedrakyan, Jeffrey W Milsom, Bradley B Pua
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引用次数: 0

摘要

导言:增强现实(AR)和虚拟现实(VR)是介入放射学(IR)中的新兴工具,可加强IR教育、术前规划和术中指导:本综述确定了 AR/VR 在 IR 中的当前应用,重点关注评估 AR/VR 临床影响的研究。我们概述了相关技术,并评估了该领域目前的局限性和未来的发展方向。我们发现,AR 在红外领域的应用落后于其他外科领域,而且大多数数据都是在病例系列或小规模研究中获得的。在教育方面使用 AR/VR 可以提高解剖学、手术步骤和手术学习曲线的学习效率。术前使用 AR/VR 可缩短手术时间,尤其是复杂手术。用于实时跟踪的术中 AR 精确度在 5 毫米以内,在模型中可达 0.75 毫米,从而减少了手术时间和辐射暴露。面临的挑战包括成本、人体工程学、快速分割和器官运动:专家意见:在介入放射学中使用 AR/VR 可能会使手术更安全、更高效。然而,要更好地了解 AR/VR 在介入放射学临床实践中的最大优势,还需要更多来自大型研究的数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mixed reality in interventional radiology: a focus on first clinical use of XR90 augmented reality-based visualization and navigation platform.

Introduction: Augmented reality (AR) and virtual reality (VR) are emerging tools in interventional radiology (IR), enhancing IR education, preprocedural planning, and intraprocedural guidance.

Areas covered: This review identifies current applications of AR/VR in IR, with a focus on studies that assess the clinical impact of AR/VR. We outline the relevant technology and assess current limitations and future directions in this space. We found that the use of AR in IR lags other surgical fields, and the majority of the data exists in case series or small-scale studies. Educational use of AR/VR improves learning anatomy, procedure steps, and procedural learning curves. Preprocedural use of AR/VR decreases procedure times, especially in complex procedures. Intraprocedural AR for live tracking is accurate within 5 mm live patients and has up to 0.75 mm in phantoms, offering decreased procedure time and radiation exposure. Challenges include cost, ergonomics, rapid segmentation, and organ motion.

Expert opinion: The use of AR/VR in interventional radiology may lead to safer and more efficient procedures. However, more data from larger studies is needed to better understand where AR/VR is confers the most benefit in interventional radiology clinical practice.

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