MASAMUNE Ken
   Department   Research Institutes and Facilities, Research Institutes and Facilities
   Position   Professor
Article types Original article
Language English
Peer review Peer reviewed
Title Mixed Reality Needle Guidance Application on Smartglasses Without Pre-procedural CT Image Import with Manually Matching Coordinate Systems.
Journal Formal name:Cardiovascular and interventional radiology
Abbreviation:Cardiovasc Intervent Radiol
ISSN code:1432086X/01741551
Domestic / ForeginForegin
Volume, Issue, Page 45(3),pp.349-356
Author and coauthor MORITA Satoru†, SUZUKI Kazufumi,, YAMAMOTO Takahiro, KUNIHARA Motoki, HASHIMOTO Hiroyuki, ITO Kayo, FUJII Shuhei, OHYA Jun, MASAMUNE Ken, SAKAI Shuji
Publication date 2022/03
Summary PURPOSE:To develop and assess the accuracy of a mixed reality (MR) needle guidance application on smartglasses.MATERIALS AND METHODS:An MR needle guidance application on HoloLens2, without pre-procedural CT image reconstruction or import by manually matching the spatial and MR coordinate systems, was developed. First, the accuracy of the target locations in the image overlay at 63 points arranged on a 45 × 35 × 21 cm box and needle angles from 0° to 80°, placed using the MR application, was verified. The needle placement errors from 12 different entry points in a phantom by seven operators (four physicians and three non-physicians) were compared using a linear mixed model between the MR guidance and conventional methods using protractors.RESULTS:The average errors of the target locations and needle angles placed using the MR application were 5.9 ± 2.6 mm and 2.3 ± 1.7°, respectively. The average needle insertion error using the MR guidance was slightly smaller compared to that using the conventional method (8.4 ± 4.0 mm vs. 9.6 ± 5.1 mm, p = 0.091), particularly in the out-of-plane approach (9.6 ± 3.5 mm vs. 12.3 ± 4.6 mm, p = 0.003). The procedural time was longer with MR guidance than with the conventional method (412 ± 134 s vs. 219 ± 66 s, p < 0.001).CONCLUSION:MR needle guidance without pre-procedural CT image import is feasible when matching coordinate systems, and the accuracy of needle insertion is slightly better than that of the conventional method.
DOI 10.1007/s00270-021-03029-3
PMID 35022858