モリタ　サトル   Satoru Morita   森田　賢    所属   医学部 医学科（東京女子医科大学病院）    職種   講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Learning effectiveness of using augmented reality technology in central venous access procedure: an experiment using phantom and head-mounted display.
掲載誌名	正式名：International journal of computer assisted radiology and surgery 略　 称：Int J Comput Assist Radiol Surg ISSNコード：18616429/18616410
掲載区分	国外
巻・号・頁	16(6),pp.1069-1074
著者・共著者	SUZUKI Kazufumi†, MORITA Satoru, ENDO Kenji, YAMAMOTO Takahiro, FUJII Shuhei, OHYA Jun, MASAMUNE Ken, SAKAI Shuji
担当区分	2nd著者
発行年月	2021/04/16
概要	PURPOSE:Augmented reality (AR) technology improves the learning process in interventional radiology. This study hypothesized that using AR to train for central venous access is superior to using ultrasound alone.METHODS:This study used an AR central venous catheterization phantom with an internal jugular vein (IJV) and subclavian vein (SCV) made of resin body and soft tubing. Ten radiologists attempted to punctuate, using needle placement simulation, under three conditions (ultrasound-, augmented reality-, and ultrasound and AR-guided methods; US-only, AR-only, and US+AR, respectively) using a smart-glass device (HoloLens, Microsoft, Redmond, WA, USA). Subjective (anatomical understanding and self-confidence for procedure) and objective evaluations (optimized needle position and time) were recorded for each condition.RESULTS:The subjective IJV evaluation showed no difference among the guiding methods (p = 0.26 and p = 0.07 for anatomical understanding and self-confidence for procedure, respectively). Conversely, there were significant improvements in subjective and objective evaluations for SCV using the AR-only and US+AR methods (p < 0.05) and US+AR method (p < 0.05), respectively. The AR-only method reduced the time required to fix the needle position to puncture the SCV (p < 0.05), but its objective evaluation did not improve compared with the US-only method (p = 0.20).CONCLUSION:Adding the AR-guided method to the US-guided method improved subjective and objective evaluations in the SVC procedure. The AR technology-assisted training may be more beneficial for use in difficult procedures. Though the AR-only method saved time, no time saving is expected with AR+US method.
DOI	10.1007/s11548-021-02365-6
PMID	33864188