Breast Unit, Champalimaud Clinical Centre/Champalimaud Foundation,Avenida Brasilia, 1400-038, Lisboa, Portugal; Faculty of Medicine, Lisbon University,Avenida Professor Egas Moniz, 1649-028, Lisboa, Portugal.
Breast Unit, Champalimaud Clinical Centre/Champalimaud Foundation,Avenida Brasilia, 1400-038, Lisboa, Portugal.
Breast. 2021 Apr;56:14-17. doi: 10.1016/j.breast.2021.01.004. Epub 2021 Jan 27.
Innovations in 3D spatial technology and augmented reality imaging driven by digital high-tech industrial science have accelerated experimental advances in breast cancer imaging and the development of medical procedures aimed to reduce invasiveness.
A 57-year-old post-menopausal woman presented with screen-detected left-sided breast cancer. After undergoing all staging and pre-operative studies the patient was proposed for conservative breast surgery with tumor localization. During surgery, an experimental digital and non-invasive intra-operative localization method with augmented reality was compared with the standard pre-operative localization with carbon tattooing (institutional protocol). The breast surgeon wearing an augmented reality headset (Hololens) was able to visualize the tumor location projection inside the patient's left breast in the usual supine position.
This work describes, to our knowledge, the first experimental test with a digital non-invasive method for intra-operative breast cancer localization using augmented reality to guide breast conservative surgery. In this case, a successful overlap of the previous standard pre-operative marks with carbon tattooing and tumor visualization inside the patient's breast with augmented reality was obtained.
Breast cancer conservative guided surgery with augmented reality can pave the way for a digital non-invasive method for intra-operative tumor localization.
数字高科技工业科学推动的 3D 空间技术和增强现实成像的创新，加速了乳腺癌成像的实验进展和旨在减少侵袭性的医疗程序的发展。
一位 57 岁绝经后妇女因筛查发现左侧乳腺癌就诊。在完成所有分期和术前研究后，该患者被建议行保乳手术和肿瘤定位。手术中，一种实验性的数字非侵入式术中定位方法与基于碳纹身的标准术前定位（机构协议）进行了比较。佩戴增强现实耳机（Hololens）的乳腺外科医生能够在患者左侧乳房的常规仰卧位上可视化肿瘤位置投影。
据我们所知，这是首次使用增强现实进行术中乳腺癌定位的数字非侵入式方法的实验测试，以指导保乳手术。在这种情况下，成功地实现了先前基于碳纹身的标准术前标记与患者乳房内增强现实下肿瘤可视化的重叠。
增强现实引导的乳腺癌保乳手术为术中肿瘤定位的数字非侵入式方法铺平了道路。
