Jain Swati, Gao Yujia, Yeo Tseng Tsai, Ngiam Kee Yuan
Division of Neurosurgery, University Surgical Cluster, National University Health System (NUHS), 1E, Kent Ridge Road, Singapore 119228, Singapore.
Division of Hepatobiliary & Pancreatic Surgery, University Surgical Cluster, National University Health System (NUHS), 1E, Kent Ridge Road, Singapore 119228, Singapore.
Life (Basel). 2023 Jan 31;13(2):398. doi: 10.3390/life13020398.
(1) Background: Intra-operative neuronavigation is currently an essential component to most neurosurgical operations. Recent progress in mixed reality (MR) technology has attempted to overcome the disadvantages of the neuronavigation systems. We present our experience using the HoloLens 2 in neuro-oncology for both intra- and extra-axial tumours. (2) Results: We describe our experience with three patients who underwent tumour resection. We evaluated surgeon experience, accuracy of superimposed 3D image in tumour localisation with standard neuronavigation both pre- and intra-operatively. Surgeon training and usage for HoloLens 2 was short and easy. The process of image overlay was relatively straightforward for the three cases. Registration in prone position with a conventional neuronavigation system is often difficult, which was easily overcome during use of HoloLens 2. (3) Conclusion: Although certain limitations were identified, the authors feel that this system is a feasible alternative device for intra-operative visualization of neurosurgical pathology. Further studies are being planned to assess its accuracy and suitability across various surgical disciplines.
(1) 背景:术中神经导航目前是大多数神经外科手术的重要组成部分。混合现实(MR)技术的最新进展试图克服神经导航系统的缺点。我们介绍了在神经肿瘤学中使用HoloLens 2治疗轴内和轴外肿瘤的经验。(2) 结果:我们描述了三名接受肿瘤切除术患者的经验。我们评估了外科医生的经验、术前和术中使用标准神经导航时叠加3D图像在肿瘤定位中的准确性。外科医生对HoloLens 2的培训和使用简短且容易。这三个病例的图像叠加过程相对简单。使用传统神经导航系统在俯卧位进行配准通常很困难,而在使用HoloLens 2时很容易克服。(3) 结论:尽管发现了某些局限性,但作者认为该系统是术中可视化神经外科病理的一种可行替代设备。正在计划进一步研究以评估其在各种外科领域的准确性和适用性。
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