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混合现实技术在神经肿瘤学中的应用:单中心经验

Use of Mixed Reality in Neuro-Oncology: A Single Centre Experience.

作者信息

Jain Swati, Gao Yujia, Yeo Tseng Tsai, Ngiam Kee Yuan

机构信息

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.

出版信息

Life (Basel). 2023 Jan 31;13(2):398. doi: 10.3390/life13020398.


DOI:10.3390/life13020398
PMID:36836755
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9965132/
Abstract

(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.

摘要

(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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/3a6be63cf958/life-13-00398-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/73810d3a197b/life-13-00398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/4f90f0e059af/life-13-00398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/e46c5f258a53/life-13-00398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/5161432f7be3/life-13-00398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/ca89e9e36399/life-13-00398-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/9aee9b20bda0/life-13-00398-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/9aa4f8dd6c75/life-13-00398-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/3397bcce3bca/life-13-00398-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/427959f55653/life-13-00398-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/3a6be63cf958/life-13-00398-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/73810d3a197b/life-13-00398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/4f90f0e059af/life-13-00398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/e46c5f258a53/life-13-00398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/5161432f7be3/life-13-00398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/ca89e9e36399/life-13-00398-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/9aee9b20bda0/life-13-00398-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/9aa4f8dd6c75/life-13-00398-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/3397bcce3bca/life-13-00398-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/427959f55653/life-13-00398-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef7/9965132/3a6be63cf958/life-13-00398-g010.jpg

相似文献

[1]
Use of Mixed Reality in Neuro-Oncology: A Single Centre Experience.

Life (Basel). 2023-1-31

[2]
Clinical Feasibility of a Wearable Mixed-Reality Device in Neurosurgery.

World Neurosurg. 2018-10

[3]
Holographic mixed-reality neuronavigation with a head-mounted device: technical feasibility and clinical application.

Neurosurg Focus. 2021-8

[4]
3D intra-operative ultrasound and MR image guidance: pursuing an ultrasound-based management of brainshift to enhance neuronavigation.

Int J Comput Assist Radiol Surg. 2017-4-8

[5]
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Neurosurg Focus. 2021-8

[6]
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World Neurosurg. 2023-8

[7]
Non-rigid alignment of pre-operative MRI, fMRI, and DT-MRI with intra-operative MRI for enhanced visualization and navigation in image-guided neurosurgery.

Neuroimage. 2007-4-1

[8]
Functional neuronavigation combined with intra-operative 3D ultrasound: initial experiences during surgical resections close to eloquent brain areas and future directions in automatic brain shift compensation of preoperative data.

Acta Neurochir (Wien). 2007

[9]
Onscreen-guided resection of extra-axial and intra-axial forebrain masses through registration of a variable-suction tissue resection device with a neuronavigation system.

Vet Surg. 2020-5

[10]
Course of brain shift during microsurgical resection of supratentorial cerebral lesions: limits of conventional neuronavigation.

Acta Neurochir (Wien). 2004-4

引用本文的文献

[1]
Neuronavigation accuracy of the VOSTARS wearable AR platform vs traditional infrared navigation in a comparative study.

Sci Rep. 2025-8-7

[2]
Simulation tools in neuro-oncological surgery: a scoping review of perioperative and training applications.

J Neurooncol. 2025-5

[3]
Targeting accuracy of neuronavigation: a comparative evaluation of an innovative wearable AR platform vs. traditional EM navigation.

Front Digit Health. 2025-1-14

[4]
Envisioning the Future of the Neurosurgical Operating Room with the Concept of the Medical Metaverse.

J Korean Neurosurg Soc. 2025-3

[5]
Multisensory Extended Reality Applications Offer Benefits for Volumetric Biomedical Image Analysis in Research and Medicine.

J Imaging Inform Med. 2025-2

[6]
Assessing the impact of mixed reality-assisted informed consent: A study protocol.

Surg Neurol Int. 2024-3-15

[7]
Feasibility of Augmented Reality for Pediatric Giant Supratentorial Tumors: A Report of Three Cases.

Cureus. 2024-3-22

本文引用的文献

[1]
Visualization, navigation, augmentation. The ever-changing perspective of the neurosurgeon.

Brain Spine. 2022-8-17

[2]
Extended Reality in Neurosurgical Education: A Systematic Review.

Sensors (Basel). 2022-8-14

[3]
Augmented Reality in Neurosurgery, State of Art and Future Projections. A Systematic Review.

Front Surg. 2022-3-11

[4]
Applications of Mixed Reality Technology in Orthopedics Surgery: A Pilot Study.

Front Bioeng Biotechnol. 2022-2-22

[5]
Virtual Reality in Neurosurgery: Beyond Neurosurgical Planning.

Int J Environ Res Public Health. 2022-2-2

[6]
Defining Anatomic Roadmaps for Neurosurgery with Mixed and Augmented Reality.

World Neurosurg. 2022-1

[7]
The application of augmented reality-based navigation for accurate target acquisition of deep brain sites: advances in neurosurgical guidance.

J Neurosurg. 2021-12-17

[8]
Augmented reality visualization in brain lesions: a prospective randomized controlled evaluation of its potential and current limitations in navigated microneurosurgery.

Acta Neurochir (Wien). 2022-1

[9]
Development of a New Image-Guided Neuronavigation System: Mixed-Reality Projection Mapping Is Accurate and Feasible.

Oper Neurosurg (Hagerstown). 2021-11-15

[10]
The effect of augmented reality on the accuracy and learning curve of external ventricular drain placement.

Neurosurg Focus. 2021-8

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