Huang Chih-Wei, Lee Chung-Hsin, Chung Kai-Chen, Tsuei Yuang-Seng
Neurosurgery, Taichung Veterans General Hospital, Taichung, Taiwan.
Neurosurgery, Taichung Veterans General Hospital, Taichung, Taiwan
J Neurointerv Surg. 2025 Feb 14;17(3):332. doi: 10.1136/jnis-2023-020797.
Augmented reality (AR) has emerged as a promising technology in various medical fields.1 2 In the context of brain arteriovenous malformation (bAVM) surgery, AR offers the potential to enhance surgical visualization and improve procedural accuracy.3 4 5 6 This report aims to explore the application of digital subtraction angiography (DSA) from an IV contrast injection (IV-DSA) in AR-guided resection of bAVMs in a neurosurgical hybrid operating room.The workflow of IV-DSA-based AR-guided surgery for the resection of bAVMs consists of four main components: (1) acquiring source images through i-Flow tailored or multiphase scans (Siemens, Germany); (2) labelling targets in the workstation using Smartbrush software (Brainlab, Westchester, Illinois, USA); (3) using the Brainlab Curve navigation system; and (4) merging microscopic AR fusion using Zeiss Kinevo (AG, Germany). In video 1 we show the entire workflow and introduce i-Flow tailored IV-DSA data acquisition in the hybrid operating room. In summary, IV-DSA-based augmented reality is an innovative technique for bAVM surgery. neurintsurg;17/3/332/V1F1V1Video 1-i-flow tailored iv-DSA.
增强现实(AR)已成为各种医学领域中一项很有前景的技术。1 2 在脑动静脉畸形(bAVM)手术的背景下,AR 有潜力增强手术可视化并提高手术操作的准确性。3 4 5 6 本报告旨在探讨在神经外科杂交手术室中,基于静脉注射造影剂的数字减影血管造影(IV-DSA)在 AR 引导下切除 bAVM 中的应用。基于 IV-DSA 的 AR 引导下切除 bAVM 的手术工作流程包括四个主要部分:(1)通过 i-Flow 定制扫描或多期扫描(德国西门子公司)获取源图像;(2)使用 Smartbrush 软件(美国伊利诺伊州韦斯特切斯特的 Brainlab 公司)在工作站中标记目标;(3)使用 Brainlab 曲线导航系统;(4)使用蔡司 Kinevo(德国 AG 公司)进行微观 AR 融合。在视频 1 中,我们展示了整个工作流程,并介绍了在杂交手术室中 i-Flow 定制的 IV-DSA 数据采集。总之,基于 IV-DSA 的增强现实是一种用于 bAVM 手术的创新技术。神经外科;17/3/332/V1F1V1视频 1-i-flow 定制的 iv-DSA。
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