Remschmidt Bernhard, Rieder Marcus, Gsaxner Christina, Gaessler Jan, Payer Michael, Wallner Juergen
Division of Oral and Maxillofacial Surgery, Department of Dental Medicine and Oral Health, Medical University of Graz, 8036 Graz, Austria.
Division of Oral Surgery and Orthodontics, Department of Dental Medicine and Oral Health, Medical University of Graz, 8010 Graz, Austria.
Diagnostics (Basel). 2023 Sep 25;13(19):3037. doi: 10.3390/diagnostics13193037.
Implementation of augmented reality (AR) image guidance systems using preoperative cone beam computed tomography (CBCT) scans in apicoectomies promises to help surgeons overcome iatrogenic complications associated with this procedure. This study aims to evaluate the intraoperative feasibility and usability of HoloLens 2, an established AR image guidance device, in the context of apicoectomies. Three experienced surgeons carried out four AR-guided apicoectomies each on human cadaver head specimens. Preparation and operating times of each procedure, as well as the subjective usability of HoloLens for AR image guidance in apicoectomies using the System Usability Scale (SUS), were measured. In total, twelve AR-guided apicoectomies on six human cadaver head specimens were performed ( = 12). The average preparation time amounted to 162 (±34) s. The surgical procedure itself took on average 9 (±2) min. There was no statistically significant difference between the three surgeons. Quantification of the usability of HoloLens revealed a mean SUS score of 80.4 (±6.8), indicating an "excellent" usability level. In conclusion, this study implies the suitability, practicality, and simplicity of AR image guidance systems such as the HoloLens in apicoectomies and advocates their routine implementation.
在根尖切除术术中使用术前锥形束计算机断层扫描（CBCT）扫描来实施增强现实（AR）图像引导系统，有望帮助外科医生克服与该手术相关的医源性并发症。本研究旨在评估成熟的AR图像引导设备HoloLens 2在根尖切除术术中的可行性和易用性。三名经验丰富的外科医生分别在人类尸体头部标本上进行了四次AR引导的根尖切除术。测量了每个手术的准备时间和操作时间，以及使用系统可用性量表（SUS）评估HoloLens在根尖切除术术中进行AR图像引导的主观易用性。总共在六个人类尸体头部标本上进行了十二次AR引导的根尖切除术（n = 12）。平均准备时间为162（±34）秒。手术过程平均耗时9（±2）分钟。三位外科医生之间没有统计学上的显著差异。对HoloLens易用性的量化显示，平均SUS评分为80.4（±6.8），表明其易用性处于“优秀”水平。总之，本研究表明HoloLens等AR图像引导系统在根尖切除术术中具有适用性、实用性和简易性，并提倡将其常规应用。
