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使用光学透视头戴式显示器进行实时超声引导下胸腔穿刺术模拟:一项概念验证研究。

Real-time ultrasound-guided thoracentesis simulation using an optical see-through head-mounted display: a proof-of-concept study.

作者信息

Okachi Shotaro, Matsui Toshinori, Sakurai Manami, Ito Takayasu, Morise Masahiro, Imaizumi Kazuyoshi, Ishii Makoto, Fujiwara Michitaka

机构信息

Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Medical xR Center, Nagoya University Graduate School of Medicine, Nagoya, Japan.

出版信息

J Ultrason. 2024 Mar 25;24(96):20240012. doi: 10.15557/jou.2024.0012. eCollection 2024 Feb.

DOI:10.15557/jou.2024.0012
PMID:38528938
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10961472/
Abstract

AIM

This study aimed to examine the feasibility and potential benefits of an optical see-through head-mounted display (OST-HMD) during real-time ultrasound-guided thoracentesis simulations.

MATERIAL AND METHODS

Six physicians performed a thoracentesis simulation using an OST-HMD and a wireless image transmission system. The time required, puncture needle visibility, pleural fluid collection success rate, and head movement during the procedure using a smart glass equipped with an inertial measurement unit were all recorded and compared with and without the HMD.

RESULTS

Study participants successfully extracted effusions in all procedures. The use of OST-HMD did not significantly affect the time of the procedure, but notably decreased the horizontal and vertical head movements during the procedure.

CONCLUSIONS

The study demonstrated the feasibility of using an OST-HMD in a simulated real-time ultrasound-guided thoracentesis procedure and showed the potential of HMD in thoracentesis to improve ergonomics and accuracy. Further research is necessary to confirm these findings.

摘要

目的

本研究旨在探讨光学透视头戴式显示器(OST-HMD)在实时超声引导下胸腔穿刺模拟过程中的可行性和潜在益处。

材料与方法

六名医生使用OST-HMD和无线图像传输系统进行胸腔穿刺模拟。记录使用配备惯性测量单元的智能眼镜在操作过程中所需的时间、穿刺针的可视性、胸腔积液采集成功率以及头部运动情况,并在使用和不使用HMD的情况下进行比较。

结果

研究参与者在所有操作中均成功抽取了积液。使用OST-HMD对操作时间没有显著影响,但显著减少了操作过程中的水平和垂直头部运动。

结论

该研究证明了在模拟实时超声引导胸腔穿刺操作中使用OST-HMD的可行性,并显示了HMD在胸腔穿刺中改善人体工程学和准确性的潜力。需要进一步研究来证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248a/10961472/6999c29e50bd/j_jou.2024.0012_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248a/10961472/a6a586a732a2/j_jou.2024.0012_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248a/10961472/6999c29e50bd/j_jou.2024.0012_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248a/10961472/a6a586a732a2/j_jou.2024.0012_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248a/10961472/6999c29e50bd/j_jou.2024.0012_fig_002.jpg

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2
Virtual Bronchoscopy-Guided Transbronchial Biopsy Simulation Using a Head-Mounted Display: A New Style of Flexible Bronchoscopy.使用头戴式显示器进行虚拟支气管镜引导经支气管活检模拟:一种新型的软性支气管镜。
Surg Innov. 2022 Dec;29(6):811-813. doi: 10.1177/15533506211068928. Epub 2022 Jan 8.
3
Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications.
重症监护病房中实时超声引导下胸腔穿刺术:机械并发症的发生率
Ultrasound J. 2020 Apr 26;12(1):25. doi: 10.1186/s13089-020-00172-9.
4
Head-Mounted Display Use in Surgery: A Systematic Review.头戴式显示器在手术中的应用:一项系统评价。
Surg Innov. 2020 Feb;27(1):88-100. doi: 10.1177/1553350619871787. Epub 2019 Sep 12.
5
Reducing Iatrogenic Pneumothoraces: Using Real-Time Ultrasound Guidance for Pleural Procedures.减少医源性气胸:实时超声引导用于胸膜操作。
Crit Care Med. 2019 Jul;47(7):903-909. doi: 10.1097/CCM.0000000000003761.
6
Ultrasound-Guided Fine-Needle Aspiration in the Neck Region Using an Optical See-Through Head-Mounted Display: A Randomized Controlled Trial.使用光学透视头戴式显示器在颈部区域进行超声引导下细针穿刺抽吸:一项随机对照试验。
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7
Comparison of optical see-through head-mounted displays for surgical interventions with object-anchored 2D-display.比较光学穿透式头戴式显示器与基于物体锚定的 2D 显示器在手术干预中的应用。
Int J Comput Assist Radiol Surg. 2017 Jun;12(6):901-910. doi: 10.1007/s11548-017-1564-y. Epub 2017 Mar 25.
8
Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010.胸膜操作与胸部超声检查:英国胸科学会2010年胸膜疾病指南
Thorax. 2010 Aug;65 Suppl 2:ii61-76. doi: 10.1136/thx.2010.137026.