Olexa Joshua, Trang Annie, Chryssikos Timothy, Schwartzbauer Gary, Aarabi Bizhan
Department of Neurosurgery, University of Maryland School of Medicine, 22 S. Greene Street, S12D, Baltimore, MD 21201, United States.
J Surg Case Rep. 2024 May 28;2024(5):rjae341. doi: 10.1093/jscr/rjae341. eCollection 2024 May.
Management of chronic subdural hematoma (cSDH) poses unique challenges and can be fraught with complications. Understanding the spatial relationships of cSDH to adjacent brain tissue and skull topography is critical for successful surgical treatment. The aim of this report is to highlight the feasibility and efficacy of a novel augmented reality (AR) overlay tool for surgical planning with technical description of two surgical cases using AR for surgical management of cSDH. This report describes a fiducial-less AR system for surgical planning of surgical evacuation of cSDH. The AR system was used to superimpose 3D anatomy onto the patients head to provide image guidance during two cases of evacuation. Imaging demonstrated convexity cSDH. A 3D model of the patient's anatomy was created and registered onto the patients' heads using a novel AR system. Surgical evacuation of the cSDH was completed in each case with surgical planning assisted by AR overlay.
慢性硬膜下血肿(cSDH)的管理带来了独特的挑战,并且可能充满并发症。了解cSDH与相邻脑组织和颅骨地形的空间关系对于成功的手术治疗至关重要。本报告的目的是强调一种新型增强现实(AR)叠加工具在手术规划中的可行性和有效性,并对两例使用AR进行cSDH手术管理的病例进行技术描述。本报告描述了一种用于cSDH手术引流手术规划的无基准AR系统。该AR系统用于将3D解剖结构叠加到患者头部,以便在两例引流手术中提供图像引导。影像学显示为凸面cSDH。使用新型AR系统创建了患者解剖结构的3D模型并将其注册到患者头部。在AR叠加辅助的手术规划下,每例均完成了cSDH的手术引流。