用于气道管理的气管插管引导的增强现实系统的开发。

Development of an augmented reality system for tracheal intubation guidance of airway management.

作者信息

Fei Grace T, Guo Aimee W, Booth Timothy, Kiss Edgar, Hallac Rami R, Anderson Andrew, Wang Zhiyue J

机构信息

Liberty High School, Frisco, Texas.

The Hockaday School, Dallas, Texas.

出版信息

Proc SPIE Int Soc Opt Eng. 2024 Jan-Feb;12818. doi: 10.1117/12.3007671. Epub 2024 Mar 12.

Abstract

Tracheal intubation is a crucial procedure performed in airway management to sustain life during various procedures. However, difficult airways can make intubation challenging, which is associated with increased mortality and morbidity. This is particularly important for children who undergo intubation where the situation is difficult. Improved airway management will decrease incidences of repeated attempts, decrease hypoxic injuries in patients, and decrease hospital stays, resulting in better clinical outcomes and reduced costs. Currently, 3D printed models based on CT scans and ultrasound-guided intubation are being used or tested for device fitting and procedure guidance to increase the success rate of intubation, but both have limitations. Maintaining a 3D printing facility can be logistically inconvenient, and it can be time consuming and expensive. Ultrasound-guided intubation can be hindered by operator dependence, limited two-dimensional visualization, and potential artifacts. In this study, we developed an augmented reality (AR) system that allows the overlay of intubation tools and internal airways, providing real-time guidance during the procedure. A child manikin was used to develop and test the AR system. Three-dimensional CT images were acquired from the manikin. Different tissues were segmented to generate the 3D models that were imported into Unity to build the holograms. Phantom experiments demonstrated the AR-guided system for potential applications in tracheal intubation guidance.

摘要

气管插管是气道管理中的一项关键操作,用于在各种手术过程中维持生命。然而,困难气道会使插管具有挑战性,这与死亡率和发病率的增加相关。这对于接受困难插管的儿童尤为重要。改善气道管理将减少重复尝试的发生率,减少患者的缺氧损伤,并缩短住院时间,从而带来更好的临床结果并降低成本。目前,基于CT扫描的3D打印模型和超声引导插管正在用于或测试用于设备适配和手术指导,以提高插管成功率,但两者都有局限性。维护3D打印设施在后勤方面可能不方便,而且可能耗时且昂贵。超声引导插管可能会受到操作者依赖性、有限的二维可视化和潜在伪像的阻碍。在本研究中,我们开发了一种增强现实(AR)系统,该系统允许在插管工具和内部气道上叠加,在手术过程中提供实时指导。使用儿童人体模型来开发和测试AR系统。从人体模型获取三维CT图像。对不同组织进行分割以生成导入Unity中以构建全息图的3D模型。模拟实验证明了AR引导系统在气管插管指导中的潜在应用。

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