Tsai Yu-Chieh, Hsiao Chin-Cheng, Chung-Wei Lin Charles, Chern Ming-Chih, Huang Shih-Wei
Department of Surgery, Show Chwan Memorial Hospital, Changhua, Taiwan.
IRCAD/AITS-Asian Institute of TeleSurgery, Show Chwan Health Care System, Changhua, Taiwan.
Surg Innov. 2025 Jun;32(3):312-314. doi: 10.1177/15533506251316001. Epub 2025 Jan 24.
This study evaluates the feasibility of Apple Vision Pro goggles as an augmented reality (AR) surgical navigation tool for laparoscopic-assisted ultrasound-guided radiofrequency ablation (RFA) of liver tumors. Traditional RFA is effective but challenging due to the integration of multiple imaging modalities. The primary aim of this research is to assess how Vision Pro goggles can enhance the surgical navigation process during RFA, improving tumor localization and the overall effectiveness of the procedure. A feasibility study design was used to analyze the implementation of AR technologies in surgical navigation, focusing specifically on their application in laparoscopic surgeries. Participants included patients undergoing laparoscopic-assisted ultrasound-guided RFA, with pre-operative imaging workups involving CT and MRI scans followed by intraoperative laparoscopic sonography. Data were collected through observations during surgical procedures using the Vision Pro goggles, which displayed various imaging inputs (MRI, 3D reconstruction, and laparoscopic sonography) in the surgeon's field of view. Image manipulation was assessed based on accuracy and effectiveness of tumor ablation. The goggles enhanced tumor localization accuracy and facilitated real-time image manipulation, resulting in effective tumor ablation. Initial results show promising outcomes in the precision and efficiency of the RFA procedure. While the initial results are promising, larger studies are necessary to validate the technology's efficacy and safety. Future research should compare outcomes with traditional methods and explore its applicability to other surgeries, aiming to refine the system further. The Vision Pro goggles potentially represent a significant advancement in surgical technology by improving RFA precision and efficiency.
本研究评估了苹果Vision Pro头显作为一种增强现实（AR）手术导航工具用于腹腔镜辅助超声引导下肝脏肿瘤射频消融（RFA）的可行性。传统的RFA是有效的，但由于多种成像方式的整合而具有挑战性。本研究的主要目的是评估Vision Pro头显如何在RFA过程中增强手术导航过程，改善肿瘤定位以及该手术的整体有效性。采用可行性研究设计来分析AR技术在手术导航中的应用，特别关注其在腹腔镜手术中的应用。参与者包括接受腹腔镜辅助超声引导下RFA的患者，术前进行了CT和MRI扫描等影像学检查，随后进行术中腹腔镜超声检查。通过在手术过程中使用Vision Pro头显进行观察来收集数据，该头显在外科医生的视野中显示各种成像输入（MRI、三维重建和腹腔镜超声）。基于肿瘤消融的准确性和有效性来评估图像操作。该头显提高了肿瘤定位的准确性，并促进了实时图像操作，从而实现了有效的肿瘤消融。初步结果显示RFA手术在精度和效率方面有良好的前景。虽然初步结果很有前景，但需要更大规模的研究来验证该技术的有效性和安全性。未来的研究应该将结果与传统方法进行比较，并探索其在其他手术中的适用性，旨在进一步完善该系统。Vision Pro头显通过提高RFA的精度和效率，可能代表了手术技术的重大进步。
