Salazar Carrasco Lucía, Sánchez-Varo Ignacio, Caballero Jorna Daniel, Iribar-Zabala Amaia, Bertelsen-Simonetti Álvaro, Sánchez-Margallo Juan A, Sánchez-Margallo Francisco M
Bioengineering and Health Technologies Unit Jesús Usón Minimally Invasive Surgery Centre Cáceres Spain.
Digital Health & Biomedical Technologies Vicomtech Donostia/San Sebastián Spain.
Healthc Technol Lett. 2025 Jan 29;12(1):e12110. doi: 10.1049/htl2.12110. eCollection 2025 Jan-Dec.
This study aims to develop a system based on mixed reality imaging for assistance in percutaneous ultrasound-guided liver interventions. A liver phantom, an ultrasound scanner with an abdominal probe, an electromagnetic tracking system for localization of the ultrasound probe, and the percutaneous needle were used to develop the system. A gelatin liver phantom was fabricated, including a set of lesions (with agarose, glycerol, and sephadex) and artificial blood vessels 3D printed with thermoplastic polyurethane (TPU) elastic fibres. Intraoperative ultrasound images from a BK5000 ultrasound scanner were acquired using a video capture system and transmitted to 3D Slicer. The NDI Aurora electromagnetic tracking system, coupled to the ultrasound probe and intracorporeal needle, was used for real-time trajectory tracking, providing us with spatial localization information. These images are then sent to the augmented reality HoloLens device as the primary visualization system. This work lays the groundwork for the development of a more comprehensive system to assist ultrasound-guided percutaneous liver interventions in order to improve the accuracy and safety of these procedures. The use of mixed reality imaging technology allows a better integration of image-guided surgery systems, such as the one presented in this work, in real clinical environments, and closer to the patient.
本研究旨在开发一种基于混合现实成像的系统,以辅助经皮超声引导下的肝脏介入操作。使用肝脏模型、配备腹部探头的超声扫描仪、用于超声探头定位的电磁跟踪系统以及经皮穿刺针来开发该系统。制作了一个明胶肝脏模型,其中包括一组病变(含有琼脂糖、甘油和葡聚糖)以及用热塑性聚氨酯(TPU)弹性纤维3D打印的人造血管。使用视频采集系统获取BK5000超声扫描仪的术中超声图像,并将其传输到3D Slicer。与超声探头和体内穿刺针相连的NDI Aurora电磁跟踪系统用于实时轨迹跟踪,为我们提供空间定位信息。然后将这些图像作为主要可视化系统发送到增强现实HoloLens设备。这项工作为开发更全面的系统奠定了基础,以辅助超声引导下的经皮肝脏介入操作,从而提高这些操作的准确性和安全性。混合现实成像技术的使用能够使图像引导手术系统(如本研究中所展示的系统)更好地融入实际临床环境,并更贴近患者。