Coronary Heart Disease Preoperative Gesture Interactive Diagnostic System Based on Augmented Reality
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Updated: Feb 26, 2026

Author Spotlight: Revolutionizing Remote Surgery with Augmented Reality and Robotics for Enhanced Precision and Accessibility
Published on: August 9, 2024
Yi-Bo Zou1, Yi-Min Chen2, Ming-Ke Gao3,4
1College of Information Technology, Shanghai Ocean University, No.999 Huchenghuan Road , Pudong New District, Shanghai City, China.
Insights
This study introduces an augmented reality system for coronary heart disease diagnosis. It enables intuitive, accurate vascular stenosis measurement using hand gestures, improving preoperative planning for interventional surgery.
Area of Science:
- Medical Imaging
- Human-Computer Interaction
- Surgical Planning
Background:
- Traditional coronary heart disease diagnosis relies on invasive angiography, lacking intuitive interaction and precise measurements.
- Current methods for assessing vascular stenosis are empirical and can be inaccurate, impacting surgical planning.
Purpose of the Study:
- To develop a gesture-interactive diagnostic system using Augmented Reality (AR) for coronary heart disease preoperative diagnosis.
- To enhance the accuracy and intuitiveness of vascular stenosis diagnosis and measurement in interventional surgery planning.
Main Methods:
- Utilized Leap Motion Controller for capturing hand gesture data (position, orientation, hand shape).
- Employed K-means algorithm for gesture training, SRT-HMM for gesture recognition, and state transition models for gesture reusability.
- Incorporated gesture prejudgment and space rotation transformation to improve algorithm efficiency and trajectory integrity.
Main Results:
- The system demonstrated accurate gesture recognition with good distinguishability and generalization abilities.
- Augmented reality and gesture interaction enabled intuitive diagnosis and measurement of vascular stenosis on coronary artery models.
- Gesture interaction experiments confirmed the system's availability and reliability for preoperative diagnosis.
Conclusions:
- The proposed Augmented Reality-based gesture interactive system offers an intuitive and accurate solution for coronary heart disease preoperative diagnosis.
- This approach significantly improves upon traditional methods by providing natural interaction and precise measurements for vascular stenosis.
- The system holds promise for enhancing the planning and execution of vascular interventional surgeries.
Abstract:
Coronary heart disease preoperative diagnosis plays an important role in the treatment of vascular interventional surgery. Actually, most doctors are used to diagnosing the position of the vascular stenosis and then empirically estimating vascular stenosis by selective coronary angiography images instead of using mouse, keyboard and computer during preoperative diagnosis. The invasive diagnostic modality is short of intuitive and natural interaction and the results are not accurate enough. Aiming at above problems, the coronary heart disease preoperative gesture interactive diagnostic system based on Augmented Reality is proposed. The system uses Leap Motion Controller to capture hand gesture video sequences and extract the features which that are the position and orientation vector of the gesture motion trajectory and the change of the hand shape. The training planet is determined by K-means algorithm and then the effect of gesture training is improved by multi-features and multi-observation sequences for gesture training. The reusability of gesture is improved by establishing the state transition model. The algorithm efficiency is improved by gesture prejudgment which is used by threshold discriminating before recognition. The integrity of the trajectory is preserved and the gesture motion space is extended by employing space rotation transformation of gesture manipulation plane. Ultimately, the gesture recognition based on SRT-HMM is realized. The diagnosis and measurement of the vascular stenosis are intuitively and naturally realized by operating and measuring the coronary artery model with augmented reality and gesture interaction techniques. All of the gesture recognition experiments show the distinguish ability and generalization ability of the algorithm and gesture interaction experiments prove the availability and reliability of the system.
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