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Augmented reality and artificial intelligence-based navigation during percutaneous vertebroplasty: a pilot randomised
Pierre Auloge1, Roberto Luigi Cazzato2, Nitin Ramamurthy3
1Interventional Radiology, Imagerie Interventionnelle, Nouvel Hôpital Civil, University Hospital of Strasbourg, 1, Place de l'Hôpital, B.P. 426, 67091, Strasbourg Cedex, France. pierreauloge@gmail.com.
Summary
A new augmented reality (AR) and artificial intelligence (AI) tool for percutaneous vertebroplasty is feasible and accurate. This AR/AI guidance reduces patient radiation exposure compared to standard fluoroscopy.
Area of Science:
- Medical technology
- Surgical navigation
- Radiology
Background:
- Percutaneous vertebroplasty is a common procedure for vertebral compression fractures.
- Minimizing radiation exposure and improving procedural accuracy are key goals in vertebroplasty.
- Novel navigational tools are being developed to enhance surgical precision and safety.
Purpose of the Study:
- To evaluate the technical feasibility, accuracy, safety, and radiation exposure of a novel augmented reality (AR) and artificial intelligence (AI) guided system.
- To compare the AR/AI-guided approach with standard fluoroscopy during percutaneous vertebroplasty for vertebral compression fractures (VCFs).
Main Methods:
- A prospective, parallel, randomized open trial involving 20 patients with single-level VCFs.
- Group A (10 patients) underwent trocar insertion using AR/AI guidance with motion compensation.
- Group B (10 patients) underwent trocar insertion using standard fluoroscopy.
Main Results:
- Technical feasibility was 100% in the AR/AI group.
- Accuracy of trocar placement was comparable between the AR/AI and standard fluoroscopy groups (p > 0.05).
- The AR/AI group showed significantly lower radiation dose-area product and fluoroscopy time compared to the standard fluoroscopy group (p < 0.05).
Conclusions:
- Augmented reality and artificial intelligence-guided percutaneous vertebroplasty is technically feasible, accurate, and safe.
- This novel guidance system leads to reduced patient radiation exposure compared to conventional fluoroscopic methods.
- The findings support the potential of AR/AI integration to improve vertebroplasty procedures.
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