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Published on: September 2, 2025
406
Multimodal mixed reality visualisation for intraoperative surgical guidance.
João Cartucho1, David Shapira2,3, Hutan Ashrafian2
1The Hamlyn Centre for Robotic Surgery, Imperial College London, London, SW7 2AZ, UK. j.cartucho19@imperial.ac.uk.
Summary
This study introduces a mixed reality (MR) visualization platform for surgical guidance. Surgeons found the platform intuitive, with 3D organ models being a popular feature, suggesting potential for neurosurgery applications.
Area of Science:
- Medical technology
- Surgical navigation
- Mixed Reality (MR)
Background:
- Mixed reality (MR) integration into operating rooms aims to enhance intraoperative surgical assistance.
- Current progress in applying MR for surgical guidance remains in early developmental stages.
Purpose of the Study:
- To propose and evaluate a novel mixed reality (MR) visualization platform for intraoperative surgical guidance.
- The platform integrates multiple imaging modalities for enhanced surgical visualization.
Main Methods:
- Development of an MR visualization platform for Microsoft HoloLens, featuring 3D organ models, volumetric data, and intraoperative imaging.
- Implementation of interactive functionalities like data scrolling and transparency adjustment.
- A pilot user study involving surgeons to assess platform usability and gather feedback.
Main Results:
- The 3D organ model was identified as the most popular visualization component.
- Neurosurgery emerged as the most relevant surgical specialty for the platform.
- A majority of surgeons found the platform intuitive and expressed willingness to use it for intraoperative guidance, particularly in vascular neurosurgery.
Conclusions:
- The pilot study confirmed the potential and usability of the proposed MR visualization platform in operating rooms.
- Future work will focus on incorporating surgeon feedback and conducting extensive evaluations with a larger cohort.
Keywords:
Augmented realityComputer-assisted surgeryHead-mounted displayHoloLensImage-guided surgeryMixed reality
