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Renal biopsy under augmented reality guidance.

Matthew Pfefferle1, Sarah Shahub1, Maysam Shahedi1

  • 1Department of Bioengineering, The Univ. of Texas at Dallas, TX.

Proceedings of Spie--The International Society for Optical Engineering
|June 2, 2020
PubMed
Summary

This study introduces an augmented reality system for kidney biopsies, merging pre-operative CT and intra-operative ultrasound images. This improves targeting accuracy for minimally invasive procedures.

Keywords:
Renal biopsyaugmented realityimage-guided interventionskidney cancerphantom study

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Area of Science:

  • Medical imaging
  • Augmented reality
  • Surgical guidance

Background:

  • Current kidney biopsy techniques rely on mentally fusing pre-operative and intra-operative imaging, limiting accuracy.
  • Discrepancies between imaging modalities reduce the precision and reproducibility of kidney biopsies.

Purpose of the Study:

  • To develop an augmented reality (AR) system for enhanced visualization and guidance during kidney biopsies.
  • To integrate pre-operative CT scans with intra-operative ultrasound scans in real-time using AR.

Main Methods:

  • Developed an AR system to project holographic lesion representations onto a phantom.
  • Utilized an automated deformable registration algorithm for accurate holographic lesion localization.
  • Incorporated a magnetic tracking system for precise biopsy needle guidance.

Main Results:

  • The AR system successfully integrated CT and ultrasound data for real-time lesion localization.
  • The automated registration algorithm improved the accuracy of holographic lesion positioning.
  • The developed system achieved a targeting accuracy of 2.9 ± 1.5 mm in a renal phantom study.

Conclusions:

  • The augmented reality system offers a promising approach to improve kidney biopsy accuracy and reproducibility.
  • Real-time integration of multi-modal imaging via AR enhances surgical guidance for minimally invasive procedures.
  • This technology has the potential to refine percutaneous renal interventions.