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Augmented Reality Visualization for Image-Guided Surgery: A Validation Study Using a Three-Dimensional Printed

H H Glas1, J Kraeima1, P M A van Ooijen2

  • 1Technical Physician, Department of Oral & Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|May 25, 2021
PubMed
Summary
This summary is machine-generated.

Augmented reality (AR) enhances image-guided surgery by making navigation tasks faster and more accurate than traditional methods. This visualization technique improves surgical planning and execution in operating rooms.

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Area of Science:

  • Medical Imaging
  • Surgical Navigation
  • Augmented Reality

Background:

  • Current oral and maxillofacial surgery relies on virtual surgical planning using CT/MRI data.
  • 3D visualizations aid in planning complex procedures.
  • Translating virtual plans to the OR involves 3D-printed guides or navigation systems.

Purpose of the Study:

  • To enhance the accuracy and speed of translating virtual surgery plans to the operating room.
  • To introduce an augmented reality (AR) visualization technique for image-guided surgery.
  • To evaluate the usability and accuracy of AR-assisted navigation against a gold standard system.

Main Methods:

  • Developed an AR visualization technique for surgeons to interact with virtual plans and navigation data in the OR.
  • Conducted a user study comparing the AR technique with a perioperative navigation system (Brainlab).
  • Assessed the accuracy of navigation tasks, including reaching landmarks and following trajectories.

Main Results:

  • Navigation tasks were 1.71 times faster with AR (P = .034).
  • Accuracy significantly improved with AR (P < .001), though landmark accuracy showed a weaker correlation (P = .087).
  • Users found AR navigation easier (difficulty rating 2.4/5) compared to the standard system (3.25/5), despite limited AR/gesture experience.

Conclusions:

  • The AR workflow is applicable to various image-guided surgery procedures as an adjunct to existing systems.
  • The AR technique allows for faster and more accurate navigation tasks compared to the current gold standard.
  • Qualitative feedback indicated a more positive user experience with the AR-assisted technique.