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Bone biopsies guided by augmented reality: a pilot study.

Domenico Albano1, Carmelo Messina2,3, Salvatore Gitto2,3

  • 1IRCCS Istituto Ortopedico Galeazzi, Milan, 20161, Italy. albanodomenico.md@gmail.com.

European Radiology Experimental
|July 19, 2023
PubMed
Summary
This summary is machine-generated.

This study shows that an augmented reality (AR) navigation system is a safe and feasible tool for bone biopsies. The AR system reduces radiation exposure and CT passes without increasing procedure time.

Keywords:
Augmented realityBoneImage-guided biopsyRadiology (interventional)Tomography (x-ray computed)

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Area of Science:

  • Medical Imaging and Interventional Radiology
  • Surgical Navigation Technologies
  • Biomedical Engineering

Background:

  • Percutaneous computed tomography (CT)-guided bone biopsies are standard procedures.
  • Minimizing radiation exposure and procedural steps is crucial for patient safety and efficiency.
  • Novel navigation systems aim to improve accuracy and reduce invasiveness in image-guided interventions.

Purpose of the Study:

  • To evaluate the technical feasibility and efficacy of a novel augmented reality (AR) navigation system for guiding bone biopsies.
  • To compare the AR navigation system's performance against standard CT-guided biopsy techniques.

Main Methods:

  • A prospective study enrolled patients undergoing CT-guided bone biopsy with the AR navigation system (AR group).
  • Data were compared retrospectively with patients who underwent standard CT-guided bone biopsies (control group).
  • Key metrics evaluated included procedure duration, number of CT passes, radiation dose, complications, and specimen adequacy.

Main Results:

  • Both AR and control groups achieved 100% technical success and efficacy.
  • The AR group showed significantly fewer CT passes (median 4 vs. 9) and lower radiation doses (p < 0.001 and p = 0.021, respectively).
  • Procedure duration was comparable between the AR group (22 ± 5 min) and the control group (23 ± 5 min).

Conclusions:

  • The augmented reality navigation system is a safe, feasible, and effective tool for bone biopsies.
  • It offers significant advantages by reducing patient radiation dose and the number of CT passes required.
  • The system performs comparably to standard methods in terms of procedure duration and technical outcomes.