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Integrating Artificial Intelligence into Mixed Reality for Back Detection and Virtual 3D Spine Visualization on
Ferdinand Burkhardt1, Joshua Hermann1, Sanjana Shivadathathri1
1UniTyLab, Heilbronn University, Max-Planck-Str. 39, 74081 Heilbronn.
Studies in Health Technology and Informatics
|August 8, 2025
Summary
This study presents a Mixed Reality system using HoloLens 2 for Adolescent Idiopathic Scoliosis monitoring. The AI application aids in visualizing spinal deformities, improving patient care potential.
Area of Science:
- Orthopedics
- Medical Imaging
- Computer Science
Background:
- Adolescent Idiopathic Scoliosis (AIS) is a complex 3D spinal deformity impacting quality of life.
- AIS requires continuous monitoring due to its progressive nature.
- Current monitoring methods may lack advanced visualization capabilities.
Purpose of the Study:
- To develop an AI-enhanced Mixed Reality application for spine visualization in AIS.
- To accurately overlay a 3D virtual spine model onto a patient's anatomy using HoloLens 2.
- To detect the patient's back and Central Sacral Vertical Line (CSVL) for precise anatomical alignment.
Main Methods:
- Development of a standalone Mixed Reality application utilizing the HoloLens 2.
- Implementation of Artificial Intelligence algorithms for back and CSVL detection.
- Integration of 3D spine models for overlay onto patient anatomy.
Main Results:
- A proof-of-concept Mixed Reality application was successfully developed.
- The system demonstrated the capability to detect the patient's back and CSVL.
- Virtual 3D spine models could be overlaid onto the patient's anatomy.
Conclusions:
- The developed Mixed Reality system shows promise for Adolescent Idiopathic Scoliosis monitoring.
- Further hardware enhancements are needed for robust clinical application.
- This innovative approach could improve the visualization and management of spinal deformities.

