对导航常见股骨动脉接入的不同注册和可视化方法进行比较 - - 使用混合现实的幻象模型研究
Johannes Hatzl1, Daniel Henning1, Dittmar Böckler1
1Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Journal of imaging
|April 26, 2024
概括
混合现实 (MxR) 导航用于通用大腿动脉 (CFA) 访问显示了提高安全性的潜力. 然而,目前的工作流程需要简化,以便在临床实践中使用.
科学领域:
- 医疗成像医学成像
- 干预性放射学 干预性放射学
- 混合现实技术技术混合现实技术
背景情况:
- 对于血管干预来说,通往股骨动脉 (CFA) 的途径至关重要.
- 目前的超声波引导技术在精度上有局限性.
- 混合现实 (MxR) 为医疗程序提供了新的可视化可能性.
研究的目的:
- 评估CFA访问的三个MxR导航工作流程的有效性和安全性.
- 为了比较导航技术与传统的超声波引导访问.
- 确定在MxR引导的程序导航中需要改进的领域.
主要方法:
- 幻影模型研究涉及10名操作员 (专家和非专家) 进行160次刺穿.
- 三个MxR工作流程与超声波引导的对照组进行比较.
- 使用形束计算断层扫描量化定位误差.
主要成果:
- 与对照组相比,MxR导航技术的结果是,与对照组相比,从针头进入到大腿骨头中部水平的距离显著缩短.
- 三维可视化显示了提高CFA访问安全性的潜力.
- 导航工作流显示了基础设施的复杂性,有限的可用性和高成本.
结论:
- MxR导航导航是安全的CFA通道的一个有希望的补充.
- 未来的MxR开发应该专注于减少工作流程的复杂性和成本.
- 需要实用注册和仪表跟踪方法才能得到更广泛的采用.
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