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Clinical Application of a Novel Augmented Reality Navigation System for Chronic Subdural Hematoma Surgery Using a Single Quick Response Code Marker as a Tracking Target: Technical Note.

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Název: Clinical Application of a Novel Augmented Reality Navigation System for Chronic Subdural Hematoma Surgery Using a Single Quick Response Code Marker as a Tracking Target: Technical Note.
Autoři: Goto Y; Department of Neurosurgery, University of Teikyo Hospital, Tokyo, Japan. Electronic address: gotou.yoshiaki.hn@teikyo-u.ac.jp., Takata T; Advanced Comprehensive Research Organization, Teikyo University, Tokyo, Japan., Ogura Y; Department of Neurosurgery, University of Teikyo Hospital, Tokyo, Japan., Nakamura Y; Department of Neurosurgery, University of Teikyo Hospital, Tokyo, Japan., Inoue Y; Department of Neurosurgery, University of Teikyo Hospital, Tokyo, Japan., Kawaguchi A; Department of Neurosurgery, University of Teikyo Hospital, Tokyo, Japan., Tomioka A; Department of Neurosurgery, University of Teikyo Hospital, Tokyo, Japan., Oyama Y; Department of Neurosurgery, University of Teikyo Hospital, Tokyo, Japan., Kotoku J; Graduate School of Medical Care and Technology, Teikyo University, Tokyo, Japan., Ueki K; Labor Insurance Review Committee, Ministry of Health, Labor and Welfare, Tokyo, Japan., Shin M; Department of Neurosurgery, University of Teikyo Hospital, Tokyo, Japan.
Zdroj: World neurosurgery [World Neurosurg] 2025 Oct; Vol. 202, pp. 124354. Date of Electronic Publication: 2025 Aug 06.
Způsob vydávání: Journal Article
Jazyk: English
Informace o časopise: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
Imprint Name(s): Original Publication: New York : Elsevier
Výrazy ze slovníku MeSH: Hematoma, Subdural, Chronic*/surgery , Hematoma, Subdural, Chronic*/diagnostic imaging , Augmented Reality* , Neuronavigation*/methods , Neuronavigation*/instrumentation , Neurosurgical Procedures*/methods, Humans ; Male ; Female ; Aged ; Middle Aged ; Imaging, Three-Dimensional/methods ; Adult ; Algorithms ; Aged, 80 and over
Abstrakt: Background: Augmented reality (AR) can support neurosurgical procedures by integrating 3-dimensional (3D) images into real-world views to help anatomical understanding. However, current systems are cumbersome and not attractive for trainees. Studies on wearable AR devices show promise but need further refinement.
Methods: This preliminary report assesses a novel augmented reality navigation system (ARnavS) using a simultaneous localization and mapping algorithm provided with the Vuforia SDK and a quick response code. The system was applied to burr-hole surgeries in 10 cases of chronic subdural hematoma to evaluate its convenience and accuracy.
Results: Ten patients with 11 hematomas underwent burr-hole surgeries using ARnavS. The system was effective without equipment issues, with an average registration time of 2.6 minutes. Discrepancy between planned and actual burr-hole locations was 3.5 mm. Skin incisions avoided 3D image of the superficial temporal artery, with no superficial temporal artery damage in any case. The mean surgical time was 37.1 minutes, and no severe postoperative bleeding occurred.
Conclusions: Our ARnavS for burr-hole surgery in chronic subdural hematoma offers good 3D imaging with quick registration. It provided surgeons with better anatomical comprehension, helping to avoid injury to critical structures. Unlike conventional systems, ARnavS allows direct visualization of 3D graphics in the surgical field, beneficial for less-experienced neurosurgeons and medical students. While further studies are needed, the AR navigation system with simultaneous localization and mapping algorithm and quick response code showed precise intraoperative 3D imaging with sufficient accuracy after quick registration. While further studies are needed, it has demonstrated practical usefulness in clinical neurosurgical procedures.
(Copyright © 2025 The Author(s). Published by Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: Augmented reality; Chronic subdural hematoma; Navigation system; Quick response code marker; Simultaneous localization and mapping algorithm
Entry Date(s): Date Created: 20250808 Date Completed: 20251023 Latest Revision: 20251023
Update Code: 20251024
DOI: 10.1016/j.wneu.2025.124354
PMID: 40780508
Databáze: MEDLINE
Popis
Abstrakt:Background: Augmented reality (AR) can support neurosurgical procedures by integrating 3-dimensional (3D) images into real-world views to help anatomical understanding. However, current systems are cumbersome and not attractive for trainees. Studies on wearable AR devices show promise but need further refinement.<br />Methods: This preliminary report assesses a novel augmented reality navigation system (ARnavS) using a simultaneous localization and mapping algorithm provided with the Vuforia SDK and a quick response code. The system was applied to burr-hole surgeries in 10 cases of chronic subdural hematoma to evaluate its convenience and accuracy.<br />Results: Ten patients with 11 hematomas underwent burr-hole surgeries using ARnavS. The system was effective without equipment issues, with an average registration time of 2.6 minutes. Discrepancy between planned and actual burr-hole locations was 3.5 mm. Skin incisions avoided 3D image of the superficial temporal artery, with no superficial temporal artery damage in any case. The mean surgical time was 37.1 minutes, and no severe postoperative bleeding occurred.<br />Conclusions: Our ARnavS for burr-hole surgery in chronic subdural hematoma offers good 3D imaging with quick registration. It provided surgeons with better anatomical comprehension, helping to avoid injury to critical structures. Unlike conventional systems, ARnavS allows direct visualization of 3D graphics in the surgical field, beneficial for less-experienced neurosurgeons and medical students. While further studies are needed, the AR navigation system with simultaneous localization and mapping algorithm and quick response code showed precise intraoperative 3D imaging with sufficient accuracy after quick registration. While further studies are needed, it has demonstrated practical usefulness in clinical neurosurgical procedures.<br /> (Copyright © 2025 The Author(s). Published by Elsevier Inc. All rights reserved.)
ISSN:1878-8769
DOI:10.1016/j.wneu.2025.124354