Augmented Reality–Guided Lumbar Facet Joint Injections

Agten, Christoph A.; Dennler, Cyrill; Rosskopf, Andrea B.; Jaberg, Laurenz; Pfirrmann, Christian W. A.; Farshad, Mazda

doi:10.1097/rli.0000000000000478

Cited by 48 publications

(39 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, these systems consist of time-consuming to set up hardware devices. On the HoloLens, see-through vision concepts provide radiological images [15] and visualise correctly positioned target structures [16]. These systems provide only limited information on the actual planned needle insertion.…”

Section: Related Workmentioning

confidence: 99%

HoloInjection: augmented reality support for CT‐guided spinal needle injections

Heinrich

Schwenderling

Becker

et al. 2019

Healthcare Technology Letters

View full text Add to dashboard Cite

The correct placement of needles is decisive for the success of many minimally-invasive interventions and therapies. These needle insertions are usually only guided by radiological imaging and can benefit from additional navigation support. Augmented reality (AR) is a promising tool to conveniently provide needed information and may thus overcome the limitations of existing approaches. To this end, a prototypical AR application was developed to guide the insertion of needles to spinal targets using the mixed reality glasses Microsoft HoloLens. The system's registration accuracy was attempted to measure and three guidance visualisation concepts were evaluated concerning achievable in-plane and out-of-plane needle orientation errors in a comparison study. Results suggested high registration accuracy and showed that the AR prototype is suitable for reducing out-of-plane orientation errors. Limitations, like comparatively high in-plane orientation errors, effects of the viewing position and missing image slices indicate potential for improvement that needs to be addressed before transferring the application to clinical trials.

show abstract

Section: Related Workmentioning

confidence: 99%

HoloInjection: augmented reality support for CT‐guided spinal needle injections

Heinrich

Schwenderling

Becker

et al. 2019

Healthcare Technology Letters

View full text Add to dashboard Cite

show abstract

“…Indeed, the visor can show high-quality 3D images generated by a holographic computer in the visual field of the surgeon. 60 Agten et al 61 tested the HoloLens on a sawbone spine phantom embedded in hardened opaque agar for lumbar facet joint injections. After acquiring a CT scan of the phantom, a 3D reconstruction was generated and loaded onto the headset.…”

Section: Augmented Reality In Spine Surgerymentioning

confidence: 99%

Robotic Spine Surgery and Augmented Reality Systems: A State of the Art

et al. 2020

View full text Add to dashboard Cite

Instrumented spine procedures have been performed for decades to treat a wide variety of spinal disorders. New technologies have been employed to obtain a high degree of precision, to minimize risks of damage to neurovascular structures and to diminish harmful exposure of patients and the operative team to ionizing radiations. Robotic spine surgery comprehends 3 major categories: telesurgical robotic systems, robotic-assisted navigation (RAN) and virtual augmented reality (AR) systems, including AR and virtual reality. Telesurgical systems encompass devices that can be operated from a remote command station, allowing to perform surgery via instruments being manipulated by the robot. On the other hand, RAN technologies are characterized by the robotic guidance of surgeon-operated instruments based on real-time imaging. Virtual AR systems are able to show images directly on special visors and screens allowing the surgeon to visualize information about the patient and the procedure (i.e., anatomical landmarks, screw direction and inclination, distance from neurological and vascular structures etc.). The aim of this review is to focus on the current state of the art of robotics and AR in spine surgery and perspectives of these emerging technologies that hold promises for future applications.

show abstract

“…93 Artificial intelligence algorithms promise automated needle tracking and dynamic updating of image plane adjustments for constant visualization of the needle profile in the image plane. Holographic lenses and three-dimensional holograms, 94 as well as virtual and augmented reality, 95,96 may improve target visualization and appreciation of regional anatomy, targeting, training, and operator confidence. 97,98…”

Section: Future Directionsmentioning

confidence: 99%

Image-guided Sports Medicine and Musculoskeletal Tumor Interventions: A Patient-Centered Model

Dalili

Isaac

Rashidi

et al. 2020

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

The spectrum of effective musculoskeletal (MSK) interventions is broadening and rapidly evolving. Increasing demands incite a perpetual need to optimize services and interventions by maximizing the diagnostic and therapeutic yield, reducing exposure to ionizing radiation, increasing cost efficiency, as well as identifying and promoting effective procedures to excel in patient satisfaction ratings and outcomes. MSK interventions for the treatment of oncological conditions, and conditions related to sports injury can be performed with different imaging modalities; however, there is usually one optimal image guidance modality for each procedure and individual patient. We describe our patient-centered workflow as a model of care that incorporates state-of-the-art imaging techniques, up-to-date evidence, and value-based practices with the intent of optimizing procedural success and outcomes at a patient-specific level. This model contrasts interventionalist- and imaging modality-centered practices, where procedures are performed based on local preference and selective availability of imaging modality or interventionalists. We discuss rationales, benefits, and limitations of fluoroscopy, ultrasound, computed tomography, and magnetic resonance imaging procedure guidance for a broad range of image-guided MSK interventions to diagnose and treat sports and tumor-related conditions.

show abstract

Augmented Reality–Guided Lumbar Facet Joint Injections

Abstract: Augmented reality-guided facet joint injections are feasible and accurate without potentially harmful needle placement in an experimental setting.

Cited by 48 publications

References 12 publications

HoloInjection: augmented reality support for CT‐guided spinal needle injections

HoloInjection: augmented reality support for CT‐guided spinal needle injections

Robotic Spine Surgery and Augmented Reality Systems: A State of the Art

Image-guided Sports Medicine and Musculoskeletal Tumor Interventions: A Patient-Centered Model

Contact Info

Product

Resources

About