Feasibility of a novel technique using 3-dimensional modeling and augmented reality for access during percutaneous nephrolithotomy in two different ex-vivo models

Akand, Murat; Civcik, Levent; Buyukaslan, Ahmet; Altintas, Emre; Koçer, Erdinç; Koplay, Mustafa; Erdoğru, Ti̇bet

doi:10.1007/s11255-018-2037-0

Cited by 11 publications

(6 citation statements)

References 24 publications

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“…Li et al reported a 3D reconstruction of the renal stones which accurately represented the inter-relationships between the intrarenal arteries and veins, collecting system, stones and adjacent anatomical structures [ 20 ]; PCNL was completed successfully in all 15 patients with this navigation in computer. Akand et al described a 3D and augmented reality (AR) technology for access during PCNL and reported two preliminary results in two different ex-vivo models [ 21 ]. All the promising studies were based on a cognitive 3D images in computer, but they lack of the incarnate tool.…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional printing the navigation template for precise percutaneous renal puncture to treat pyonephrosis on a porcine model and a patient ：a case report

Kaile,

Jiafu,

Wenyao

et al. 2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Three-dimensional printing the navigation template for precise percutaneous renal puncture to treat pyonephrosis on a porcine model and a patient ：a case report

Kaile,

Jiafu,

Wenyao

et al. 2024

Heliyon

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“…Aside from VR-based simulators, there is a new trend of the development and AR applications use in urology, such as laporoscopic skills [48] and PCNL [49]. There are also few published studies about the feasibility and safety of AR-assisted urological surgery using smart glasses [50,51].…”

Section: Discussionmentioning

confidence: 99%

Review of the effect of 3D medical printing and virtual reality on urology training with ‘MedTRain3DModsim’ Erasmus + European Union Project

Tatar¹,

Hurі²,

Selçuk³

et al. 2019

Turk J Med Sci

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Background/aim: It is necessary to incorporate novel training modalities in medical education, especially in surgical fields, because of the limitations of cadaveric training. Traditional medical education has many drawbacks, such as residency working hour restrictions, patient safety conflicts with the learning needs, and the lack of hands-on workshops. The MedTRain3DModsim Project aimed to produce 3-dimensional (3D) medical printed models, simulations, and innovative applications for every level of medical training using novel worldwide technologies. It was aimed herein to improve the interdisciplinary and transnational approaches, and accumulate existing experience for medical education, postgraduate studies, and specialty training. Materials and methods: This project focused on models of solid organs and the urinary system, including the kidney, prostate, ureter, and liver. With 3D medical printing, it is possible to produce a body part from inert materials in just a few hours with the standardization of medical 3D modeling. Results: The target groups of this project included medical students and residents, graduate students from engineering departments who needed medical education and surgical training, and medical researchers interested in health technology or clinical and surgical anatomy. Conclusion: It was also intended to develop a novel imaging platform for education and training by reevaluating the existing data using new software and 3D modalities. Therefore, it was believed that our methodology could be implemented in all related medical fields.

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“…A navigation system based on optical tracking was provided also in [30], where the focus was exactly on PCNL, in order to avoid the need for multiple punctures due to a lack of visual information. In order to augment the capabilities of the surgeon during the procedure, augmented reality systems to support the percutaneous access by overlaying a 3D model onto the image from a tablet camera were proposed in [31][32][33]. Then, in [34] an augmented-reality-driven medical simulator for PCNL (simPCNL) with integrated assessment of cybersecurity was presented and validated.…”

Section: Virtual and Augmented Reality For Pcnl Interventionsmentioning

confidence: 99%

Augmented Reality and Robotic Systems for Assistance in Percutaneous Nephrolithotomy Procedures: Recent Advances and Future Perspectives

2022

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Percutaneous nephrolithotomy is the gold standard for the treatment of renal stones larger than 20 mm in diameter. The treatment outcomes of PCNL are highly dependent on the accuracy of the puncture step, in order to achieve a suitable renal access and reach the stone with a precise and direct path. Thus, performing the puncturing to get the renal access is the most crucial and challenging step of the procedure with the steepest learning curve. Many simulation methods and systems have been developed to help trainees achieve the requested competency level to achieve a suitable renal access. Simulators include human cadavers, animal tissues and virtual reality simulators to simulate human patients. On the other hand, the availability of pre-operative information (e.g., computed tomography or magnetic resonance imaging) and of intra-operative images (e.g., ultrasound images) has allowed the development of solutions involving augmented reality and robotic systems to assist the surgeon during the operation and to help a novel surgeon in strongly reducing the learning curve. In this context, the real-time awareness of the 3D position and orientation of the considered anatomical structures with reference to a common frame is fundamental. Such information must be accurately estimated by means of specific tracking systems that allow the reconstruction of the motion of the probe and of the tool. This review paper presents a survey on the leading literature on augmented reality and robotic assistance for PCNL, with a focus on existing methods for tracking the motion of the ultrasound probe and of the surgical needle.

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Feasibility of a novel technique using 3-dimensional modeling and augmented reality for access during percutaneous nephrolithotomy in two different ex-vivo models

Cited by 11 publications

References 24 publications

Three-dimensional printing the navigation template for precise percutaneous renal puncture to treat pyonephrosis on a porcine model and a patient ：a case report

Three-dimensional printing the navigation template for precise percutaneous renal puncture to treat pyonephrosis on a porcine model and a patient ：a case report

Review of the effect of 3D medical printing and virtual reality on urology training with ‘MedTRain3DModsim’ Erasmus + European Union Project

Augmented Reality and Robotic Systems for Assistance in Percutaneous Nephrolithotomy Procedures: Recent Advances and Future Perspectives

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