Mixed-reality view of cardiac specimens: a new approach to understanding complex intracardiac congenital lesions

Kang, Sok‐Leng; Shkumat, Nicholas; Dragulescu, Andréea; Guerra, Vitor; Padfield, Nancy; Krutikov, Konstantin; Chiasson, David A.; Chaturvedi, Rajiv; Yoo, Shi‐Joon; Benson, Lee

doi:10.1007/s00247-020-04740-y

Cited by 10 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…16 Regarding CH, De Kerchove et al demonstrated that fresh human normative aortic roots have asymmetric CH, being highest at the left coronary/noncoronary (LN) commissure, followed by the right coronary/noncoronary (RN) commissure, and then the left coronary/right (LR) coronary commissure (LN>RN>LR). 8 However, in our study, Based on these findings, we consider the mean GH plays a significant role in graft size selection. A formula (Graft size ≈ mean GH + 10 mm) based on the mean GH of VR-CT did not necessarily apply in all cases and does not mean that intraoperative measurements can be omitted; nevertheless, it can serve as a guide for graft selection in further cases.…”

Section: Discrepancies Between Vr-ct and Intraoperative Measurementsmentioning

confidence: 67%

“…station, True 3D (EchoPixel, Inc., Mountain View, CA, USA), which displays 3D images as objects that can be directly manipulated in the 3D space using a stylus pen (Figure 1). This new tool has already been successfully used in clinical settings, such as in preoperative planning of transcatheter surgeries 8 or congenital cardiac surgeries. 9 Although it remains untested for aortic root evaluation, its potential cannot be understated.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Virtual Reality Computed Tomography Evaluation　― Anatomy and Clinical Implications for Valve-Sparing Aortic Root Replacement ―

Tsujimoto

Tedoriya

Yamauchi

et al. 2024

Circ J

View full text Add to dashboard Cite

Background: Three-dimensional aortic root evaluation using virtual reality (VR) techniques for valve-sparing aortic root replacement (VSARR) preparation has not yet been implemented, so we demonstrated VR computed tomography (VR-CT) and assessed its utility for VSARR. Methods and Results:We enrolled 72 patients who underwent multidetector CT before elective VSARR for annuloaortic ectasia with tricuspid aortic valve. The geometries of their aortic roots were measured with a VR-CT workstation. The mean values of geometric height (GH), free margin length (FML), and commissural height (CH) were 17.2±2.4 mm, 36.0±5.2 mm, and 24.0±4.3 mm, respectively. The right coronary/noncoronary CH was significantly greater than the left coronary/right coronary and left coronary/ noncoronary CH. The left coronary cusp had the shortest FML, intercommissural distances (ICD), and smallest central angle. Although the right coronary cusp had the largest values for FML, ICD, and central angle, the right coronary cusp had the lowest GH and EH. The VR-CT measurements strongly correlated with intraoperative alternatives, especially with mean GH (R 2 =0.75) and left coronary/noncoronary CH (R 2 =0.79). Furthermore, mean GH was observed to be significantly different among the selected graft size groups; therefore, the preoperative mean GH could play a significant role in graft sizing.Conclusions: VR-CT evaluation allows a thorough understanding of aortic root anatomy, which could facilitate VSAAR.

show abstract

Section: Discrepancies Between Vr-ct and Intraoperative Measurementsmentioning

confidence: 67%

mentioning

confidence: 99%

Virtual Reality Computed Tomography Evaluation　― Anatomy and Clinical Implications for Valve-Sparing Aortic Root Replacement ―

Tsujimoto

Tedoriya

Yamauchi

et al. 2024

Circ J

View full text Add to dashboard Cite

show abstract

“…To experience VR and MR, a head-mounted device (HMD) or cave automatic virtual environment (CAVE) is required, allowing for complete immersion in the virtual environment by blocking out the real world and displaying visualizations [ 8 , 9 ]. This division can commonly be found in ER studies published after 2020 [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, the implementation of ER technology in medicine is still in its early stages, and many challenges need to be addressed before it can be fully integrated with clinical practice. Diagnostic imaging is the cornerstone of diagnostics in modern medicine; using various techniques capable of “reading” the human body, helping in emergencies, and diagnosing diseases, its continuous development is important to improve the efficiency of diagnosing patients with cancer or cardiovascular diseases [ 11 , 12 , 13 , 14 ]. Extended reality is one of the fastest-growing technologies used in DI.…”

Section: Introductionmentioning

confidence: 99%

Extended Reality in Diagnostic Imaging—A Literature Review

Kukla,

Maciejewska,

Strojna

et al. 2023

Tomography

View full text Add to dashboard Cite

The utilization of extended reality (ER) has been increasingly explored in the medical field over the past ten years. A comprehensive analysis of scientific publications was conducted to assess the applications of ER in the field of diagnostic imaging, including ultrasound, interventional radiology, and computed tomography. The study also evaluated the use of ER in patient positioning and medical education. Additionally, we explored the potential of ER as a replacement for anesthesia and sedation during examinations. The use of ER technologies in medical education has received increased attention in recent years. This technology allows for a more interactive and engaging educational experience, particularly in anatomy and patient positioning, although the question may be asked: is the technology and maintenance cost worth the investment? The results of the analyzed studies suggest that implementing augmented reality in clinical practice is a positive phenomenon that expands the diagnostic capabilities of imaging studies, education, and positioning. The results suggest that ER has significant potential to improve diagnostic imaging procedures’ accuracy and efficiency and enhance the patient experience through increased visualization and understanding of medical conditions. Despite these promising advancements, further research is needed to fully realize the potential of ER in the medical field and to address the challenges and limitations associated with its integration into clinical practice.

show abstract

“…There are many newer approaches to the 3D display of congenital heart disease which have been shown to be beneficial, including 3D printing, mixed reality, virtual reality, and augmented reality [5,6,7]. With recent advances in printing technology, 3D printing has been advocated as a useful method of displaying cardiac anatomy for procedural planning [8,9].…”

Section: Introductionmentioning

confidence: 99%

Benefit of stereoscopic volume rendering for the identification of pediatric pulmonary vein stenosis from CT angiography

et al. 2023

View full text Add to dashboard Cite

The use of three-dimensional (3D) technologies in medical practice is increasing; however, its use is largely untested. One 3D technology, stereoscopic volume-rendered 3D display, can improve depth perception. Pulmonary vein stenosis (PVS) is a rare cardiovascular pathology, often diagnosed by computed tomography (CT), where volume rendering may be useful. Depth cues may be lost when volume rendered CT is displayed on regular screens instead of 3D displays. The objective of this study was to determine whether the 3D stereoscopic display of volume-rendered CT improved perception compared to standard monoscopic display, as measured by PVS diagnosis. CT angiograms (CTAs) from 18 pediatric patients aged 3 weeks to 2 years were volume rendered and displayed with and without stereoscopic display. Patients had 0 to 4 pulmonary vein stenoses. Participants viewed the CTAs in 2 groups with half on monoscopic and half on stereoscopic display and the converse a minimum of 2 weeks later, and their diagnoses were recorded. A total of 24 study participants, comprised of experienced staff cardiologists, cardiovascular surgeons and radiologists, and their trainees viewed the CTAs and assessed the presence and location of PVS. Cases were classified as simple (2 or fewer lesions) or complex (3 or more lesions). Overall, there were fewer type 2 errors in diagnosis for stereoscopic display than standard display, an insignificant difference (p = 0.095). There was a significant decrease in type 2 errors for complex multiple lesion cases (≥3) vs simpler cases (p = 0.027) and improvement in localization of pulmonary veins (p = 0.011). Subjectively, 70% of participants stated that stereoscopy was helpful in the identification of PVS. The stereoscopic display did not result in significantly decreased errors in PVS diagnosis but was helpful for more complex cases.

show abstract

Mixed-reality view of cardiac specimens: a new approach to understanding complex intracardiac congenital lesions

Cited by 10 publications

References 9 publications

Virtual Reality Computed Tomography Evaluation　― Anatomy and Clinical Implications for Valve-Sparing Aortic Root Replacement ―

Virtual Reality Computed Tomography Evaluation　― Anatomy and Clinical Implications for Valve-Sparing Aortic Root Replacement ―

Extended Reality in Diagnostic Imaging—A Literature Review

Benefit of stereoscopic volume rendering for the identification of pediatric pulmonary vein stenosis from CT angiography

Contact Info

Product

Resources

About

Mixed-reality view of cardiac specimens: a new approach to understanding complex intracardiac congenital lesions

Cited by 10 publications

References 9 publications

Virtual Reality Computed Tomography Evaluation ― Anatomy and Clinical Implications for Valve-Sparing Aortic Root Replacement ―

Virtual Reality Computed Tomography Evaluation ― Anatomy and Clinical Implications for Valve-Sparing Aortic Root Replacement ―

Extended Reality in Diagnostic Imaging—A Literature Review

Benefit of stereoscopic volume rendering for the identification of pediatric pulmonary vein stenosis from CT angiography

Contact Info

Product

Resources

About

Virtual Reality Computed Tomography Evaluation　― Anatomy and Clinical Implications for Valve-Sparing Aortic Root Replacement ―

Virtual Reality Computed Tomography Evaluation　― Anatomy and Clinical Implications for Valve-Sparing Aortic Root Replacement ―