Three‐dimensional augmented reality surgical navigation with hybrid optical and electromagnetic tracking for distal intramedullary nail interlocking

Ma, Longfei; Zhao, Zhe; Zhang, Boyu; Jiang, Wan; Fu, Ligong; Zhang, Xinran; Liao, Hongen

doi:10.1002/rcs.1909

Cited by 51 publications

(31 citation statements)

References 41 publications

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“…This is in line with previous studies showing that virtual reality methods aimed at improving anatomic visualization help surgeons perform better, particularly during complex tasks such as fracture reduction and fixation . Furthermore, recent studies have shown that augmented reality in combination with opto‐electromagnetic tracking can improve drill hole targeting in distal interlocking procedures …”

Section: Discussionsupporting

confidence: 90%

“…[21][22][23][24] Furthermore, recent studies have shown that augmented reality in combination with optoelectromagnetic tracking can improve drill hole targeting in distal interlocking procedures. 25,26 In the current study, the main positive impact of video-augment fluoroscopy was achieved during the C-arm positioning, entry targeting for skin incision (or center punch), and axis control during drilling steps of the procedure. Using VAF resulted in surgeons acquiring fewer fluoroscopic images to complete each step, thus resulting in a reduction in ionizing radiation exposure.…”

Section: Visualizing the Interaction Between Technique And Experiencementioning

confidence: 79%

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Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

Weidert

Wang

Landes³

et al. 2019

Robotics Computer Surgery

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Background We aimed to assess the feasibility of a video‐augmented fluoroscopy (VAF) technique using a camera‐augmented mobile C‐arm (CamC) for distal interlocking of intramedullary nails. Methods Three surgeons performed distal interlocking on seven pairs of cadaveric bovine carpal bones using the VAF system and conventional fluoroscopy. We compared radiation exposure, procedure time, and drilling quality between the VAF system and conventional fluoroscopic guidance. Results Distal interlocking using VAF significantly reduced the number of fluoroscopic images compared with conventional fluoroscopy (P < 0.05). No significant difference in overall procedure time (P = 0.96) or drilling quality (P = 0.12) was detected. VAF demonstrated improvement in radiation exposure when used by a less experienced surgeon (P < 0.05). Conclusion VAF is a feasible technique for distal interlocking. Overlaid visualization of the osseous anatomy in relation to the surgical field of view appears to improve surgeons' perception of relevant structures and their spatial orientation for the use of surgical instruments.

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Section: Discussionsupporting

confidence: 90%

Section: Visualizing the Interaction Between Technique And Experiencementioning

confidence: 79%

Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

Weidert

Wang

Landes³

et al. 2019

Robotics Computer Surgery

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“…Ma L. et al [50] also investigated locking of IM nails by using an AR navigation system with hybrid optical and electromagnetic tracking. 3D image overlays were provided using an integral videography approach.…”

Section: Instrument / Implant Placementmentioning

confidence: 99%

Applicability of augmented reality in orthopedic surgery – A systematic review

Jud

Fotouhi

Andronic

et al. 2020

BMC Musculoskelet Disord

127

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Background: Computer-assisted solutions are changing surgical practice continuously. One of the most disruptive technologies among the computer-integrated surgical techniques is Augmented Reality (AR). While Augmented Reality is increasingly used in several medical specialties, its potential benefit in orthopedic surgery is not yet clear. The purpose of this article is to provide a systematic review of the current state of knowledge and the applicability of AR in orthopedic surgery. Methods: A systematic review of the current literature was performed to find the state of knowledge and applicability of AR in Orthopedic surgery. A systematic search of the following three databases was performed: "PubMed", "Cochrane Library" and "Web of Science". The systematic review followed the Preferred Reporting Items on Systematic Reviews and Meta-analysis (PRISMA) guidelines and it has been published and registered in the international prospective register of systematic reviews (PROSPERO). Results: 31 studies and reports are included and classified into the following categories: Instrument / Implant Placement, Osteotomies, Tumor Surgery, Trauma, and Surgical Training and Education. Quality assessment could be performed in 18 studies. Among the clinical studies, there were six case series with an average score of 90% and one case report, which scored 81% according to the Joanna Briggs Institute Critical Appraisal Checklist (JBI CAC). The 11 cadaveric studies scored 81% according to the QUACS scale (Quality Appraisal for Cadaveric Studies). Conclusion: This manuscript provides 1) a summary of the current state of knowledge and research of Augmented Reality in orthopedic surgery presented in the literature, and 2) a discussion by the authors presenting the key remarks required for seamless integration of Augmented Reality in the future surgical practice. Trial registration: PROSPERO registration number: CRD42019128569.

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“…In sensor-based techniques, the location and orientation of the camera are determined through positioning methods and sensors [30][31][32]. On the other hand, in vision-based approaches, computer vision and image-processing techniques are employed to estimate the camera pose [14,[33][34][35]. It is important to mention that this classification does not separate surveyed approaches into disjoint groups because it is possible for an approach to use both techniques.…”

Section: Marker-less Techniquesmentioning

confidence: 99%

A Survey of Marker-Less Tracking and Registration Techniques for Health & Environmental Applications to Augmented Reality and Ubiquitous Geospatial Information Systems

Sadeghi‐Niaraki

Choi

2020

Sensors

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Most existing augmented reality (AR) applications are suitable for cases in which only a small number of real world entities are involved, such as superimposing a character on a single surface. In this case, we only need to calculate pose of the camera relative to that surface. However, when an AR health or environmental application involves a one-to-one relationship between an entity in the real-world and the corresponding object in the computer model (geo-referenced object), we need to estimate the pose of the camera in reference to a common coordinate system for better geo-referenced object registration in the real-world. New innovations in developing cheap sensors, computer vision techniques, machine learning, and computing power have helped to develop applications with more precise matching between a real world and a virtual content. AR Tracking techniques can be divided into two subcategories: marker-based and marker-less approaches. This paper provides a comprehensive overview of marker-less registration and tracking techniques and reviews their most important categories in the context of ubiquitous Geospatial Information Systems (GIS) and AR focusing to health and environmental applications. Basic ideas, advantages, and disadvantages, as well as challenges, are discussed for each subcategory of tracking and registration techniques. We need precise enough virtual models of the environment for both calibrations of tracking and visualization. Ubiquitous GISs can play an important role in developing AR in terms of providing seamless and precise spatial data for outdoor (e.g., environmental applications) and indoor (e.g., health applications) environments.

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Three‐dimensional augmented reality surgical navigation with hybrid optical and electromagnetic tracking for distal intramedullary nail interlocking

Abstract: Our results indicate that the AR-guided distal interlocking method is feasible and has many potential applications in clinic after further evaluation.

Cited by 51 publications

References 41 publications

Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

Applicability of augmented reality in orthopedic surgery – A systematic review

A Survey of Marker-Less Tracking and Registration Techniques for Health & Environmental Applications to Augmented Reality and Ubiquitous Geospatial Information Systems

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