Holographic Augmented Reality for DIEP Flap Harvest.
Augmented Reality
Epigastric Arteries
/ diagnostic imaging
Feasibility Studies
Female
Holography
Humans
Imaging, Three-Dimensional
/ methods
Intraoperative Care
/ methods
Mammaplasty
/ methods
Perforator Flap
/ blood supply
Surgery, Computer-Assisted
/ methods
Tissue and Organ Harvesting
/ methods
Tomography, X-Ray Computed
Journal
Plastic and reconstructive surgery
ISSN: 1529-4242
Titre abrégé: Plast Reconstr Surg
Pays: United States
ID NLM: 1306050
Informations de publication
Date de publication:
01 01 2021
01 01 2021
Historique:
entrez:
28
12
2020
pubmed:
29
12
2020
medline:
28
4
2021
Statut:
ppublish
Résumé
During a deep inferior epigastric perforator (DIEP) flap harvest, the identification and localization of the epigastric arteries and its perforators are crucial. Holographic augmented reality is an innovative technique that can be used to visualize this patient-specific anatomy extracted from a computed tomographic scan directly on the patient. This study describes an innovative workflow to achieve this. A software application for the Microsoft HoloLens was developed to visualize the anatomy as a hologram. By using abdominal nevi as natural landmarks, the anatomy hologram is registered to the patient. To ensure that the anatomy hologram remains correctly positioned when the patient or the user moves, real-time patient tracking is obtained with a quick response marker attached to the patient. Holographic augmented reality can be used to visualize the epigastric arteries and its perforators in preparation for a deep inferior epigastric perforator flap harvest. Potentially, this workflow can be used visualize the vessels intraoperatively. Furthermore, this workflow is intuitive to use and could be applied for other flaps or other types of surgery.
Sections du résumé
BACKGROUND
During a deep inferior epigastric perforator (DIEP) flap harvest, the identification and localization of the epigastric arteries and its perforators are crucial. Holographic augmented reality is an innovative technique that can be used to visualize this patient-specific anatomy extracted from a computed tomographic scan directly on the patient. This study describes an innovative workflow to achieve this.
METHODS
A software application for the Microsoft HoloLens was developed to visualize the anatomy as a hologram. By using abdominal nevi as natural landmarks, the anatomy hologram is registered to the patient. To ensure that the anatomy hologram remains correctly positioned when the patient or the user moves, real-time patient tracking is obtained with a quick response marker attached to the patient.
RESULTS
Holographic augmented reality can be used to visualize the epigastric arteries and its perforators in preparation for a deep inferior epigastric perforator flap harvest.
CONCLUSIONS
Potentially, this workflow can be used visualize the vessels intraoperatively. Furthermore, this workflow is intuitive to use and could be applied for other flaps or other types of surgery.
Identifiants
pubmed: 33370048
doi: 10.1097/PRS.0000000000007457
pii: 00006534-202101000-00010
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
25e-29eCommentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 by the American Society of Plastic Surgeons.
Références
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