Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance
<h3>Background</h3><p dir="ltr">While performing surgeries in the OR, surgeons and assistants often need to access several information regarding surgical planning and/or procedures related to the surgery itself, or the accessory equipment to perform certain operations. Th...
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2021
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| _version_ | 1864513516767019008 |
|---|---|
| author | Fabio Cofano (10305342) |
| author2 | Giuseppe Di Perna (10305336) Marco Bozzaro (10495733) Alessandro Longo (1465921) Nicola Marengo (10495736) Francesco Zenga (5721329) Nicola Zullo (10495739) Matteo Cavalieri (5687372) Luca Damiani (10495742) Daniya J. Boges (10495745) Marco Agus (8032898) Diego Garbossa (5721335) Corrado Calì (5474372) |
| author2_role | author author author author author author author author author author author author |
| author_facet | Fabio Cofano (10305342) Giuseppe Di Perna (10305336) Marco Bozzaro (10495733) Alessandro Longo (1465921) Nicola Marengo (10495736) Francesco Zenga (5721329) Nicola Zullo (10495739) Matteo Cavalieri (5687372) Luca Damiani (10495742) Daniya J. Boges (10495745) Marco Agus (8032898) Diego Garbossa (5721335) Corrado Calì (5474372) |
| author_role | author |
| dc.creator.none.fl_str_mv | Fabio Cofano (10305342) Giuseppe Di Perna (10305336) Marco Bozzaro (10495733) Alessandro Longo (1465921) Nicola Marengo (10495736) Francesco Zenga (5721329) Nicola Zullo (10495739) Matteo Cavalieri (5687372) Luca Damiani (10495742) Daniya J. Boges (10495745) Marco Agus (8032898) Diego Garbossa (5721335) Corrado Calì (5474372) |
| dc.date.none.fl_str_mv | 2021-03-30T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.3389/fsurg.2021.657901 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Augmented_Reality_in_Medical_Practice_From_Spine_Surgery_to_Remote_Assistance/25764321 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences augmented reality telementoring and surgery spine surgery hologram 3D display remote assistance COVID emergency AR surgery remote proctor |
| dc.title.none.fl_str_mv | Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">While performing surgeries in the OR, surgeons and assistants often need to access several information regarding surgical planning and/or procedures related to the surgery itself, or the accessory equipment to perform certain operations. The accessibility of this information often relies on the physical presence of technical and medical specialists in the OR, which is increasingly difficult due to the number of limitations imposed by the COVID emergency to avoid overcrowded environments or external personnel. Here, we analyze several scenarios where we equipped OR personnel with augmented reality (AR) glasses, allowing a remote specialist to guide OR operations through voice and ad-hoc visuals, superimposed to the field of view of the operator wearing them.</p><h3>Methods</h3><p dir="ltr">This study is a preliminary case series of prospective collected data about the use of AR-assistance in spine surgery from January to July 2020. The technology has been used on a cohort of 12 patients affected by degenerative lumbar spine disease with lumbar sciatica co-morbidities. Surgeons and OR specialists were equipped with AR devices, customized with P2P videoconference commercial apps, or customized holographic apps. The devices were tested during surgeries for lumbar arthrodesis in a multicenter experience involving author's Institutions.</p><h3>Findings</h3><p dir="ltr">A total number of 12 lumbar arthrodesis have been performed while using the described AR technology, with application spanning from telementoring (3), teaching (2), surgical planning superimposition and interaction with the hologram using a custom application for Microsoft hololens (1). Surgeons wearing the AR goggles reported a positive feedback as for the ergonomy, wearability and comfort during the procedure; being able to visualize a 3D reconstruction during surgery was perceived as a straightforward benefit, allowing to speed-up procedures, thus limiting post-operational complications. The possibility of remotely interacting with a specialist on the glasses was a potent added value during COVID emergency, due to limited access of non-resident personnel in the OR.</p><h3>Interpretation</h3><p dir="ltr">By allowing surgeons to overlay digital medical content on actual surroundings, augmented reality surgery can be exploited easily in multiple scenarios by adapting commercially available or custom-made apps to several use cases. The possibility to observe directly the operatory theater through the eyes of the surgeon might be a game-changer, giving the chance to unexperienced surgeons to be virtually at the site of the operation, or allowing a remote experienced operator to guide wisely the unexperienced surgeon during a procedure.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fsurg.2021.657901" target="_blank">https://dx.doi.org/10.3389/fsurg.2021.657901</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_47b8ad85b8b2fc5235d76518ca026099 |
| identifier_str_mv | 10.3389/fsurg.2021.657901 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25764321 |
| publishDate | 2021 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Augmented Reality in Medical Practice: From Spine Surgery to Remote AssistanceFabio Cofano (10305342)Giuseppe Di Perna (10305336)Marco Bozzaro (10495733)Alessandro Longo (1465921)Nicola Marengo (10495736)Francesco Zenga (5721329)Nicola Zullo (10495739)Matteo Cavalieri (5687372)Luca Damiani (10495742)Daniya J. Boges (10495745)Marco Agus (8032898)Diego Garbossa (5721335)Corrado Calì (5474372)Biomedical and clinical sciencesClinical sciencesaugmented realitytelementoring and surgeryspine surgeryhologram 3D displayremote assistanceCOVID emergencyAR surgeryremote proctor<h3>Background</h3><p dir="ltr">While performing surgeries in the OR, surgeons and assistants often need to access several information regarding surgical planning and/or procedures related to the surgery itself, or the accessory equipment to perform certain operations. The accessibility of this information often relies on the physical presence of technical and medical specialists in the OR, which is increasingly difficult due to the number of limitations imposed by the COVID emergency to avoid overcrowded environments or external personnel. Here, we analyze several scenarios where we equipped OR personnel with augmented reality (AR) glasses, allowing a remote specialist to guide OR operations through voice and ad-hoc visuals, superimposed to the field of view of the operator wearing them.</p><h3>Methods</h3><p dir="ltr">This study is a preliminary case series of prospective collected data about the use of AR-assistance in spine surgery from January to July 2020. The technology has been used on a cohort of 12 patients affected by degenerative lumbar spine disease with lumbar sciatica co-morbidities. Surgeons and OR specialists were equipped with AR devices, customized with P2P videoconference commercial apps, or customized holographic apps. The devices were tested during surgeries for lumbar arthrodesis in a multicenter experience involving author's Institutions.</p><h3>Findings</h3><p dir="ltr">A total number of 12 lumbar arthrodesis have been performed while using the described AR technology, with application spanning from telementoring (3), teaching (2), surgical planning superimposition and interaction with the hologram using a custom application for Microsoft hololens (1). Surgeons wearing the AR goggles reported a positive feedback as for the ergonomy, wearability and comfort during the procedure; being able to visualize a 3D reconstruction during surgery was perceived as a straightforward benefit, allowing to speed-up procedures, thus limiting post-operational complications. The possibility of remotely interacting with a specialist on the glasses was a potent added value during COVID emergency, due to limited access of non-resident personnel in the OR.</p><h3>Interpretation</h3><p dir="ltr">By allowing surgeons to overlay digital medical content on actual surroundings, augmented reality surgery can be exploited easily in multiple scenarios by adapting commercially available or custom-made apps to several use cases. The possibility to observe directly the operatory theater through the eyes of the surgeon might be a game-changer, giving the chance to unexperienced surgeons to be virtually at the site of the operation, or allowing a remote experienced operator to guide wisely the unexperienced surgeon during a procedure.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fsurg.2021.657901" target="_blank">https://dx.doi.org/10.3389/fsurg.2021.657901</a></p>2021-03-30T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3389/fsurg.2021.657901https://figshare.com/articles/journal_contribution/Augmented_Reality_in_Medical_Practice_From_Spine_Surgery_to_Remote_Assistance/25764321CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/257643212021-03-30T03:00:00Z |
| spellingShingle | Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance Fabio Cofano (10305342) Biomedical and clinical sciences Clinical sciences augmented reality telementoring and surgery spine surgery hologram 3D display remote assistance COVID emergency AR surgery remote proctor |
| status_str | publishedVersion |
| title | Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance |
| title_full | Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance |
| title_fullStr | Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance |
| title_full_unstemmed | Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance |
| title_short | Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance |
| title_sort | Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance |
| topic | Biomedical and clinical sciences Clinical sciences augmented reality telementoring and surgery spine surgery hologram 3D display remote assistance COVID emergency AR surgery remote proctor |