Technical feasibility and safety of image-guided parieto-occipital ventricular catheter placement with the assistance of a wearable head-up display

Technical feasibility and safety of image-guided parieto-occipital ventricular catheter placement with the assistance of a wearable head-up display
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DOI:
10.1002/rcs.1836
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发表时间:
2017-12-01
影响因子:
2.5
通讯作者:
Wharen, Robert E.
Wharen, Robert E.
中科院分区:
医学4区
文献类型:
--
作者:
Yoon, Jang W.;Chen, Robert E.;Wharen, Robert E.

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背景:可穿戴技术越来越受欢迎,因为它能够与正常的人体运动和功能相连接。方法:采用专有的硬件和软件,捕获神经导航图像,并通过密码加密网络无线传输到平视显示器。手术外科医生在图像引导下放置两名患者的顶枕脑室腹腔分流器时,佩戴了一种安装在眼镜上的可穿戴平视显示器。结果:分流器置入顺利,无并发症。导管末端在远离心室壁的心室内。该可穿戴设备允许在外科医生视野的右上角连续监测神经导航图像,而无需外科医生转过头来查看监视器。结论:该系统的适应性允许向手术医生显示视频数据,而不会转移手术任务的注意力。这项技术具有增强图像引导程序的潜力。
Background: Wearable technology is growing in popularity as a result of its ability to interface with normal human movement and function.Methods: Using proprietary hardware and software, neuronavigation images were captured and transferred wirelessly via a password-encrypted network to the head-up display. The operating surgeon wore a loupe-mounted wearable head-up display during image-guided parieto-occipital ventriculoperitoneal shunt placement in two patients.Results: The shunt placement was completed successfully without complications. The tip of the catheter ended well within the ventricles away from the ventricular wall. The wearable device allowed for continuous monitoring of neuronavigation images in the right upper corner of the surgeon's visual field without the need for the surgeon to turn his head to view the monitors.Conclusions: The adaptable nature of this proposed system permits the display of video data to the operating surgeon without diverting attention away from the operative task. This technology has the potential to enhance image-guided procedures.