Mixed Reality In Interventional Radiology: A Focus On First Clinical Use of XR90 Augmented Reality-Based Visualization and Navigation Platform

by Expert Review of Medical Devices | Kyle Finos | Sanjit Datta | Art Sedrakyan | Jeffrey W. Milsom | Bradley D. Pua

This review identifies current applications of AR/VR in IR, with a focus on studies that assess the clinical impact of AR/VR. We outline the relevant technology and assess current limitations and future directions in this space. We found that the use of AR in IR lags other surgical fields, and the majority of the data exists in case series or small-scale studies. Educational use of AR/VR improves learning anatomy, procedure steps, and procedural learning curves. Preprocedural use of AR/VR decreases procedure times, especially in complex procedures. Intraprocedural AR for live tracking is accurate within 5 mm live patients and has up to 0.75 mm in phantoms, offering decreased procedure time and radiation exposure. Challenges include cost, ergonomics, rapid segmentation, and organ motion.

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