Single Session Segmentation and Live Registration for Augmented Reality Image Guidance of Cryoneurolysis
by Clinical Imaging | Anna Sophia McKenney| Leah Shulman | Mauro Dominguez | Jeffrey W. Milsom | Art Sedrakyan | Bradley B. Pua | Andras Lasso | Michael Evans | Anupam S. Chauhan
Interventional radiology procedures typically utilize multiple imaging modalities for navigation in real time, and augmented reality (AR) has emerging potential to improve this. This case is a first in human novel single session workflow that incorporated an AR-headset for navigational guidance during an intercostal cryoneurolysis procedure.
The procedure with AR-integration was completed in a single session, including cone-beam computed tomography (CBCT) imaging, automatic segmentation, segmentation review, registration of the 3D-imaging dataset to the AR system fiducials, and ultrasound-guided cryoablation of the affected nerve. The AR-system allowed for simultaneous viewing of segmented CT-based anatomy and projected real-time ultrasound images, which improved visualization and procedural ergonomics. A web-based system (ImagineHive) which utilizes customized versions of 3D-Slicer and TotalSegmentator was used for segmentation and image analysis. The workflow from CBCT to registration was completed in 32 min, and showed the potential for further efficiency with greater experience. The procedure was successful, and the patient experienced symptom improvement without adverse events at the six-week follow-up.
Related posts:
Augmented and Mixed Reality: Technologies for Enhancing the Future of IR
Early Clinical Feasibility Evaluation of an Augmented Reality Platform for Guidance and Navigation during Percutaneous Tumor Ablation
Evaluation of an Augmented Reality Navigational Guidance Platform for Percutaneous Procedures in a Cadaver Model
3D Holographic Guidance and Navigation for Percutaneous Ablation of Solid Tumor