New Simple Image Overlay System Using a Tablet PC for Pinpoint Identification of the Appropriate Site for Anastomosis in Peripheral Arterial Reconstruction

Overview

Journal Surg Today

Specialty General Surgery

Date 2016 Mar 19

PMID 26988854

Citations 2

Authors

Yasuaki Mochizuki

Akihiro Hosaka

Hiroki Kamiuchi

Jun Xiao Nie

Ken Masamune

Katsuyuki Hoshina

Tetsuro Miyata

Toshiaki Watanabe

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the accuracy and utility of a new image overlay system using a tablet PC for patients undergoing peripheral arterial reconstruction.

Methods: Eleven limbs treated with distal bypass surgery were studied. Three-dimensional images obtained by processing a preoperative contrast-enhanced computed tomography scan were superimposed onto the back-camera images of a tablet PC. We used this system to pinpoint a planned distal anastomotic site preoperatively and to make a precise incision directly above it during surgery. We used a branch artery near the distal anastomotic site as a reference point and the accuracy of the system was validated by comparing its results with the intraoperative findings. The precision of the system was also compared with that of a preoperative ultrasonographic examination.

Results: Both the image overlay system and ultrasonography (US) accurately identified the target branch artery in all except one limb. In that limb, which had a very small reference branch artery, preoperative US wrongly identified another branch, whereas the image overlay system located the target branch with an error of 10 mm.

Conclusions: Our image overlay system was easy to use and allowed us to precisely identify a target artery preoperatively. Therefore, this system could be helpful for pinpointing the most accurate incision site during surgery.

Citing Articles

Augmented Reality in Vascular and Endovascular Surgery: Scoping Review.

Eves J, Sudarsanam A, Shalhoub J, Amiras D JMIR Serious Games. 2022; 10(3):e34501.

PMID: 36149736 PMC: 9547335. DOI: 10.2196/34501.

Recent Development of Augmented Reality in Surgery: A Review.

Vavra P, Roman J, Zonca P, Ihnat P, Nemec M, Kumar J J Healthc Eng. 2017; 2017:4574172.

PMID: 29065604 PMC: 5585624. DOI: 10.1155/2017/4574172.

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