Abstract
Transpyloric tube insertion is a commonly intervention which consists in inserting a tube through the nose, the oesophagus and the stomach until the pylorus. This procedure can be done blindly if no licensed physician operator is available. Thus, the caregivers have to insert the tube without any visual feedbacks. The position of the tube has also to be conformed to avoid any issues.
We proposed a guidance system for the insertion of this tube through an augmented reality application using an electromagnetic tracker. The trajectory and the orientation of the tube were visualized on a screen to monitor the tube insertion but also to conform the position of the tube tip inside the pylorus. This monitoring was improved by adding preoperative landmarks coming from a CT image or intraoperative landmarks obtained with ultrasound. Finally, the display was overlaid on a camera view to match the tube trajectory on the patient during the insertion so the clinicians directly visualized anatomical landmarks to guide themselves during the tube insertion.
Preliminary results on one phantom showed the usefulness of our guidance system for blindly tube insertion. Further evaluations have to be realized on animals and on patients to validate these results.
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Acknowledgments
This work was supported (in part) by JSPS Grant-in-Aid for Scientific Research on Innovative Areas (Multidisciplinary Computational Anatomy) JSPS KAKENHI Grant Number 26108010.
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Bano, J., Akahoshi, T., Nakadate, R., Cho, B., Hashizume, M. (2016). Augmented Reality Guidance with Electromagnetic Tracking for Transpyloric Tube Insertion. In: Zheng, G., Liao, H., Jannin, P., Cattin, P., Lee, SL. (eds) Medical Imaging and Augmented Reality. MIAR 2016. Lecture Notes in Computer Science(), vol 9805. Springer, Cham. https://doi.org/10.1007/978-3-319-43775-0_18
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DOI: https://doi.org/10.1007/978-3-319-43775-0_18
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