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Augmented Reality Guidance with Electromagnetic Tracking for Transpyloric Tube Insertion

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Medical Imaging and Augmented Reality (MIAR 2016)

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 9805))

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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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Authors and Affiliations

  1. Center for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan

    Jordan Bano, Ryu Nakadate & Makoto Hashizume

  2. Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan

    Tomohiko Akahoshi & Byunghyun Cho

Authors
  1. Jordan Bano
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  2. Tomohiko Akahoshi
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  3. Ryu Nakadate
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  4. Byunghyun Cho
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  5. Makoto Hashizume
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Corresponding author

Correspondence to Jordan Bano .

Editor information

Editors and Affiliations

  1. Institute for Surgical Technology, University of Bern, Bern, Switzerland

    Guoyan Zheng

  2. Tsinghua University, Tokyo, Japan

    Hongen Liao

  3. Faculte de Medicine, Universite de Rennes 1, Rennes Cedex, France

    Pierre Jannin

  4. University of Basel, Allschwil, Switzerland

    Philippe Cattin

  5. Hamlyn Centre, Imperial College London, London, United Kingdom

    Su-Lin Lee

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© 2016 Springer International Publishing Switzerland

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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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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43774-3

  • Online ISBN: 978-3-319-43775-0

  • eBook Packages: Computer ScienceComputer Science (R0)

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