Abstract
Over the last 10 years only a small number of systems that provide stereo augmented reality for surgical guidance have been proposed and it has been rare for such devices to be evaluated in-theatre. Over the same period we have developed a system for microscope-assisted guided interventions (MAGI). This provides stereo augmented reality navigation for ENT and neurosurgery. The aim is to enable the surgeon to see virtual structures beneath the operative surface as though the tissue were transparent. During development the system MAGI has undergone regular evaluation in the operating room. This experience has provided valuable feedback for system development as well as insight into the clinical effectiveness of AR. As a result of early difficulties encountered, a parallel project was set up in a laboratory setting to establish the accuracy of depth perception in stereo AR. An interesting anomaly was found when the virtual object is placed 0-40mm below the real surface. Despite this such errors are small (~3mm) and the intraoperative evaluation has established that AR surgical guidance can be clinically effective. Of the 17 cases described here confidence was increased in 3 cases and in a further 2 operations patient outcome was judged to have been improved. Additionally, intuitive and easy craniotomy navigation was achieved even in two cases where registration errors were quite high. These results suggest that stereo AR should have a role in the future of surgical navigation.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Peuchot, B., Tanguy, A., Eude, M.: Virtual reality as an operative tool during scoliosis surgery. In: Ayache, N. (ed.) CVRMed 1995. LNCS, vol. 905, pp. 549–554. Springer, Heidelberg (1995)
Fuchs, H., Livingston, M.A., Raskar, R., Colucci, D., Keller, K., State, A., Crawford, J.R., Rademacher, P., Drake, S.H., Meyer, A.A.: Augmented reality visualization for laparoscopic surgery. In: Proc. Medical Image Computation and Computer-Assisted Intervention, pp. 934–943 (1998)
Birkfellner, W., Figl, M., Huber, K., Watzinger, F., Wanschitz, F., Hummel, J., Hanel, R., Greimel, W., Homolka, P., Ewers, R., Bergmann, H.: A head-mounted operating binocular for augmented reality visualization in medicine - design and initial evaluation. IEEE Trans. Med. Imaging 21, 991–997 (2002)
Wendt, M., Sauer, F., Khamene, A., Bascle, B., Vogt, S., Wacker, F.K.: A headmounted display system for augmented reality: Initial evaluation for interventional mri. Rofo-Fortschr. Gebiet Rontgenstrahlen Bildgeb. Verfahr. 175, 418–421 (2003)
Edwards, P.J., Hawkes, D.J., Hill, D.L.G., Jewell, D., Spink, R., Strong, A.J., Gleeson, M.J.: Augmentation of reality in the stereo operating microscope for otolaryngology and neurosurgical guidance. J. Image Guid. Surg. 1, 172–178 (1995)
Edwards, P.J., King, A.P., Maurer, J. C.R., de Cunha, D.A., Hawkes, D.J., Hill, D.L.G., Gaston, R.P., Fenlon, M.R., Jusczyzck, A., Strong, A.J., Chandler, C.L., Gleeson, M.J.: Design and evaluation of a system for microscope-assisted guided interventions (MAGI). IEEE Trans. Med. Imaging 19, 1082–1093 (2000)
Johnson, L.G., Edwards, P.J., Hawkes, D.J.: Surface transparency makes stereo overlays unpredictable: The implications for augmented reality. In: Medicine Meets Virtual Reality. Health Technology and Informatics, pp. 131–136. IOS Press, Amsterdam (2003)
Johnson, L.G., Edwards, P.J., Barratt, D.C., Hawkes, D.J.: The problem of perceiving accurate depth information through a surgical augmented reality system. In: Proc. Computer Assisted Surgery around the Head (CAS-H 2003) (2003)
Fenlon, M.R., Jusczyzck, A.S., Edwards, P.J., King, A.P.: Locking acrylic resin dental stent for image-guided surgery. J. Prosthet. Dent. 83, 482–485 (2000)
Roberts, D.W., Hartov, A., Kennedy, F.E., Miga, M.I., Paulsen, K.D.: Intraoperative brain shift and deformation: A quantitative analysis of cortical displacement in 28 cases. Neurosurgery 43, 749–760 (1998)
Hill, D.L.G., Jr. Maurer, C.R., Maciunas, R.J., Barwise, J.A., Fitzpatrick, J.M., Wang, M.Y.: Measurement of intraoperative brain surface deformation under a craniotomy. Neurosurgery 43, 514–528 (1998)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Edwards, P.J., Johnson, L.G., Hawkes, D.J., Fenlon, M.R., Strong, A.J., Gleeson, M.J. (2004). Clinical Experience and Perception in Stereo Augmented Reality Surgical Navigation. In: Yang, GZ., Jiang, TZ. (eds) Medical Imaging and Augmented Reality. MIAR 2004. Lecture Notes in Computer Science, vol 3150. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-28626-4_45
Download citation
DOI: https://doi.org/10.1007/978-3-540-28626-4_45
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-22877-6
Online ISBN: 978-3-540-28626-4
eBook Packages: Springer Book Archive