A Microsoft HoloLens Mixed Reality Surgical Simulator for Patient-Specific Hip Arthroplasty Training
Surgical simulation can offer novice surgeons an opportunity to practice skills outside the operating theatre in a safe controlled environment. According to literature evidence, nowadays there are very few training simulators available for Hip Arthroplasty (HA).
In a previous study we have presented a physical simulator based on a lower torso phantom including a patient-specific hemi-pelvis replica embedded in a soft synthetic foam. This work explores the use of Microsoft HoloLens technology to enrich the physical patient-specific simulation with the implementation of wearable mixed reality functionalities. Our HA multimodal simulator based on mixed reality using the HoloLens is described by illustrating the overall system, and by summarizing the main phases of the design and development.
Finally, we present a preliminary qualitative study with seven subjects (5 medical students, and 2 orthopedic surgeons) showing encouraging results that suggest the suitability of the HoloLens for the proposed application. However, further studies need to be conducted to perform a quantitative test of the registration accuracy of the virtual content, and to confirm qualitative results in a larger cohort of subjects.
KeywordsSurgical simulation Augmented reality Microsoft HoloLens Hip arthroplasty
The research leading to these results has been partially supported by the European Project VOSTARS (H2020 Call ICT-29-2016 G.A. 731974) and by the SThARS project, funded by the Italian Ministry of Health and Regione Toscana through the call “RicercaFinalizzata2011–2012”.
- 2.Hasegawa, Y., Amano, T.: Surgical skills training for primary total hip arthroplasty. Nagoya J. Med. Sci. 77, 51–57 (2015)Google Scholar
- 4.Carbone, M., Condino, S., Mattei, L., Forte, P., Ferrari, V., Mosca, F.: Anthropomorphic ultrasound elastography phantoms - characterization of silicone materials to build breast elastography phantoms. In: Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, pp. 492–494. IEEE Engineering in Medicine and Biology Society (2012)Google Scholar
- 8.Carbone, M., Condino, S., Ferrari, V., Ferrari, M., Mosca, F.: Surgical simulators integrating virtual and physical anatomies. In: CEUR Workshop Proceedings, pp. 13–18 (2011)Google Scholar
- 10.Viglialoro, R.M., Condino, S., Gesi, M., Ferrari, M., Ferrari, V.: Augmented reality simulator for laparoscopic cholecystectomy training. In: De Paolis, L.T., Mongelli, A. (eds.) AVR 2014. LNCS, vol. 8853, pp. 428–433. Springer, Cham (2014). https://doi.org/10.1007/978-3-319-13969-2_33CrossRefGoogle Scholar
- 12.Viglialoro, R., Condino, S., Freschi, C., Cutolo, F., Gesi, M., Ferrari, M., Ferrari, V.: AR visualization of “synthetic Calot’s triangle” for training in cholecystectomy. In: 12th IASTED International Conference on Biomedical Engineering, BioMed 2016 (2016)Google Scholar
- 14.Sato, Y., Sasama, T., Sugano, N., Nakahodo, K., Nishii, T., Ozono, K., Yonenobu, K., Ochi, T., Tamura, S.: Intraoperative simulation and planning using a combined acetabular and femoral (CAF) navigation system for total hip replacement. In: Delp, S.L., DiGoia, A.M., Jaramaz, B. (eds.) MICCAI 2000. LNCS, vol. 1935, pp. 1114–1125. Springer, Heidelberg (2000). https://doi.org/10.1007/978-3-540-40899-4_116CrossRefGoogle Scholar
- 15.Parchi, P., Condino, S., Carbone, M., Gesi, M., Ferrari, V., Ferrari, M., Lisanti, M.: Total hip replacement simulators with virtual planning and physical replica for surgical training and reharsal. In: Proceedings of the 12th IASTED International Conference on Biomedical Engineering, BioMed 2016, pp. 97–101 (2016)Google Scholar
- 17.Hanna, M.G., Ahmed, I., Nine, J., Prajapati, S., Pantanowitz, L.: Augmented Reality Technology Using Microsoft HoloLens in Anatomic Pathology. Archives of Pathology & Laboratory Medicine (2018)Google Scholar