Augmented Reality in Neurovascular Surgery: First Experiences

Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 8678)


In neurovascular surgery, the surgeon must navigate among eloquent areas, through complex neurovascular anatomy to a particular vascular malformation or anomaly. Augmented reality (AR) visualization may be used to show vessels not visible when looking at the brain surface and to aid navigation by bringing into spatial alignment pre-operative vascular data with the real patient anatomy. In using AR, we may aid the surgeon in planning the craniotomy to obtain the optimal resection corridor and reduce the time to localize and identify important vessels. In the following paper, we describe the first uses of our AR neuronavigation system in the operating room (OR). Specifically, we describe the system’s use in three different neurovascular cases, an aneurysm case, an arteriovenous malfromation, and a dural arteriovenous fistula. Furthermore, we give a qualitative evaluation based on comments from the OR and post-operative discussions with the neurosurgeons.


Operating Room Augmented Reality Camera Image Mixed Reality Augmented Reality System 
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  1. 1.
    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 TMI 21(8), 991–997 (2002)Google Scholar
  2. 2.
    Cabrilo, I., Bijlenga, P., Schaller, K.: Augmented Reality in the Surgery of Cerebral Aneurysms: A Technical Report. Neurosurgery 10, 252–261 (2014)CrossRefGoogle Scholar
  3. 3.
    Drouin, S., Kersten-Oertel, M., Chen, S.J.-S., Collins, D.L.: A Realistic Test and Development Environment for Mixed Reality in Neurosurgery. In: Linte, C.A., Moore, J.T., Chen, E.C.S., Holmes III, D.R. (eds.) AE-CAI 2011. LNCS, vol. 7264, pp. 13–23. Springer, Heidelberg (2012)CrossRefGoogle Scholar
  4. 4.
    Edwards, P.J., King, A.P., Hawkes, D.J., Fleig, O., Maurer Jr., C.R., Hill, D.L., Fenlon, M.R., de Cunha, D.A., Gaston, R.P., Chandra, S., Mannss, J., Strong, A.J., Gleeson, M.J., Cox, T.C.: Stereo Augmented Reality in the Surgical Microscope. Stud. Health Technol. Inform. 62, 102–108 (1999)Google Scholar
  5. 5.
    Kersten-Oertel, M., Chen, S.J.S., Collins, D.L.: An Evaluation of Depth Enhancing Perceptual Cues for Vascular Volume Visualization in Neurosurgery. IEEE TVCG 20(3), 391–403 (2014)Google Scholar
  6. 6.
    Kersten-Oertel, M., Jannin, P., Collins, D.L.: The state of the art of visualization in mixed reality image guided surgery. CMIG 37(2), 98–112 (2013)Google Scholar
  7. 7.
    Kersten-Oertel, M., Jannin, P., Collins, D.L.: DVV: A Taxonomy for Mixed Reality Visualization in Image Guided Surgery. IEEE TVCG 18(2), 332–352 (2012)Google Scholar
  8. 8.
    Kersten-Oertel, M., Drouin, S., Chen, S.J.S., Collins, D.L.: Augmented Reality Visualization for Guidance in Neurovascular Surgery. Stud. Health Technol. Inform. 173, 225–229 (2012)Google Scholar
  9. 9.
    Paul, P., Fleig, O., Jannin, P.: Augmented Virtuality Based on Stereoscopic Reconstruction in Multimodal Image-Guided Neurosurgery: Methods and Performance Evaluation. IEEE TMI 24(11), 1500–1511 (2005)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  1. 1.Montreal Neurological Institute & HospitalMcGill UniversityMontrealCanada

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