Advertisement

Towards Augmented Reality Guided Craniotomy Planning in Tumour Resections

  • Marta Kersten-Oertel
  • Ian J. Gerard
  • Simon Drouin
  • Kevin Petrecca
  • Jeffery A. Hall
  • D. Louis Collins
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9805)

Abstract

Augmented reality has been proposed as a solution to overcome some of the current shortcomings of image-guided neurosurgery. In particular, it has been used to merge patient images, surgical plans, and the surgical field of view into a comprehensive visualization. In this paper we explore the use of augmented reality for planning craniotomies in image-guided neurosurgery procedures for tumour resections. Our augmented reality image-guided neurosurgery system was brought into the operating room for 8 cases where the surgeon used augmented reality prior to tumour resection. We describe our initial results that suggest that augmented reality can play an important role in tailoring the size and shape of the craniotomy and for evaluating intra-operative surgical strategies. With continued development and validation, augmented reality guidance has the potential to improve the minimally invasiveness of image-guided neurosurgery through improved intraoperative surgical planning.

Keywords

Augmented reality Tumour resection Craniotomy Image-guided neurosurgery 

References

  1. 1.
    Kersten-Oertel, M., Jannin, P., Collins, D.L.: The state of the art of visualization in mixed reality image guided surgery. Comput. Med. Imaging Graph. 37, 98–112 (2013)CrossRefGoogle Scholar
  2. 2.
    Kersten-Oertel, M., Gerard, I., Drouin, S., Mok, K., Sirhan, D., Sinclair, D.S., Collins, D.L.: Augmented reality in neurovascular surgery: feasibility and first uses in the operating room. Int. J. Comput. Assist. Radiol. Surg. 10(11), 1823–1836 (2015)CrossRefGoogle Scholar
  3. 3.
    Kersten-Oertel, M., Gerard, I.J., Drouin, S., Mok, K., Sirhan, D., Sinclair, D.S., Collins, D.L.: Augmented reality for specific neurovascular surgical tasks. In: Linte, C.A., Yaniv, Z., Fallavollita, P. (eds.) AE-CAI 2011. LNCS, vol. 9365, pp. 92–103. Springer, Heidelberg (2015)CrossRefGoogle Scholar
  4. 4.
    Gleason, P.L., Kikinis, R., Altobelli, D., Wells, W., Alexander III, E., Black, P.M., Jolesz, F.: Video registration virtual reality for nonlinkage stereotactic surgery. Stereotact. Funct. Neurosurg. 63, 139–143 (1994)CrossRefGoogle Scholar
  5. 5.
    Edwards, P., Hawkes, D., Hill, D., Jewell, D., Spink, R., Strong, A., Gleeson, M.: Augmentation of reality using an operating microscope for otolaryngology and neurosurgical guidance. J. Image Guid. Surg. 1, 172–178 (1995)CrossRefGoogle Scholar
  6. 6.
    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
  7. 7.
    Birkfellner, W., Figl, M., Matula, C., Hummel, J., Hanel, R., Imhof, H., Wanschitz, F., Wagner, A., Watzinger, F., Bergmann, H.: Computer-enhanced stereoscopic vision in a head-mounted operating binocular. Phys. Med. Biol. 48, N49–N57 (2003)CrossRefGoogle Scholar
  8. 8.
    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)CrossRefzbMATHGoogle Scholar
  9. 9.
    Sauer, F., Khamene, A., Bascle, B., Rubino, G.J.: A head-mounted display system for augmented reality image guidance: towards clinical evaluation for iMRI-guided neurosurgery. In: Niessen, W.J., Viergever, M.A. (eds.) MICCAI 2001. LNCS, vol. 2208, pp. 707–716. Springer, Heidelberg (2001)CrossRefGoogle Scholar
  10. 10.
    Cabrilo, I., Bijlenga, P., Schaller, K.: Augmented reality in the surgery of cerebral arteriovenous malformations: technique assessment and considerations. Acta Neurochir. (Wien) 156, 1769–1774 (2014)CrossRefGoogle Scholar
  11. 11.
    Cabrilo, I., Bijlenga, P., Schaller, K.: Augmented reality in the surgery of cerebral aneurysms: a technical report. Neurosurgery 10(Suppl. 2), 252–260 (2014). Discussion 260-1CrossRefGoogle Scholar
  12. 12.
    Mahvash, M., Besharati Tabrizi, L.: A novel augmented reality system of image projection for image-guided neurosurgery. Acta Neurochir. (Wien) 155, 943–947 (2013)CrossRefGoogle Scholar
  13. 13.
    Meola, A., Cutolo, F., Carbone, M., Cagnazzo, F., Ferrari, M., Ferrari, V.: Augmented reality in neurosurgery: a systematic review. Neurosurg. Rev. 1--12 (2016). [epub ahead of print]Google Scholar
  14. 14.
    Mercier, L., Del Maestro, R.F., Petrecca, K., Kochanowska, A., Drouin, S., Yan, C.X., Janke, A.L., Chen, S.J., Collins, D.L.: New prototype neuronavigation system based on preoperative imaging and intraoperative freehand ultrasound: system description and validation. Int. J. Comput. Assist. Radiol. Surg. 6, 507–522 (2011)CrossRefGoogle Scholar
  15. 15.
    Kersten-Oertel, M., Gerard, I., Drouin, S., Mok, K., Sirhan, D., Sinclair, D., Collins, D.: Augmented reality in neurovascular surgery: first experiences. In: Linte, C.A., Yaniv, Z., Fallavollita, P., Abolmaesumi, P., Holmes III, D.R. (eds.) AE-CAI 2014. LNCS, vol. 8678, pp. 80–89. Springer, Heidelberg (2014)Google Scholar
  16. 16.
    Gerard, I.J., Kersten-Oertel, M., Drouin, S., Hall, J.A., Petrecca, K., De Nigris, D., Arbel, T., Louis Collins, D.: Improving patient specific neurosurgical models with intraoperative ultrasound and augmented reality visualizations in a neuronavigation environment. In: Oyarzun Laura, C., et al. (eds.) CLIP 2015. LNCS, vol. 9401, pp. 28–35. Springer, Heidelberg (2016). doi: 10.1007/978-3-319-31808-0_4 CrossRefGoogle Scholar
  17. 17.
    Zhang, Z.: A flexible new technique for camera calibration. IEEE Trans. Pattern Anal. Mach. Intell. 22, 1330–1334 (2000)CrossRefGoogle Scholar
  18. 18.
    Gerard, I.J., Collins, D.L.: An analysis of tracking error in image-guided neurosurgery. Int. J. Comput. Assist. Radiol. Surg. 10, 1579–1588 (2015)CrossRefGoogle Scholar
  19. 19.
    Kersten-Oertel, M., Gerard, I., Drouin, S., Mok, K., Sirhan, D., Sinclair, D., Collins, D.L.: Augmented reality in neurovascular surgery: feasibility and first uses in the operating room. Int. J. Comput. Assist. Radiol. Surg. 10, 1–14 (2015)CrossRefGoogle Scholar
  20. 20.
    Mahvash, M., Boettcher, I., Petridis, A.K., Besharati Tabrizi, L.: Image guided versus conventional brain tumor and craniotomy localization. J Neurosurg Sci. (2015). http://europepmc.org/abstract/med/25600554, PMID:25600554

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Marta Kersten-Oertel
    • 3
  • Ian J. Gerard
    • 1
    • 3
  • Simon Drouin
    • 1
    • 3
  • Kevin Petrecca
    • 2
    • 3
  • Jeffery A. Hall
    • 2
    • 3
  • D. Louis Collins
    • 1
    • 2
    • 3
  1. 1.Biomedical EngineeringMcGill UniversityMontréalCanada
  2. 2.Neurology and NeurosurgeryMcGill UniversityMontréalCanada
  3. 3.Montreal Neurological Institute and HospitalMontréalCanada

Personalised recommendations