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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
A video of the surgeon using AR in this surgical case can be viewed at: https://www.youtube.com/watch?v=tru4uwQIvyI.
References
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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 260-1
Mahvash, M., Besharati Tabrizi, L.: A novel augmented reality system of image projection for image-guided neurosurgery. Acta Neurochir. (Wien) 155, 943–947 (2013)
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]
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)
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)
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
Zhang, Z.: A flexible new technique for camera calibration. IEEE Trans. Pattern Anal. Mach. Intell. 22, 1330–1334 (2000)
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)
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)
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
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this paper
Cite this paper
Kersten-Oertel, M., Gerard, I.J., Drouin, S., Petrecca, K., Hall, J.A., Louis Collins, D. (2016). Towards Augmented Reality Guided Craniotomy Planning in Tumour Resections. 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_15
Download citation
DOI: https://doi.org/10.1007/978-3-319-43775-0_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43774-3
Online ISBN: 978-3-319-43775-0
eBook Packages: Computer ScienceComputer Science (R0)