Ji-Gang Chen1, Kai-Wei Han1, Dan-Feng Zhang1, Zhen-Xing Li1, Yi-Ming Li2, Li-Jun Hou3. 1. Department of Neurosurgery, Shanghai Neurosurgical Institute, Changzheng Hospital, Shanghai, China. 2. Department of Neurosurgery, Shanghai Neurosurgical Institute, Changzheng Hospital, Shanghai, China. Electronic address: yiyimig@163.com. 3. Department of Neurosurgery, Shanghai Neurosurgical Institute, Changzheng Hospital, Shanghai, China. Electronic address: shczsjwk11@126.com.
Abstract
BACKGROUND: Neuronavigation systems are used widely in the localization of intracranial lesions with satisfactory accuracy. However, they are expensive and difficult to learn. Therefore, a simple and practical augmented reality (AR) system using mobile devices might be an alternative technique. OBJECTIVE: We introduce a mobile AR system for the localization of supratentorial lesions. Its practicability and accuracy were examined by clinical application in patients and comparison with a standard neuronavigation system. METHODS: A 3-dimensional (3D) model including lesions was created with 3D Slicer. A 2-dimensional image of this 3D model was obtained and overlapped on the patient's head with the Sina app. Registration was conducted with the assistance of anatomical landmarks and fiducial markers. The center of lesion projected on scalp was identified with our mobile AR system and standard neuronavigation system, respectively. The difference in distance between the centers identified by these 2 systems was measured. RESULTS: Our mobile AR system was simple and accurate in the localization of supratentorial lesions with a mean distance difference of 4.4 ± 1.1 mm. Registration added on an average of 141.7 ± 39 seconds to operation time. There was no statistically significant difference for the required time among 3 registrations (P = 0.646). CONCLUSIONS: The mobile AR system presents an alternative technology for image-guided neurosurgery and proves to be practical and reliable. The technique contributes to optimal presurgical planning for supratentorial lesions, especially in the absence of a neuronavigation system.
BACKGROUND: Neuronavigation systems are used widely in the localization of intracranial lesions with satisfactory accuracy. However, they are expensive and difficult to learn. Therefore, a simple and practical augmented reality (AR) system using mobile devices might be an alternative technique. OBJECTIVE: We introduce a mobile AR system for the localization of supratentorial lesions. Its practicability and accuracy were examined by clinical application in patients and comparison with a standard neuronavigation system. METHODS: A 3-dimensional (3D) model including lesions was created with 3D Slicer. A 2-dimensional image of this 3D model was obtained and overlapped on the patient's head with the Sina app. Registration was conducted with the assistance of anatomical landmarks and fiducial markers. The center of lesion projected on scalp was identified with our mobile AR system and standard neuronavigation system, respectively. The difference in distance between the centers identified by these 2 systems was measured. RESULTS: Our mobile AR system was simple and accurate in the localization of supratentorial lesions with a mean distance difference of 4.4 ± 1.1 mm. Registration added on an average of 141.7 ± 39 seconds to operation time. There was no statistically significant difference for the required time among 3 registrations (P = 0.646). CONCLUSIONS: The mobile AR system presents an alternative technology for image-guided neurosurgery and proves to be practical and reliable. The technique contributes to optimal presurgical planning for supratentorial lesions, especially in the absence of a neuronavigation system.
Authors: Bruno Fernandes de Oliveira Santos; Daniel de Araujo Paz; Victor Miranda Fernandes; José Calasans Dos Santos; Feres Eduardo Aparecido Chaddad-Neto; Antonio Carlos Sobral Sousa; Joselina Luzia Menezes Oliveira Journal: Sci Rep Date: 2021-03-24 Impact factor: 4.379