Jan Witowski1,2, Szymon Darocha3, Łukasz Kownacki4, Arkadiusz Pietrasik5, Radosław Pietura6, Marta Banaszkiewicz3, Jakub Kamiński2, Andrzej Biederman7, Adam Torbicki3, Marcin Kurzyna3. 1. 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland. 2. MedApp S.A., Kraków, Poland. 3. Department of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, European Health Center, Otwock, Poland. 4. Department of Radiology, European Health Center, Otwock, Poland. 5. Department and Faculty of Cardiology, Medical University of Warsaw, Warsaw, Poland. 6. Department of Radiography, Medical University of Lublin, Poland. 7. Department of Cardiac Surgery, Medicover Hospital, Warsaw, Poland.
Abstract
BACKGROUND: Percutaneous pulmonary interventions require extensive and accurate navigation planning and guidance, especially in regard to the three-dimensional (3D) relationships between anatomical structures. In this study, we are demonstrating the feasibility of novel visualization techniques: 3D printing (3DP) and augmented reality (AR) in planning transcatheter pulmonary interventions. METHODS: Two patients were qualified for balloon pulmonary angioplasty (BPA) for treatment of chronic thromboembolic pulmonary hypertension (CTEPH) and stent implantation for pulmonary artery stenosis, respectively. Computed tomography images of both patients were processed with segmentation algorithms and subsequently submitted to 3D modelling software. Microsoft HoloLens® AR headsets with dedicated CarnaLife Holo® software were utilized to display surface and volume rendering of pulmonary vessels as holograms. RESULTS: Personalized life-sized models of the same structures were additionally 3D-printed for preoperative planning. Holograms were shown to physicians throughout the procedure and were used as a guidance and navigation tool. Operative team was able to manipulate the hologram and multiple users of the AR system could share the same image in real time. Clinicians expressed their satisfaction with the quality of imaging and potential clinical benefits. CONCLUSIONS: This study reports the potential value of AR in pulmonary interventions, however, prospective trials need to be conducted to decide on whether novel 3D visualization techniques affect perioperative treatment and outcomes.
BACKGROUND: Percutaneous pulmonary interventions require extensive and accurate navigation planning and guidance, especially in regard to the three-dimensional (3D) relationships between anatomical structures. In this study, we are demonstrating the feasibility of novel visualization techniques: 3D printing (3DP) and augmented reality (AR) in planning transcatheter pulmonary interventions. METHODS: Two patients were qualified for balloon pulmonary angioplasty (BPA) for treatment of chronic thromboembolic pulmonary hypertension (CTEPH) and stent implantation for pulmonary artery stenosis, respectively. Computed tomography images of both patients were processed with segmentation algorithms and subsequently submitted to 3D modelling software. Microsoft HoloLens® AR headsets with dedicated CarnaLife Holo® software were utilized to display surface and volume rendering of pulmonary vessels as holograms. RESULTS: Personalized life-sized models of the same structures were additionally 3D-printed for preoperative planning. Holograms were shown to physicians throughout the procedure and were used as a guidance and navigation tool. Operative team was able to manipulate the hologram and multiple users of the AR system could share the same image in real time. Clinicians expressed their satisfaction with the quality of imaging and potential clinical benefits. CONCLUSIONS: This study reports the potential value of AR in pulmonary interventions, however, prospective trials need to be conducted to decide on whether novel 3D visualization techniques affect perioperative treatment and outcomes.
Authors: Szymon Darocha; Radosław Pietura; Arkadiusz Pietrasik; Justyna Norwa; Anna Dobosiewicz; Michał Piłka; Michał Florczyk; Andrzej Biederman; Adam Torbicki; Marcin Kurzyna Journal: Circ J Date: 2017-02-01 Impact factor: 2.993
Authors: Daipayan Guha; Naif M Alotaibi; Nhu Nguyen; Shaurya Gupta; Christopher McFaul; Victor X D Yang Journal: Can J Neurol Sci Date: 2017-04-24 Impact factor: 2.104
Authors: Maria E Currie; A Jonathan McLeod; John T Moore; Michael W A Chu; Rajni Patel; Bob Kiaii; Terry M Peters Journal: Innovations (Phila) Date: 2016 Jan-Feb
Authors: Marcin Kurzyna; Aleksander Araszkiewicz; Piotr Błaszczak; Marek Grabka; Michał Hawranek; Grzegorz Kopeć; Ewa Mroczek; Marian Zembala; Adam Torbicki; Andrzej Ochała Journal: Kardiol Pol Date: 2015 Impact factor: 3.108
Authors: Maksymilian P Opolski; Artur Debski; Bartosz A Borucki; Adam D Staruch; Cezary Kepka; Jakub K Rokicki; Bartosz Sieradzki; Adam Witkowski Journal: J Cardiovasc Comput Tomogr Date: 2017-09-21
Authors: Jan Sylwester Witowski; Michał Pędziwiatr; Piotr Major; Andrzej Budzyński Journal: Int J Comput Assist Radiol Surg Date: 2017-01-31 Impact factor: 2.924
Authors: Rachel Hecht; Ming Li; Quirina M B de Ruiter; William F Pritchard; Xiaobai Li; Venkatesh Krishnasamy; Wael Saad; John W Karanian; Bradford J Wood Journal: Cardiovasc Intervent Radiol Date: 2020-01-08 Impact factor: 2.740