Augmented reality-assisted surgery

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Augmented reality-assisted surgery (ARAS) is a surgical tool utilizing technology that superimposes a computer-generated image on a surgeon's view of the operative field, thus providing a composite view for the surgeon of the patient with a computer generated overlay enhancing the operative experience. [1] It can be used for training, preparation for an operation, or performance of an operation. ARAS can be performed using a wide array of technology, including an optical head-mounted display (OHMD)—such as the Google Glass XE 22.1 or Vuzix STAR 1200 XL [2] —and a digital overlay from robotic and laparoscopic surgery feeds. [3] The technique has been primarily been tested in the urological and cardiovascular domains. [2] [4] [5]

Specialized uses

A subset of called augmented reality-assisted urologic surgery (ARAUS) specifically aids with urological surgery. This intraoperative training tool was first described and utilized by Tariq S. Hakky, Ryan M. Dickey, and Larry I. Lipshultz within the Scott Department of Urology, Baylor College of Medicine, and Daniel R. Martinez, Rafael E. Carrion, and Philippe E. Spiess within the Sexual Medicine Program in the Department of Urology, at the University of South Florida. [2] It was initially used to teach medical residents how to place a penile implant from start to finish via an application downloaded onto the OHMD. Intraoperatively, an optical display camera output feed combined with software allowing for the detection of points of interest enabled faculty to interact with residents during the placement of the penile implant. Both faculty and residents demonstrated a high degree of satisfaction of the ARAUS experience, and it was shown to be an effective tool in training urological surgical technique. Advantages of ARAUS include real-time feedback of residents during suy and superior visibility and interaction between faculty and residents. [2] [4]

ARAS has also been applied to the cardiovascular realm. Terry Peters of the University of Western Ontario in London, Canada has teamed up with other researchers at the Robarts Research Institute to implement ARAS towards the goal of improving repairs to the heart's mitral valve and replacement of the aortic valve. [5] In an interview for the Medical Augmented Reality Blog, Peters stated that his research team could not only use ARAS to "[improve] the speed and safety of the cardiac valve repair procedure"; they also conducted "the evaluation of an AR environment to plan brain-tumor removal, and the development of an ARF-enhanced system for ultrasound-guided spinal injections." [6]

Holosurical Inc has developed the clinically-tested ARAI™ surgical navigation system that provides real-time patient-specific 3D anatomical visualization for presurgical planning, intraoperative guidance, and postsurgical data analytics. [7] The augmented reality component of the system allows the surgeon to focus their attention on the patient's internal anatomy, without actually exposing it. On January 10, 2019, HoloSurgical Inc completed the 1st spine surgery in the world using augmented reality, artificial intelligence-based navigation system. [8] The system was developed by AI pioneer Paul Lewicki PhD, surgeon Kris Siemionow MD,PhD, and engineer Cristian Luciano PhD. [9] [10] [ circular reference ]

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<span class="mw-page-title-main">Prostatectomy</span> Surgical removal of all or part of the prostate gland

Prostatectomy is the surgical removal of all or part of the prostate gland. This operation is done for benign conditions that cause urinary retention, as well as for prostate cancer and for other cancers of the pelvis.

<span class="mw-page-title-main">Robot-assisted surgery</span> Surgical procedure

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<span class="mw-page-title-main">Radical retropubic prostatectomy</span>

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<span class="mw-page-title-main">Penile implant</span> Medical device

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<span class="mw-page-title-main">Mani Menon</span>

Mani Menon, born 9 July 1948 in Trichur, India, is an American surgeon whose work has helped to lay the foundation for modern Robotic Cancer Surgery. He is the founding director and the Raj and Padma Vattikuti Distinguished Chair of the Vattikuti Urology Institute at the Henry Ford Hospital in Detroit, MI, where he established the first cancer-oriented robotics program in the world. Menon is widely regarded for his role in the development of robotic surgery techniques for the treatment of patients with prostate, kidney, and bladder cancers, as well as for the development of robotic kidney transplantation.
Menon is the recipient of the Gold Cystoscope award, Hugh Hampton Young award, the Keyes Medal, the prestigious B.C. Roy award.

<span class="mw-page-title-main">Ashutosh Tewari</span> American urologist, oncologist

Ashutosh K. Tewari is the chairman of urology at the Icahn School of Medicine at Mount Sinai Hospital in New York City. He is a board certified American urologist, oncologist, and principal investigator. Before moving to the Icahn School of Medicine in 2013, he was the founding director of both the Center for Prostate Cancer at Weill Cornell Medical College and the LeFrak Center for Robotic Surgery at NewYork–Presbyterian Hospital. Dr. Tewari was the Ronald P. Lynch endowed Chair of Urologic Oncology and the hospital's Director of Robotic Prostatectomy, treating patients with prostate, urinary bladder and other urological cancers. He is the current President of the Society for Urologic Robotic Surgeons (SURS) and the Committee Chair of the Prostate Program. Dr. Tewari is a world leading urological surgeon, and has performed over 10,000 robotically assisted procedures using the da Vinci Surgical System. Academically, he is recognized as a world-renowned expert on urologic oncology with over 250 peer reviewed published papers to his credit; he is on such lists as America's Top Doctors, New York Magazine's Best Doctors, and Who's Who in the World. In 2012, he was given the American Urological Association Gold Cystoscope Award for "outstanding contributions to the field of urologic oncology, most notably the treatment of prostate cancer and the development of novel techniques to improve the outcomes of robotic prostatectomy."

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<span class="mw-page-title-main">Craig G. Rogers</span>

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<span class="mw-page-title-main">Michael Stifelman</span> American physician and urologist

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<span class="mw-page-title-main">Raymond Costabile</span>

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Kamran Ahmed is a Professor and a Urological Surgeon who is affiliated with Sheikh Khalifa Medical City, Abu Dhabi, UAE, Khalifa University, Abu Dhabi and King's College London, United Kingdom.

References

  1. ↑ Thomas, Daniel (2016). "Dr". International Journal of Surgery (London, England). Elsevier. 36 (Pt A): 25. doi: 10.1016/j.ijsu.2016.10.003 . PMID   27741424.
  2. 1 2 3 4 Hakky, Tariq; Martinez, Daniel; Lipshultz, Larry; Spiess, Philippe; Carrion, Rafael (2015). "Augmented Reality Assisted Urologic Surgery (ARAUS): A surgical training tool". The Journal of Urology. 193 (4): e271. doi:10.1016/j.juro.2015.02.1254.
  3. ↑ Scopis Surgical Navigation (23 November 2012). Scopis Augmented Reality: Path guidance to craniopharyngioma. YouTube. Retrieved 16 February 2016.
  4. 1 2 Dickey, R.M.; Srikishen, N.; Lipshultz, L.I.; et al. (2016). "Augmented reality assisted surgery: A urologic training tool". Asian Journal of Andrology. 18 (5): 732–4. doi: 10.4103/1008-682X.166436 . PMC   5000796 . PMID   26620455.
  5. 1 2 Peters, Terry (21 May 2015). "Augmented-Reality Assisted Surgery on the Beating Heart". IEEE Toronto. Archived from the original on 16 February 2016. Retrieved 16 February 2016.
  6. ↑ Bichlmeier, Christoph (8 November 2014). "Interview with Terry Peters – Bringing Research to Clinical Practice". Medical Augmented Reality Blog. Archived from the original on 16 February 2016. Retrieved 16 February 2016.
  7. ↑ "HoloSurgical completes 1st spine surgery using augmented reality, AI-based navigation system". 10 January 2019.
  8. ↑ "HoloSurgical announces first surgical procedure utilising ARAI system". 14 January 2019.
  9. ↑ "Company – Holosurgical Inc". Archived from the original on 2019-08-08. Retrieved 2020-02-27.
  10. ↑ "Pawel Lewicki".


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