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Application of Augmented Reality in Percutaneous Procedures-Rhizotomy of the Gasserian Ganglion.

Authors :
Rau A
Roelz R
Urbach H
Coenen VA
Demerath T
Reinacher PC
Source :
Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2021 Aug 16; Vol. 21 (3), pp. 160-164.
Publication Year :
2021

Abstract

Background: Percutaneous rhizotomy of the Gasserian ganglion for trigeminal neuralgia is an effective therapeutic procedure. Yet, landmark-guided cannulation of the foramen ovale is manually challenging and difficult to learn.<br />Objective: To overcome these limitations, we assessed the feasibility and accuracy of an augmented reality (AR)-guided puncture of the foramen ovale.<br />Methods: A head phantom with soft tissue structures of the facial area was built. A three-dimensional (3D)-dataset of the phantom was generated using a stereotactic planning workstation. An optimal trajectory to the foramen ovale was created and then transferred to an AR headset. A total of 2 neurosurgeons and 2 neuroradiologists independently performed 8 AR-guided and 8 landmark-guided cannulations of the foramen ovale, respectively. For each AR-guided cannulation, the hologram was manually aligned with the phantom. Accuracy of the cannulation was evaluated using the Euclidean distance to the target point as well as the lateral deviation of the achieved trajectory from the planned trajectory at target point level.<br />Results: With the help of AR guidance, a successful cannulation of the foramen ovale was achieved in 90.6% compared to the purely landmark-based method with 18.8%. Euclidean distance and lateral deviation were significantly lower with AR guidance than landmark guidance (P < .01).<br />Conclusion: AR greatly improved accuracy of simulated percutaneous rhizotomy of the Gasserian ganglion.<br /> (© Congress of Neurological Surgeons 2021.)

Details

Language :
English
ISSN :
2332-4260
Volume :
21
Issue :
3
Database :
MEDLINE
Journal :
Operative neurosurgery (Hagerstown, Md.)
Publication Type :
Academic Journal
Accession number :
34098574
Full Text :
https://doi.org/10.1093/ons/opab155