Spatial Analysis Tools for Virtual Reality-based Surgical Planning

Author(s):  
B. Reitinger ◽  
D. Schmalstieg ◽  
A. Bornik ◽  
R. Beichel
Author(s):  
Nicolás González Romo ◽  
Franco Ravera Zunino

AbstractVirtual reality (VR) has increasingly been implemented in neurosurgical practice. A patient with an unruptured anterior communicating artery (AcoA) aneurysm was referred to our institution. Imaging data from computed tomography angiography (CTA) was used to create a patient specific 3D model of vascular and skull base anatomy, and then processed to a VR compatible environment. Minimally invasive approaches (mini-pterional, supraorbital and mini-orbitozygomatic) were simulated and assessed for adequate vascular exposure in VR. Using an eyebrow approach, a mini-orbitozygomatic approach was performed, with clip exclusion of the aneurysm from the circulation. The step-by-step process of VR planning is outlined, and the advantages and disadvantages for the neurosurgeon of this technology are reviewed.


2018 ◽  
Vol 31 (2) ◽  
pp. 649-659 ◽  
Author(s):  
Antonio González-Hernández ◽  
Rene Morales-Villafaña ◽  
Martin Enrique Romero-Sánchez ◽  
Brenda Islas-Trejo ◽  
Ramiro Pérez-Miranda

Author(s):  
Pieter C. van de Woestijne ◽  
Wouter Bakhuis ◽  
Amir H. Sadeghi ◽  
Jette J. Peek ◽  
Yannick J.H.J. Taverne ◽  
...  

Background Major aortopulmonary collateral arteries (MAPCAs), as seen in patients with pulmonary atresia, are arteries that supply blood from the aorta to the lungs and often require surgical intervention. To achieve complete repair in the least number of interventions, optimal imaging of the pulmonary arterial anatomy and MAPCAs is critical. 3D virtual reality (3D-VR) is a promising and upcoming new technology that could potentially ameliorate current imaging shortcomings. Methods A retrospective, proof-of-concept study was performed of all operated patients with pulmonary atresia and MAPCAs at our center between 2010 and 2020 with a preoperative computed tomography (CT) scan. CT images were reviewed by two congenital cardiac surgeons in 3D-VR to determine additional value of VR for MAPCA imaging compared to conventional CT and for preoperative planning of MAPCA repair. Results 3D-VR visualizations were reconstructed from CT scans of seven newborns where the enhanced topographic anatomy resulted in improved visualization of MAPCA. In addition, surgical planning was improved since new observations or different preoperative plans were apparent in 4 out of 7 cases. After the initial setup, VR software and hardware was reported to be easy and intuitive to use. Conclusions This study showed technical feasibility of 3D-VR reconstruction of children with immersive visualization of topographic anatomy in an easy-to-use format leading to an improved surgical planning of MAPCA surgery. Future prospective studies are required to investigate the clinical benefits in larger populations.


2019 ◽  
Vol 129 ◽  
pp. e857-e865 ◽  
Author(s):  
Samer Zawy Alsofy ◽  
Ralf Stroop ◽  
Ivo Fusek ◽  
Heinz Welzel Saravia ◽  
Ioanna Sakellaropoulou ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document