• Jacob Gibby, Steve Cvetko, Ramin Javan, Ryan Parr, and Wendell Gibby.
• George Washington University School of Medicine and Health Sciences, Washington, DC, 20052, USA.
• Eur Spine J. 2020 Aug 1; 29 (8): 1823-1832.

PurposeBecause of its ability to superimpose imaging data on a patient, while anchoring the user's view to the immediate surroundings, augmented reality (AR) has the potential to dramatically improve the accuracy and reduce the time required for preoperative planning and performance of minimally invasive spine surgeries and procedures. Described and reported herein is the direct clinical application of AR navigation on a series of common percutaneous image-guided spine procedures.Materials And MethodsAR, including a "virtual needle" (VN) asset, was used to guide and navigate a total of 18 procedures performed on 10 patients. Comparative control data were generated using a phantom model (n = 32). These data are used to determine the accuracy of AR for federal drug administration submissions. Optical codes were implemented to allow automatic and real-time registration. A manual process was used when the use of optical codes was not available. Target error, distance to the target and target size were measured for both phantom and clinical groups. Mean errors between the two groups were compared.ResultsTarget error between the control and clinical data sets showed no significant difference. Moreover, the distance to the target site and the target size had no effect on target acquisition.ConclusionsThis data set suggests that AR navigation, utilizing a VN, is an emerging, accurate, valuable additive method for surgical and procedural planning for percutaneous image-guided spinal procedures and has potential to be applied to a broad range of clinical and surgical applications.

13 keywords...

hide…