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Journal of neurosurgery · Jul 2024
Interactive microsurgical anatomy education using photogrammetry 3D models and an augmented reality cube.
- Muhammet Enes Gurses, Nicolas I Gonzalez-Romo, Yuan Xu, Giancarlo Mignucci-Jiménez, Sahin Hanalioglu, José E Chang, Habib Rafka, Kerry A Vaughan, Dilantha B Ellegala, Michael T Lawton, and Mark C Preul.
- 1Department of Neurosurgery, The Loyal and Edith Davis Neurosurgical Research Laboratory, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
- J. Neurosurg. 2024 Jul 1; 141 (1): 172617-26.
ObjectiveThis study sought to assess the use of an augmented reality (AR) tool for neurosurgical anatomical education.MethodsThree-dimensional models were created using advanced photogrammetry and registered onto a handheld AR foam cube imprinted with scannable quick response codes. A perspective analysis of the cube anatomical system was performed by loading a 3D photogrammetry model over a motorized turntable to analyze changes in the surgical window area according to the horizontal rotation. The use of the cube as an intraoperative reference guide for surgical trainees was tested during cadaveric dissection exercises. Neurosurgery trainees from international programs located in Ankara, Turkey; San Salvador, El Salvador; and Moshi, Tanzania, interacted with and assessed the 3D models and AR cube system and then completed a 17-item graded user experience survey.ResultsSeven photogrammetry 3D models were created and imported to the cube. Horizontal turntable rotation of the cube translated to measurable and realistic perspective changes in the surgical window area. The combined 3D models and cube system were used to engage trainees during cadaveric dissections, with satisfactory user experience. Thirty-five individuals (20 from Turkey, 10 from El Salvador, and 5 from Tanzania) agreed that the cube system could enhance the learning experience for neurosurgical anatomy.ConclusionsThe AR cube combines tactile and visual sensations with high-resolution 3D models of cadaveric dissections. Inexpensive and lightweight, the cube can be effectively implemented to allow independent co-visualization of anatomical dissection and can potentially supplement neurosurgical education.
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