Microsoft HoloLens assists surgeons in performing fluoroscopy

在微软 HoloLens 协助下,英国团队让外科医生能“透视”手术部位进行血管重建

When it comes to augmented reality (AR), many people think of game-related applications, but in fact, AR's medical applications continue to be actively developed. The team at St Mary's Hospital in the UK recently demonstrated how to successfully perform lower extremity revascularization surgery on patients with the help of Microsoft HoloLens.

Through the HoloLens device, the research team covered the bones and critical blood vessels in the CT scans onto the patient's legs, allowing the surgeon to "see through" the surgical site during the procedure. The team found in the test that this technology can really help doctors locate and reconnect key blood vessels during reconstruction surgery, thus improving the patient's prognosis.

But how is this done?

In the event of a car accident or severe trauma, some patients with tissue damage or open wounds will need to be reconstructed with fasciocutaneous flaps, which collect skin and blood vessels from other parts of the body. Covering the wound allows it to properly close and heal.

A very important step in the reconstruction procedure is to connect the collected tissue vessels to the blood vessels at the wound site, allowing the blood to deliver oxygen to the new tissue and remain active; in standard operation, the surgeon must use the handheld The ultrasound of the scanner detects the pulse, which in turn estimates the location of the blood vessels under the skin and the route through the tissue.

The AR device HoloLens provides another way for physicians to accurately and quickly find subcutaneous blood vessels by "overlapping" previously scanned tomograms on patients.

在微软 HoloLens 协助下,英国团队让外科医生能“透视”手术部位进行血管重建

With the help of radiologist Drimitri Amiras, the team divided the scanned images into bones, muscles, adipose tissue and blood vessels, and then used the software to build a 3D model of the patient's legs, which was finally entered into the customized software, through the HoloLens in the patient. Presented on the real legs.

The team has already used this technique on five patients who require leg revascularization surgery. Philip Pratt, a researcher and surgeon and cancer researcher, said the team has proven that the technology is practical through a series of cases. And can bring benefits to the surgical team.

“With the help of HoloLens, when you look at the legs, you can see the inside of it, you can see the direction of the bones and blood vessels, and be able to accurately find the location of the target.”

Pratt believes that they are the first team in the world to successfully use HoloLens in the operating room, and the results have been published in the European Radiology Experimental (European Radiology Experimental) published by the European Radiological Society (ESR).


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