Evaluation of AR visualization approaches for catheter insertion into the ventricle cavity

Evaluation of AR visualization approaches for catheter insertion into the ventricle cavity

Benmahdjoub, Mohamed (Erasmus MC)
Thabit, Abdullah (Erasmus MC)
Van Veelen, Marie Lise C. (Erasmus MC)
Niessen, W.J. (TU Delft ImPhys/Vos group; TU Delft ImPhys/Computational Imaging; Erasmus MC)
Wolvius, Eppo B. (Erasmus MC)
Van Walsum, Theo

2023

Augmented reality (AR) has shown potential in computer-aided surgery. It allows for the visualization of hidden anatomical structures as well as assists in navigating and locating surgical instruments at the surgical site. Various modalities (devices and/or visualizations) have been used in the literature, but few studies investigated the adequacy/superiority of one modality over the other. For instance, the use of optical see-through (OST) HMDs has not always been scientifically justified. Our goal is to compare various visualization modalities for catheter insertion in external ventricular drain and ventricular shunt procedures. We investigate two AR approaches: (1) 2D approaches consisting of a smartphone and a 2D window visualized through an OST (Microsoft HoloLens 2), and (2) 3D approaches consisting of a fully aligned patient model and a model that is adjacent to the patient and is rotationally aligned using an OST. 32 participants joined this study. For each visualization approach, participants were asked to perform five insertions after which they filled NASA-TLX and SUS forms. Moreover, the position and orientation of the needle with respect to the planning during the insertion task were collected. The results show that participants achieved a better insertion performance significantly under 3D visualizations, and the NASA-TLX and SUS forms reflected the preference of participants for these approaches compared to 2D approaches.

Augmented reality
Augmented reality visualization
Computer-assisted surgery
External ventricular drain
Needle guidance
Surgical navigation systems
User study
Ventricular shunt

http://resolver.tudelft.nl/uuid:7b77f123-c21d-4a50-9894-03bd3d1e397f

https://doi.org/10.1109/TVCG.2023.3247042

2023-08-22

1077-2626

IEEE Transactions on Visualization and Computer Graphics, 29 (5), 2434-2445

Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.

Institutional Repository

journal article

© 2023 Mohamed Benmahdjoub, Abdullah Thabit, Marie Lise C. Van Veelen, W.J. Niessen, Eppo B. Wolvius, Theo Van Walsum