Holographic mixed reality navigation system-assisted microsurgery of the supratentorial tumor.

Objective To summarize the clinical experience of supratentorial tumor resection using a wireless head-mounted display (HMD)-based holographic mixed reality navigation system (MRN). Methods A analysis was performed on 5 patients undergoing supratentorial tumor resection using holographic MRN at Zhuh...

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Publicado en:Chinese Journal of Contemporary Neurology & Neurosurgery Vol. 25; no. 3; pp. 199 - 207
Autores principales: CHEN Peng, MA Xun-jie, TANG Bai-cha, WENG Zhi-jian, JIAN Zhi-heng, CHEN Gang
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Chinese Journal of Contemporary Neurology & Neurosurgery Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2025
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      pub: Chinese Journal of Contemporary Neurology & Neurosurgery
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        10.3969/j.issn.1672-6731.2025.03.006
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        atl: Holographic mixed reality navigation system-assisted microsurgery of the supratentorial tumor.
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          CHEN Peng
          MA Xun-jie
          TANG Bai-cha
          WENG Zhi-jian
          JIAN Zhi-heng
          CHEN Gang
        affil: Department of Neurosurgery, Zhuhai People's Hospital; The Affiliated Hospital of Beijing Institute of Technology; Zhuhai Clinical Medical College of Ji'nan University, Zhuhai 519009, Guangdong, China
      sug:
        subj:
          Supratentorial Neoplasms Surgery
          Neurosurgery Methods
          Microsurgery Methods
          Holography Utilization
          Surgery, Computer-Assisted Methods
          Mixed Reality
          Human
          China
          Preoperative Care
          Image Processing, Computer Assisted
          Intraoperative Care
          Treatment Duration
          Validity
          Patient Safety
          Karnofsky Performance Status
          Scales
          Funding Source
      ab: Objective To summarize the clinical experience of supratentorial tumor resection using a wireless head-mounted display (HMD)-based holographic mixed reality navigation system (MRN). Methods A analysis was performed on 5 patients undergoing supratentorial tumor resection using holographic MRN at Zhuhai People's Hospital from March to September 2024. Preoperative imaging data were imported into 3D Slicer software to generate holograms of lesions, anatomical landmarks, and adjacent structures, which were subsequently integrated into the holographic MRN and projected onto the patient's head for preoperative incision planning and intraoperative tumor resection guidance. The convenience and stability of holographic MRN were evaluated by assessing navigation registration time, navigation application time, and registration attempts. Accuracy, efficacy, and safety of holographic MRN were analyzed through evaluation of bone window extent, tumor-to-surrounding structure relationships, modeling time tumor localization, Karnofsky Performance Status (KPS) scores, and surgical indicators. Results Preoperative modeling was all successfully completed, with an average modeling time (25.20 ± 1.60) min, and average registration time (3.20 ± 0.05) min. The mean preoperative and intraoperative navigation application times were (12.74 ± 1.09) and (8.17 ± 0.81) min, respectively. All registrations were successful on the first attempt. All lesions were entirely within the planned bone window boundaries, with no under- or over-exposure. Holographic projections of tumors fully overlapped with actual intraoperative lesions. All 5 cases achieved Simpson grade I resection. The average KPS score at 72 h after surgery was 94.00 ± 4.90. Conclusions This study confirms the convenience, stability, accuracy, efficacy, and safety of holographic MRN in clinical practice, demonstrating its value as an adjunctive tool for supratentorial tumor craniotomy.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Chinese
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