Case‐specific three‐dimensional hologram with a mixed reality technique for tumor resection in otolaryngology

Abstract Objective We report our first experience of using a case‐specific three‐dimensional (3D) hologram for tumor resection in otolaryngology to show the proof of concept. In addition, a questionnaire was administered to assess the usefulness of the mixed reality technique in otolaryngology. Meth...

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Main Authors: Sohei Mitani, Eriko Sato, Naoto Kawaguchi, Shun Sawada, Kayo Sakamoto, Takashi Kitani, Tomoyoshi Sanada, Hiroyuki Yamada, Naohito Hato
Format: Article
Jezik:English
Izdano: Wiley 2021-06-01
Serija:Laryngoscope Investigative Otolaryngology
Teme:
Online dostop:https://doi.org/10.1002/lio2.581
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author Sohei Mitani
Eriko Sato
Naoto Kawaguchi
Shun Sawada
Kayo Sakamoto
Takashi Kitani
Tomoyoshi Sanada
Hiroyuki Yamada
Naohito Hato
author_facet Sohei Mitani
Eriko Sato
Naoto Kawaguchi
Shun Sawada
Kayo Sakamoto
Takashi Kitani
Tomoyoshi Sanada
Hiroyuki Yamada
Naohito Hato
author_sort Sohei Mitani
collection DOAJ
description Abstract Objective We report our first experience of using a case‐specific three‐dimensional (3D) hologram for tumor resection in otolaryngology to show the proof of concept. In addition, a questionnaire was administered to assess the usefulness of the mixed reality technique in otolaryngology. Methods A case‐specific 3D hologram was developed from enhanced images of dynamic computed tomography, with reference to contrast‐enhanced magnetic resonance images, and used for preoperative planning and intraoperative image reference. To evaluate the usefulness of the 3D hologram with head mount displays (HMDs), 18 attendings and resident otolaryngologists completed a questionnaire with the Likert scale. Results The case‐specific 3D hologram on HMDs was successfully used by means of easy gesture‐handling without any monitors preoperatively and intraoperatively. The experience of picturing the tumor localization and evaluating the surgical approach was statistically better using the 3D hologram on HMDs than using the computer images (P < .01). Similarly, the holograms were observed to be better for intraoperative application and surgical education than computer images (P < .01). Conclusion We demonstrated the use of a case‐specific 3D hologram for tumor resection in otolaryngology. The technology may be useful for preoperative planning and intraoperative image reference, especially for challenging cases, and surgical education. Level of Evidence NA.
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spelling doaj.art-dd01d7fcb39d479abf6ac2e741e36c212022-12-21T20:38:16ZengWileyLaryngoscope Investigative Otolaryngology2378-80382021-06-016343243710.1002/lio2.581Case‐specific three‐dimensional hologram with a mixed reality technique for tumor resection in otolaryngologySohei Mitani0Eriko Sato1Naoto Kawaguchi2Shun Sawada3Kayo Sakamoto4Takashi Kitani5Tomoyoshi Sanada6Hiroyuki Yamada7Naohito Hato8Department of Otolaryngology‐Head and Neck Surgery Ehime University Graduate School of Medicine Shitsukawa, Toon Ehime JapanDepartment of Otolaryngology‐Head and Neck Surgery Ehime University Graduate School of Medicine Shitsukawa, Toon Ehime JapanDepartment of Radiology Ehime University Graduate School of Medicine Shitsukawa, Toon Ehime JapanDepartment of Radiology Ehime University Graduate School of Medicine Shitsukawa, Toon Ehime JapanDepartment of Otolaryngology‐Head and Neck Surgery Ehime University Graduate School of Medicine Shitsukawa, Toon Ehime JapanDepartment of Otolaryngology‐Head and Neck Surgery Ehime University Graduate School of Medicine Shitsukawa, Toon Ehime JapanDepartment of Otolaryngology‐Head and Neck Surgery Ehime University Graduate School of Medicine Shitsukawa, Toon Ehime JapanDepartment of Otolaryngology‐Head and Neck Surgery Ehime University Graduate School of Medicine Shitsukawa, Toon Ehime JapanDepartment of Otolaryngology‐Head and Neck Surgery Ehime University Graduate School of Medicine Shitsukawa, Toon Ehime JapanAbstract Objective We report our first experience of using a case‐specific three‐dimensional (3D) hologram for tumor resection in otolaryngology to show the proof of concept. In addition, a questionnaire was administered to assess the usefulness of the mixed reality technique in otolaryngology. Methods A case‐specific 3D hologram was developed from enhanced images of dynamic computed tomography, with reference to contrast‐enhanced magnetic resonance images, and used for preoperative planning and intraoperative image reference. To evaluate the usefulness of the 3D hologram with head mount displays (HMDs), 18 attendings and resident otolaryngologists completed a questionnaire with the Likert scale. Results The case‐specific 3D hologram on HMDs was successfully used by means of easy gesture‐handling without any monitors preoperatively and intraoperatively. The experience of picturing the tumor localization and evaluating the surgical approach was statistically better using the 3D hologram on HMDs than using the computer images (P < .01). Similarly, the holograms were observed to be better for intraoperative application and surgical education than computer images (P < .01). Conclusion We demonstrated the use of a case‐specific 3D hologram for tumor resection in otolaryngology. The technology may be useful for preoperative planning and intraoperative image reference, especially for challenging cases, and surgical education. Level of Evidence NA.https://doi.org/10.1002/lio2.581hologrammixed realitysurgical educationthree‐dimensional imagingtumor resection
spellingShingle Sohei Mitani
Eriko Sato
Naoto Kawaguchi
Shun Sawada
Kayo Sakamoto
Takashi Kitani
Tomoyoshi Sanada
Hiroyuki Yamada
Naohito Hato
Case‐specific three‐dimensional hologram with a mixed reality technique for tumor resection in otolaryngology
Laryngoscope Investigative Otolaryngology
hologram
mixed reality
surgical education
three‐dimensional imaging
tumor resection
title Case‐specific three‐dimensional hologram with a mixed reality technique for tumor resection in otolaryngology
title_full Case‐specific three‐dimensional hologram with a mixed reality technique for tumor resection in otolaryngology
title_fullStr Case‐specific three‐dimensional hologram with a mixed reality technique for tumor resection in otolaryngology
title_full_unstemmed Case‐specific three‐dimensional hologram with a mixed reality technique for tumor resection in otolaryngology
title_short Case‐specific three‐dimensional hologram with a mixed reality technique for tumor resection in otolaryngology
title_sort case specific three dimensional hologram with a mixed reality technique for tumor resection in otolaryngology
topic hologram
mixed reality
surgical education
three‐dimensional imaging
tumor resection
url https://doi.org/10.1002/lio2.581
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