Consolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit
| Autor: | Christopher D. Riemann, Thomas W Stone, John W. Kitchens, Cassandra C Brooks |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
digitally assisted vitreoretinal surgery iOCT Imaging modalities heads up surgery 03 medical and health sciences 0302 clinical medicine Software Optical coherence tomography Ophthalmology Information handling medicine Medical physics Modality (human–computer interaction) medicine.diagnostic_test business.industry 3D HD machine vision Methodology Clinical Ophthalmology Visualization Cockpit DAVS 030221 ophthalmology & optometry Imaging technology business 030217 neurology & neurosurgery ocular endoscopy |
| Zdroj: | Clinical Ophthalmology (Auckland, N.Z.) |
| ISSN: | 1177-5483 |
| Popis: | Cassandra C Brooks,1 John Kitchens,2 Thomas W Stone,2 Christopher D Riemann3,4 1Department of Ophthalmology, Duke University, Durham, NC, USA; 2Retina Associates of Kentucky, Lexington, KY, USA; 3University of Cincinnati College of Medicine, Cincinnati, OH, USA; 4Cincinnati Eye Institute, Cincinnati, OH, USACorrespondence: Cassandra C BrooksDepartment of Ophthalmology, Duke University, 2351 Erwin Drive, Durham, NC 27705, USAEmail Cassandra.brooks@duke.eduAbstract: The management of vitreoretinal cases is ever-evolving, paralleled by rapid advancements in operative imaging modalities. In this article, we describe an advanced application of digitally assisted vitreoretinal surgery (DAVS) that involves the consolidation of pre-existing ancillary imaging technology into a single same-screen viewing platform. Forty-four eyes of 44 patients were operated using same screen simultaneous viewing of the primary three-dimensional high definition (3DHD) surgical field and simultaneous auxiliary video feed viewing of all currently approved ocular endoscopy (n=12), intraoperative optical coherence tomography (iOCT) units (n=24), or computer feeds from the EHR/image management software (n=8). All surgeries were successful with excellent functional and anatomic outcomes. DAVS facilitated same screen viewing of multiple video/information feeds was notable for improved ergonomics, surgical efficiency, and precision when compared to viewing the surgical field and auxiliary video feeds separately. We describe a new concept for the vitreoretinal operating room – a DAVS-based surgical information handling cockpit – integrating FDA approved ocular endoscopy (n=1), microscope-integrated iOCT units (n=3), and one EHR/Image management solution with the primary surgical field 3DHD feed. We suggest same screen viewing of multiple video and other clinical information feeds is a promising modality that may be considered in the management of patients with surgical vitreoretinal disease and should be purposefully incorporated into future iterations of DAVS technology platforms.Keywords: 3D HD machine vision, heads up surgery, digitally assisted vitreoretinal surgery, DAVS, iOCT, ocular endoscopy |
| Databáze: | OpenAIRE |
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