Vision-based tracking system for augmented reality to localize recurrent laryngeal nerve during robotic thyroid surgery

Autor: Jin Yoon, Seunglee Kim, Keunchul Lee, Hwan Seong Cho, Hyoun-Joong Kong, Dongheon Lee, Young Jun Chai, Hee Chan Kim, Hyeong Won Yu, Kyu Eun Lee, June Young Choi
Rok vydání: 2020
Předmět:
Nervous system
Adult
Male
0209 industrial biotechnology
medicine.medical_specialty
medicine.medical_treatment
lcsh:Medicine
02 engineering and technology
Article
03 medical and health sciences
020901 industrial engineering & automation
0302 clinical medicine
Robotic Surgical Procedures
medicine.artery
medicine
Recurrent laryngeal nerve
Humans
Robotic surgery
Prospective Studies
Thyroid Neoplasms
Common carotid artery
lcsh:Science
Augmented Reality
Multidisciplinary
Palsy
Recurrent Laryngeal Nerve
business.industry
lcsh:R
Thyroid
Thyroidectomy
Tracking system
Middle Aged
Prognosis
Surgery
medicine.anatomical_structure
Surgery
Computer-Assisted

Thyroid Cancer
Papillary

030220 oncology & carcinogenesis
Recurrent Laryngeal Nerve Injuries
Female
lcsh:Q
Augmented reality
business
Biomedical engineering
Follow-Up Studies
Zdroj: Scientific Reports, Vol 10, Iss 1, Pp 1-7 (2020)
Scientific Reports
ISSN: 2045-2322
DOI: 10.1038/s41598-020-65439-6
Popis: We adopted a vision-based tracking system for augmented reality (AR), and evaluated whether it helped surgeons to localize the recurrent laryngeal nerve (RLN) during robotic thyroid surgery. We constructed an AR image of the trachea, common carotid artery, and RLN using CT images. During surgery, an AR image of the trachea and common carotid artery were overlaid on the physical structures after they were exposed. The vision-based tracking system was activated so that the AR image of the RLN followed the camera movement. After identifying the RLN, the distance between the AR image of the RLN and the actual RLN was measured. Eleven RLNs (9 right, 4 left) were tested. The mean distance between the RLN AR image and the actual RLN was 1.9 ± 1.5 mm (range 0.5 to 3.7). RLN localization using AR and vision-based tracking system was successfully applied during robotic thyroidectomy. There were no cases of RLN palsy. This technique may allow surgeons to identify hidden anatomical structures during robotic surgery.
Databáze: OpenAIRE