ArticleEuropean radiology2013
Augmented reality visualisation using an image overlay system for MR-guided interventions: technical performance of spine injection procedures in human cadavers at 1.5 Tesla.
Article in European radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Image Overlay Surgery Based on Augmented Reality: A Systematic Review.Advances in experimental medicine and biology · 2020Pooled it
- Learning how to perform ultrasound-guided interventions with and without augmented reality visualization: a randomized study.European radiology · 2023Trial
- Augmented reality and artificial intelligence-based navigation during percutaneous vertebroplasty: a pilot randomised clinical trial.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Trial
- Artificial intelligence in interventional radiology: state of the art.European radiology experimental · 2024Review
- Computational Modeling, Augmented Reality, and Artificial Intelligence in Spine Surgery.Advances in experimental medicine and biology · 2024Review
- Magnetic resonance - guided treatment of low-flow vascular malformations and the technologies to potentiate adoption.Frontiers in medicine · 2024Review
- Extended Reality for Neuraxial Procedures: A Scoping Review.Journal of medical extended reality · 2024Article
- Comparison between pre-mortem and post-mortem cadaveric images for use with augmented reality headsets during dissection.Surgical and radiologic anatomy : SRA · 2023Article
- MRI-guided sacroiliac joint injections in children and adults: current practice and future developments.Skeletal radiology · 2023Review
- Spine Surgery Assisted by Augmented Reality: Where Have We Been?Yonsei medical journal · 2022Review
- Use of Artificial Intelligence in Non-Oncologic Interventional Radiology: Current State and Future Directions.Digestive disease interventions · 2021Article
- Ultrasound-guided interventions with augmented reality in situ visualisation: a proof-of-mechanism phantom study.European radiology experimental · 2020Article
- Integration and evaluation of a gradient-based needle navigation system for percutaneous MR-guided interventions.PloS one · 2020Article
- MR-guided perineural injection of the ganglion impar: technical considerations and feasibility.Skeletal radiology · 2016Article
- Design and development of a mobile image overlay system for needle interventions.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2014Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
objectivesTo prospectively assess the technical performance of an augmented reality system for MR-guided spinal injection procedures.
methodsThe augmented reality system was used with a clinical 1.5-T MRI system. A total of 187 lumbosacral spinal injection procedures (epidural injection, spinal nerve root injection, facet joint injection, medial branch block, discography) were performed in 12 human cadavers. Needle paths were planned with the Perk Station module of 3D Slicer software on high-resolution MR images. Needles were placed under augmented reality MRI navigation. MRI was used to confirm needle locations. T1-weighted fat-suppressed MRI was used to visualise the injectant. Outcome variables assessed were needle adjustment rate, inadvertent puncture of non-targeted structures, successful injection rate and procedure time.
resultsNeedle access was achieved in 176/187 (94.1 %) targets, whereas 11/187 (5.9 %) were inaccessible. Six of 11 (54.5 %) L5-S1 disks were inaccessible, because of an axial obliquity of 30˚ (27˚-34˚); 5/11 (45.5 %) facet joints were inaccessible because of osteoarthritis or fusion. All accessible targets (176/187, 94.1 %) were successfully injected, requiring 47/176 (26.7 %) needle adjustments. There were no inadvertent punctures of vulnerable structures. Median procedure time was 10.2 min (5-19 min).
conclusionsImage overlay navigated MR-guided spinal injections were technically accurate. Disks with an obliquity ≥27˚ may be inaccessible.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.