ArticleJMIR formative research2022
Development of a Head-Mounted Holographic Needle Guidance System for Enhanced Ultrasound-Guided Neuraxial Anesthesia: System Development and Observational Evaluation.
Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04028284 (Using Augmented Reality to 3D Map Needle Pathways in Real Time to Enhance Neuraxial Anesthesia), which is not on this map. Cited by 7 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Using Augmented Reality to 3D Map Needle Pathways in Real Time to Enhance Neuraxial Anesthesia
Who cites it
7 citing papers in PubMed.
- Assessing the Effect of Augmented Reality on Procedural Outcomes During Ultrasound-Guided Vascular Access.Ultrasound in medicine & biology · 2023Trial
- Advancing Medical Training with Mixed Reality and Haptic Feedback Simulator for Acupuncture Needling.Sensors (Basel, Switzerland) · 2025Article
- Innovative Integration of 4D Cardiovascular Reconstruction and Hologram: Framework Development of a New Visualization Tool for Coronary Artery Bypass Grafting Planning.JMIR medical informatics · 2025Article
- Utilization of 3D printing modeling techniques in the simulation instruction of ultrasound-guided puncture procedures on scoliotic spines of spinal muscular atrophy.3D printing in medicine · 2025Article
- Current Clinical and Educational Uses of Immersive Reality in Anesthesia: Narrative Review.Journal of medical Internet research · 2025Review
- Extended Reality for Neuraxial Procedures: A Scoping Review.Journal of medical extended reality · 2024Article
- Wearable Mechatronic Ultrasound-integrated AR Navigation System for Lumbar Puncture Guidance.IEEE transactions on medical robotics and bionics · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNeuraxial anesthesia is conventionally performed using a landmark-based technique. Preprocedural ultrasound is often used in challenging clinical scenarios to identify an ideal needle path. The procedure is then carried out by the operator recreating the ultrasound needle path from memory. We suggest that a needle guidance system using the Microsoft HoloLens mixed reality headset, which projects a hologram of the ideal needle path, can assist operators in replicating the correct needle angulation and result in fewer needle passes.
objectiveThe objective of the study was to develop software for the mixed reality HoloLens headset, which could be used to augment the performance of neuraxial anesthesia, and establish its face validity in lumbar spine phantom models.
methodsWe developed an ultrasound transducer marker and software for the HoloLens, which registers the position and angulation of the ultrasound transducer during preprocedural scans. Once an image of a clear path from skin to the intrathecal space is acquired, a hologram of the ideal needle path is projected onto the user's visual field. The ultrasound probe is removed while the hologram remains in the correct spatial position to visualize the needle trajectory during the procedure as if conducting real-time ultrasound. User testing was performed using a lumbar spine phantom.
resultsPreliminary work demonstrates that novice (2 anesthesia residents) and experienced operators (5 attending anesthesiologists) can rapidly learn to use mixed reality holograms to perform neuraxial anesthesia on lumbar spine phantoms.
conclusionsOur study shows promising results for performing neuraxial anesthesia in phantoms using the HoloLens. Although this may have wide-ranging implications for image-guided therapies, further study is required to quantify the accuracy and safety benefit of using holographic guidance.
trial registrationClinicalTrials.gov NCT04028284; https://clinicaltrials.gov/ct2/show/NCT04028284.
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Registered trials
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