Evidence map›Paper›PMID 37484696›Full record

ArticleTherapeutics and clinical risk management2023

Accuracy Evaluation Trial of Mixed Reality-Guided Spinal Puncture Technology.

Jiajun Wu, Lei Gao, Qiao Shi, Chunhui Qin, Kai Xu, Zhaoshun Jiang, Xixue Zhang, Ming Li, Jianjian Qiu, Weidong Gu

Abstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Extended Reality for Neuraxial Procedures: A Scoping Review.Journal of medical extended reality · 2024
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jiajun Wu *Department of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, People's Republic of China.
Lei Gao *Department of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, People's Republic of China.
Qiao ShiDepartment of Anesthesiology, International Peace Maternity and Child Health Hospital of China, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, People's Republic of China.
Chunhui QinDepartment of Pain Management, Yueyang Integrated Traditional Chinese Medicine and Western Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, People's Republic of China.
Kai XuDepartment of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, People's Republic of China.
Zhaoshun JiangDepartment of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, People's Republic of China.
Xixue ZhangDepartment of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, People's Republic of China.
Ming LiDepartment of Radiology, Huadong Hospital affiliated to Fudan University, Shanghai, 200040, People's Republic of China.
Jianjian Qiu *Department of Radiation Oncology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, People's Republic of China.
Weidong Gu *Department of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the accuracy of mixed reality (MR)-guided visualization technology for spinal puncture (MRsp). Methods: MRsp involved the following three steps: 1. Lumbar spine computed tomography (CT) data were obtained to reconstruct virtual 3D images, which were imported into a HoloLens (2nd gen). 2. The patented MR system quickly recognized the spatial orientation and superimposed the virtual image over the real spine in the HoloLens. 3. The operator performed the spinal puncture with structural information provided by the virtual image. A posture fixation cushion was used to keep the subjects' lateral decubitus position consistent. 12 subjects were recruited to verify the setup error and the registration error. The setup error was calculated using the first two CT scans and measuring the displacement of two location markers. The projection points of the upper edge of the L3 spinous process (L3↑), the lower edge of the L3 spinous process (L3↓), and the lower edge of the L4 spinous process (L4↓) in the virtual image were positioned and marked on the skin as the registration markers. A third CT scan was performed to determine the registration error by measuring the displacement between the three registration markers and the corresponding real spinous process edges. Results: The setup errors in the position of the cranial location marker between CT scans along the left-right (LR), anterior-posterior (AP), and superior-inferior (SI) axes of the CT bed measured 0.09 ± 0.06 cm, 0.30 ± 0.28 cm, and 0.22 ± 0.12 cm, respectively, while those of the position of the caudal location marker measured 0.08 ± 0.06 cm, 0.29 ± 0.18 cm, and 0.18 ± 0.10 cm, respectively. The registration errors between the three registration markers and the subject's real L3↑, L3↓, and L4↓ were 0.11 ± 0.09 cm, 0.15 ± 0.13 cm, and 0.13 ± 0.10 cm, respectively, in the SI direction. Conclusion: This MR-guided visualization technology for spinal puncture can accurately and quickly superimpose the reconstructed 3D CT images over a real human spine.

Indexed as

immobilizationmixed realityregistration errorsetup errorspinal puncturesuperimposition

Identifiers

PMID37484696
PMCPMC10361284

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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.