Evidence map›Paper›PMID 39280781›Full record

ArticleJournal of medical imaging (Bellingham, Wash.)2024

Augmented reality for point-of-care ultrasound-guided vascular access in pediatric patients using Microsoft HoloLens 2: a preliminary evaluation.

Gesiren Zhang, Trong N Nguyen, Hadi Fooladi-Talari, Tyler Salvador, Kia Thomas, Daragh Crowley, R Scott Dingeman, Raj Shekhar

Abstract read
In one paragraph

Article in Journal of medical imaging (Bellingham, Wash.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
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

8 authors.

Gesiren ZhangChildren's National Hospital, Washington, DC, United States.ORCID https://orcid.org/0000-0002-8012-3195
Trong N NguyenAusculTech Dx, Silver Spring, Maryland, United States.ORCID https://orcid.org/0000-0003-4404-5836
Hadi Fooladi-TalariChildren's National Hospital, Washington, DC, United States.
Tyler SalvadorChildren's National Hospital, Washington, DC, United States.ORCID https://orcid.org/0000-0001-5842-6221
Kia ThomasChildren's National Hospital, Washington, DC, United States.ORCID https://orcid.org/0009-0002-3705-7193
Daragh CrowleyChildren's National Hospital, Washington, DC, United States.ORCID https://orcid.org/0000-0002-4268-7504
R Scott DingemanChildren's National Hospital, Washington, DC, United States.
Raj ShekharChildren's National Hospital, Washington, DC, United States.ORCID https://orcid.org/0000-0002-2047-3214

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Significance: Conventional ultrasound-guided vascular access procedures are challenging due to the need for anatomical understanding, precise needle manipulation, and hand-eye coordination. Recently, augmented reality (AR)-based guidance has emerged as an aid to improve procedural efficiency and potential outcomes. However, its application in pediatric vascular access has not been comprehensively evaluated. Aim: We developed an AR ultrasound application, HoloUS, using the Microsoft HoloLens 2 to display live ultrasound images directly in the proceduralist's field of view. We presented our evaluation of the effect of using the Microsoft HoloLens 2 for point-of-care ultrasound (POCUS)-guided vascular access in 30 pediatric patients. Approach: A custom software module was developed on a tablet capable of capturing the moving ultrasound image from any ultrasound machine's screen. The captured image was compressed and sent to the HoloLens 2 via a hotspot without needing Internet access. On the HoloLens 2, we developed a custom software module to receive, decompress, and display the live ultrasound image. Hand gesture and voice command features were implemented for the user to reposition, resize, and change the gain and the contrast of the image. We evaluated 30 (15 successful control and 12 successful interventional) cases completed in a single-center, prospective, randomized study. Results: The mean overall rendering latency and the rendering frame rate of the HoloUS application were 139.30 ms Conclusion: We presented our evaluation of the results from the first study using the Microsoft HoloLens 2 that investigates AR-based POCUS-guided vascular access in pediatric patients. Our evaluation confirmed clinical feasibility and potential improvement in procedural efficiency.

Indexed as

augmented realityhead-mounted displayHoloLensultrasound guidancevascular access

Identifiers

PMID39280781
PMCPMC11393663

What OpenQuestion holds

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Registered trials

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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.