UNASSIGNED:本研究旨在描述我们在清醒开颅手术的多学科计划工作流程中对市售混合现实查看器的机构使用,并报告其可用性评估。
未经评估:三次特斯拉MRI扫描,包括32方向扩散张量序列,用BrainLabElements自动分割软件重建。将MagicLeap混合现实查看器耳机注册到共享的虚拟观看空间以显示图像重建。系统可用性量表用于评估混合现实系统的可用性。
UNASSIGNED:清醒的开颅手术计划工作流程利用混合现实查看器来促进通过四个渐进解剖层的逐步讨论;皮肤,大脑皮层,皮质下白质束和肿瘤周围的脉管系统。在每个阶段,多学科小组的相关成员审查关键的操作考虑因素,包括病人的定位,皮质和皮质下语音映射协议和肿瘤的手术方法。混合现实系统在5个月内连续10次手术中用于多学科清醒开颅手术计划。10名参与者(2名麻醉师,5名神经外科学员,2个言语治疗师,1神经心理学家)完成系统可用性量表评估,报告平均得分为71.5。反馈强调了能够演练程序中重要步骤的好处,包括患者定位和麻醉访问,并可视化皮层和皮层下语音映射的测试协议。
UNASSIGNED:这项研究支持将混合现实用于清醒开颅手术的多学科计划,具有可接受的界面可用性程度。我们强调需要考虑非技术性的要求,非神经外科团队成员参与混合现实活动时。
UNASSIGNED: This study aimed to describe our institutional use of a commercially available mixed reality viewer within a multi-disciplinary planning workflow for awake craniotomy surgery and to report an assessment of its usability.
UNASSIGNED: Three Tesla MRI scans, including 32-direction diffusion tensor sequences, were reconstructed with BrainLab Elements auto-segmentation software. Magic Leap mixed reality viewer headsets were registered to a shared virtual viewing space to display image reconstructions. System Usability Scale was used to assess the usability of the mixed reality system.
UNASSIGNED: The awake craniotomy planning workflow utilises the mixed reality viewer to facilitate a stepwise discussion through four progressive anatomical layers; the skin, cerebral cortex, subcortical white matter tracts and tumour with surrounding vasculature. At each stage relevant members of the multi-disciplinary team review key operative considerations, including patient positioning, cortical and subcortical speech mapping protocols and surgical approaches to the tumour.The mixed reality system was used for multi-disciplinary awake craniotomy planning in 10 consecutive procedures over a 5-month period. Ten participants (2 Anaesthetists, 5 Neurosurgical trainees, 2 Speech therapists, 1 Neuropsychologist) completed System Usability Scale assessments, reporting a mean score of 71.5. Feedback highlighted the benefit of being able to rehearse important steps in the procedure, including patient positioning and anaesthetic access and visualising the testing protocol for cortical and subcortical speech mapping.
UNASSIGNED: This study supports the use of mixed reality for multidisciplinary planning for awake craniotomy surgery, with an acceptable degree of usability of the interface. We highlight the need to consider the requirements of non-technical, non-neurosurgical team members when involving mixed reality activities.