AR visualization of automated access path planning for percutaneous interventions

Abstract

Abstract Minimally invasive interventions, e.g., percutaneous needle interventions, have many advantages compared to traditional surgery. However, they may require complex and time-consuming planning with experience-dependent success. Automated access path planning is faster and more consistent but individual preferences and situational circumstances are not considered. To this end, displaying the path planning results directly on the patient’s skin, using projector-based augmented reality (AR), was investigated. A constraint-based path planning was implemented to evaluate the quality of every path, taking into account risk structures and path length. A visualization was developed to display the results on the skin and to allow for path selection. The choice of the path followed by a navigated insertion was evaluated in a pilot study (n=5), considering four levels of the visualization with different amounts of displayed insertion points. Participants stated that they preferred to have multiple potential puncture points displayed. However, the results for the considered variables show only small differences. Overall, it has been shown that projectorbased AR visualization of automated access path planning is possible and enables individual, situation-adapted insertion point selection. More research is required to further explore optimal display of paths.