Abstract
The paper considers the possibilities, prospects, and drawbacks of the mixed reality (MR) technology application using mixed reality smartglasses Microsoft HoloLens 2. The main challenge was to find and develop an approach that would allow surgeons to conduct operations using mixed reality on a large scale, reducing the preparation time required for the procedure and without having to create custom solutions for each patient. Research was conducted in three clinical cases: two median neck and one branchial cyst excisions. In each case, we applied a unique approach of hologram positioning in space based on mixed reality markers. As a result, we listed a series of positive and negative aspects related to MR surgery, along with proposed solutions for using MR in surgery on a daily basis.
Highlights
The existing methods of instrumental diagnostics in the preoperative phase allow a rather accurate detection of topological peculiarities of the median neck and branchial cysts [1,2]
There is a need for a solution that is based on augmented reality technology and overlays MRI or MSCT data on top of the patient during surgery procedures
The classical approach of augmented reality is not enough because the final image is formed on a flat screen, which does not allow the surgeon to accurately determine the position of anatomical structures in 3D space
Summary
The existing methods of instrumental diagnostics in the preoperative phase (ultrasound, MSCT, and MRI) allow a rather accurate detection of topological peculiarities of the median neck and branchial cysts [1,2]. The intraoperative image, with the change in the patient’s positioning on the operating table, can considerably differ from the examination results. There is a need for a solution that is based on augmented reality technology and overlays MRI or MSCT data on top of the patient during surgery procedures. This would provide surgeons a visualization of the interrelation between the cystic mass and the great vessels, as well as the interconnection of all neck organs; this would allow the surgeons to rule out any abnormal changes in them. It is necessary to use wearable glasses that include a stereo display and the use of mixed reality technology [3]
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