Ultrasound Augmentation of Stereoscopic and Conventional Video for Laparoscopic Surgeries
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Laparoscopic Cholecystectomy
- Sponsor
- Raj Shekhar
- Enrollment
- 11
- Locations
- 1
- Primary Endpoint
- System set-up time
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The objective of this study is to test the technical feasibility of LapAR visualization system for guiding laparoscopic surgeries and to gather clinical feedback on the use of this tool.
Detailed Description
Surgeons use real-time video generated by a laparoscope to visualize the operative field when performing laparoscopic procedures. An inability to see beneath organ surfaces is a limitation of the current visualization technology. Surgeons additionally use laparoscopic ultrasound to see beneath organ surfaces, but also need to mentally correlate the ultrasound image with the video of the operative field. This process is difficult, subjective, and variable with expertise, and discourages the use of ultrasound. We have developed a method to combine live laparoscopic video and laparoscopic ultrasound images to present fused multimodality images on a single display, eliminating the need for mental image correlation. Specifically, the image fusion method, called laparoscopic augmented reality (LapAR), augments the laparoscopic video with ultrasound data when required by surgeons. For ablations, we further track the needle and overlay its path on the AR view for precise needle placement. This study is designed to test this minimal-risk capability in patients referred for relevant laparoscopic procedures.
Investigators
Raj Shekhar
Principal Investigator
Children's National Research Institute
Eligibility Criteria
Inclusion Criteria
- •Referred for laparoscopic cholecystectomy or liver ablation
- •Clinical indication for the use of laparoscopic ultrasound
- •Patient or an authorized guardian provides written consent
Exclusion Criteria
- •Patients with pacemaker or any other ICD (intra-cardiac device) which may interfere with electromagnetic tracking
Outcomes
Primary Outcomes
System set-up time
Time Frame: before surgery, an expected average of 15 min
Usability
Time Frame: post surgery, an expected average of 5 minutes
The ease of use of the LapAR system will be evaluated by the surgeon