Consolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit

Cassandra C Brooks,1 John Kitchens,2 Thomas W Stone,2 Christopher D Riemann3,4 1Department of Ophthalmology, Duke University, Durham, NC, USA; 2Retina Associates of Kentucky, Lexington, KY, USA; 3University of Cincinnati College of Medicine, Cincinnati, OH, USA; 4Cincinnati Eye Institute, Cincinnati...

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Autores principales:	Brooks CC, Kitchens J, Stone TW, Riemann CD
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	3d hd machine vision heads up surgery digitally assisted vitreoretinal surgery davs ioct ocular endoscopy Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/72c82277a10f427a8403088b531c2056
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spelling	oai:doaj.org-article:72c82277a10f427a8403088b531c20562021-12-02T09:48:58ZConsolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit1177-5483https://doaj.org/article/72c82277a10f427a8403088b531c20562020-02-01T00:00:00Zhttps://www.dovepress.com/consolidation-of-imaging-modalities-utilizing-digitally-assisted-visua-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Cassandra C Brooks,1 John Kitchens,2 Thomas W Stone,2 Christopher D Riemann3,4 1Department of Ophthalmology, Duke University, Durham, NC, USA; 2Retina Associates of Kentucky, Lexington, KY, USA; 3University of Cincinnati College of Medicine, Cincinnati, OH, USA; 4Cincinnati Eye Institute, Cincinnati, OH, USACorrespondence: Cassandra C BrooksDepartment of Ophthalmology, Duke University, 2351 Erwin Drive, Durham, NC 27705, USAEmail Cassandra.brooks@duke.eduAbstract: The management of vitreoretinal cases is ever-evolving, paralleled by rapid advancements in operative imaging modalities. In this article, we describe an advanced application of digitally assisted vitreoretinal surgery (DAVS) that involves the consolidation of pre-existing ancillary imaging technology into a single same-screen viewing platform. Forty-four eyes of 44 patients were operated using same screen simultaneous viewing of the primary three-dimensional high definition (3DHD) surgical field and simultaneous auxiliary video feed viewing of all currently approved ocular endoscopy (n=12), intraoperative optical coherence tomography (iOCT) units (n=24), or computer feeds from the EHR/image management software (n=8). All surgeries were successful with excellent functional and anatomic outcomes. DAVS facilitated same screen viewing of multiple video/information feeds was notable for improved ergonomics, surgical efficiency, and precision when compared to viewing the surgical field and auxiliary video feeds separately. We describe a new concept for the vitreoretinal operating room – a DAVS-based surgical information handling cockpit – integrating FDA approved ocular endoscopy (n=1), microscope-integrated iOCT units (n=3), and one EHR/Image management solution with the primary surgical field 3DHD feed. We suggest same screen viewing of multiple video and other clinical information feeds is a promising modality that may be considered in the management of patients with surgical vitreoretinal disease and should be purposefully incorporated into future iterations of DAVS technology platforms.Keywords: 3D HD machine vision, heads up surgery, digitally assisted vitreoretinal surgery, DAVS, iOCT, ocular endoscopyBrooks CCKitchens JStone TWRiemann CDDove Medical Pressarticle3d hd machine visionheads up surgerydigitally assisted vitreoretinal surgerydavsioctocular endoscopyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 557-569 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	3d hd machine vision heads up surgery digitally assisted vitreoretinal surgery davs ioct ocular endoscopy Ophthalmology RE1-994
spellingShingle	3d hd machine vision heads up surgery digitally assisted vitreoretinal surgery davs ioct ocular endoscopy Ophthalmology RE1-994 Brooks CC Kitchens J Stone TW Riemann CD Consolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit
description	Cassandra C Brooks,1 John Kitchens,2 Thomas W Stone,2 Christopher D Riemann3,4 1Department of Ophthalmology, Duke University, Durham, NC, USA; 2Retina Associates of Kentucky, Lexington, KY, USA; 3University of Cincinnati College of Medicine, Cincinnati, OH, USA; 4Cincinnati Eye Institute, Cincinnati, OH, USACorrespondence: Cassandra C BrooksDepartment of Ophthalmology, Duke University, 2351 Erwin Drive, Durham, NC 27705, USAEmail Cassandra.brooks@duke.eduAbstract: The management of vitreoretinal cases is ever-evolving, paralleled by rapid advancements in operative imaging modalities. In this article, we describe an advanced application of digitally assisted vitreoretinal surgery (DAVS) that involves the consolidation of pre-existing ancillary imaging technology into a single same-screen viewing platform. Forty-four eyes of 44 patients were operated using same screen simultaneous viewing of the primary three-dimensional high definition (3DHD) surgical field and simultaneous auxiliary video feed viewing of all currently approved ocular endoscopy (n=12), intraoperative optical coherence tomography (iOCT) units (n=24), or computer feeds from the EHR/image management software (n=8). All surgeries were successful with excellent functional and anatomic outcomes. DAVS facilitated same screen viewing of multiple video/information feeds was notable for improved ergonomics, surgical efficiency, and precision when compared to viewing the surgical field and auxiliary video feeds separately. We describe a new concept for the vitreoretinal operating room – a DAVS-based surgical information handling cockpit – integrating FDA approved ocular endoscopy (n=1), microscope-integrated iOCT units (n=3), and one EHR/Image management solution with the primary surgical field 3DHD feed. We suggest same screen viewing of multiple video and other clinical information feeds is a promising modality that may be considered in the management of patients with surgical vitreoretinal disease and should be purposefully incorporated into future iterations of DAVS technology platforms.Keywords: 3D HD machine vision, heads up surgery, digitally assisted vitreoretinal surgery, DAVS, iOCT, ocular endoscopy
format	article
author	Brooks CC Kitchens J Stone TW Riemann CD
author_facet	Brooks CC Kitchens J Stone TW Riemann CD
author_sort	Brooks CC
title	Consolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit
title_short	Consolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit
title_full	Consolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit
title_fullStr	Consolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit
title_full_unstemmed	Consolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit
title_sort	consolidation of imaging modalities utilizing digitally assisted visualization systems: the development of a surgical information handling cockpit
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/72c82277a10f427a8403088b531c2056
work_keys_str_mv	AT brookscc consolidationofimagingmodalitiesutilizingdigitallyassistedvisualizationsystemsthedevelopmentofasurgicalinformationhandlingcockpit AT kitchensj consolidationofimagingmodalitiesutilizingdigitallyassistedvisualizationsystemsthedevelopmentofasurgicalinformationhandlingcockpit AT stonetw consolidationofimagingmodalitiesutilizingdigitallyassistedvisualizationsystemsthedevelopmentofasurgicalinformationhandlingcockpit AT riemanncd consolidationofimagingmodalitiesutilizingdigitallyassistedvisualizationsystemsthedevelopmentofasurgicalinformationhandlingcockpit
_version_	1718398010405158912

Consolidation of Imaging Modalities Utilizing Digitally Assisted Visualization Systems: The Development of a Surgical Information Handling Cockpit

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