Interactive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls

Mohammad Javed Ali,1 Milind N Naik,1 Chetan Mallikarjuniah Girish,1 Mohammad Hasnat Ali,2 Swathi Kaliki,2 Tarjani Vivek Dave,1 Gautam Dendukuri1 1Ophthalmic Plastic Surgery Service, 2The Operation Eyesight Universal Institute for Eye Cancer, L.V. Prasad Eye Institute, Hyderabad, India Aim: The aim...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Ali MJ, Naik MN, Girish CM, Ali MH, Kaliki S, Dave TV, Dendukuri G
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://doaj.org/article/f8d1869b814d4df39299d9c13b8393e1
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:f8d1869b814d4df39299d9c13b8393e1
record_format dspace
spelling oai:doaj.org-article:f8d1869b814d4df39299d9c13b8393e12021-12-02T02:16:18ZInteractive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls1177-5483https://doaj.org/article/f8d1869b814d4df39299d9c13b8393e12016-11-01T00:00:00Zhttps://www.dovepress.com/interactive-navigation-guided-ophthalmic-plastic-surgery-assessment-of-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Mohammad Javed Ali,1 Milind N Naik,1 Chetan Mallikarjuniah Girish,1 Mohammad Hasnat Ali,2 Swathi Kaliki,2 Tarjani Vivek Dave,1 Gautam Dendukuri1 1Ophthalmic Plastic Surgery Service, 2The Operation Eyesight Universal Institute for Eye Cancer, L.V. Prasad Eye Institute, Hyderabad, India Aim: The aim of this study was to assess the anatomical accuracy of navigation technology in localizing defined anatomic landmarks within the orbit with respect to type of technology (optical versus electromagnetic systems) and position of the dynamic reference marker on the skull (vertex, temporal, parietal, and mastoid) using in vitro navigation-enabled human skulls. The role of this model as a possible learning tool for anatomicoradiological correlations was also assessed. Methods: Computed tomography (CT) scans were performed on three cadaveric human skulls using the standard image-guidance acquisition protocols. Thirty-five anatomical landmarks were identified for stereotactic navigation using the image-guided StealthStation S7™ in both electromagnetic and optical modes. Three outcome measures studied were accuracy of anatomical localization and its repeatability, comparisons between the electromagnetic and optical modes in assessing radiological accuracy, and the efficacy of dynamic reference frame (DRF) at different locations on the skull. Results: The geometric localization of all the identified anatomical landmarks could be achieved accurately. The Cohen’s kappa agreements between the surgeons were found to be perfect (kappa =0.941) at all predetermined points. There was no difference in anatomical localization between the optical and electromagnetic modes (P≤0.001). Precision for radiological identification did not differ with various positions of the DRF. Skulls with intact anatomical details and careful CT image acquisitions were found to be stereotactically useful. Conclusion: Accuracy of anatomic localization within the orbit with navigation technology is equal with optical and electromagnetic system. The location of DRF does not affect the accuracy. Navigation-enabled skull models can be potentially useful as teaching tools for achieving the accurate radiological orientation of orbital and periorbital structures. Keywords: navigation, image guidance, orbit, anatomy, teaching model, ophthalmic plastic surgeryAli MJNaik MNGirish CMAli MHKaliki SDave TVDendukuri GDove Medical PressarticleNavigation Image-guidance Orbit Anatomy Teaching model Ophthalmic Plastic SurgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 2383-2390 (2016)
institution DOAJ
collection DOAJ
language EN
topic Navigation Image-guidance Orbit Anatomy Teaching model Ophthalmic Plastic Surgery
Ophthalmology
RE1-994
spellingShingle Navigation Image-guidance Orbit Anatomy Teaching model Ophthalmic Plastic Surgery
Ophthalmology
RE1-994
Ali MJ
Naik MN
Girish CM
Ali MH
Kaliki S
Dave TV
Dendukuri G
Interactive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls
description Mohammad Javed Ali,1 Milind N Naik,1 Chetan Mallikarjuniah Girish,1 Mohammad Hasnat Ali,2 Swathi Kaliki,2 Tarjani Vivek Dave,1 Gautam Dendukuri1 1Ophthalmic Plastic Surgery Service, 2The Operation Eyesight Universal Institute for Eye Cancer, L.V. Prasad Eye Institute, Hyderabad, India Aim: The aim of this study was to assess the anatomical accuracy of navigation technology in localizing defined anatomic landmarks within the orbit with respect to type of technology (optical versus electromagnetic systems) and position of the dynamic reference marker on the skull (vertex, temporal, parietal, and mastoid) using in vitro navigation-enabled human skulls. The role of this model as a possible learning tool for anatomicoradiological correlations was also assessed. Methods: Computed tomography (CT) scans were performed on three cadaveric human skulls using the standard image-guidance acquisition protocols. Thirty-five anatomical landmarks were identified for stereotactic navigation using the image-guided StealthStation S7™ in both electromagnetic and optical modes. Three outcome measures studied were accuracy of anatomical localization and its repeatability, comparisons between the electromagnetic and optical modes in assessing radiological accuracy, and the efficacy of dynamic reference frame (DRF) at different locations on the skull. Results: The geometric localization of all the identified anatomical landmarks could be achieved accurately. The Cohen’s kappa agreements between the surgeons were found to be perfect (kappa =0.941) at all predetermined points. There was no difference in anatomical localization between the optical and electromagnetic modes (P≤0.001). Precision for radiological identification did not differ with various positions of the DRF. Skulls with intact anatomical details and careful CT image acquisitions were found to be stereotactically useful. Conclusion: Accuracy of anatomic localization within the orbit with navigation technology is equal with optical and electromagnetic system. The location of DRF does not affect the accuracy. Navigation-enabled skull models can be potentially useful as teaching tools for achieving the accurate radiological orientation of orbital and periorbital structures. Keywords: navigation, image guidance, orbit, anatomy, teaching model, ophthalmic plastic surgery
format article
author Ali MJ
Naik MN
Girish CM
Ali MH
Kaliki S
Dave TV
Dendukuri G
author_facet Ali MJ
Naik MN
Girish CM
Ali MH
Kaliki S
Dave TV
Dendukuri G
author_sort Ali MJ
title Interactive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls
title_short Interactive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls
title_full Interactive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls
title_fullStr Interactive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls
title_full_unstemmed Interactive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls
title_sort interactive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/f8d1869b814d4df39299d9c13b8393e1
work_keys_str_mv AT alimj interactivenavigationguidedophthalmicplasticsurgeryassessmentofopticalversuselectromagneticmodesandroleofdynamicreferenceframelocationusingnavigationenabledhumanskulls
AT naikmn interactivenavigationguidedophthalmicplasticsurgeryassessmentofopticalversuselectromagneticmodesandroleofdynamicreferenceframelocationusingnavigationenabledhumanskulls
AT girishcm interactivenavigationguidedophthalmicplasticsurgeryassessmentofopticalversuselectromagneticmodesandroleofdynamicreferenceframelocationusingnavigationenabledhumanskulls
AT alimh interactivenavigationguidedophthalmicplasticsurgeryassessmentofopticalversuselectromagneticmodesandroleofdynamicreferenceframelocationusingnavigationenabledhumanskulls
AT kalikis interactivenavigationguidedophthalmicplasticsurgeryassessmentofopticalversuselectromagneticmodesandroleofdynamicreferenceframelocationusingnavigationenabledhumanskulls
AT davetv interactivenavigationguidedophthalmicplasticsurgeryassessmentofopticalversuselectromagneticmodesandroleofdynamicreferenceframelocationusingnavigationenabledhumanskulls
AT dendukurig interactivenavigationguidedophthalmicplasticsurgeryassessmentofopticalversuselectromagneticmodesandroleofdynamicreferenceframelocationusingnavigationenabledhumanskulls
_version_ 1718402631173406720