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...
Guardado en:
Autores principales: | , , , , , , |
---|---|
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 |