Virtual reality three-dimensional echocardiographic imaging for planning surgical atrioventricular valve repairCentral MessagePerspective
Objectives: To investigate how virtual reality (VR) imaging impacts decision-making in atrioventricular valve surgery. Methods: This was a single-center retrospective study involving 15 children and adolescents, median age 6 years (range, 0.33-16) requiring surgical repair of the atrioventricular va...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250721001991 |
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| author | Kuberan Pushparajah, MD, MRCPCH Ka Yee Kelly Chu Shujie Deng, PhD Gavin Wheeler, PhD Alberto Gomez, PhD Saleha Kabir, PhD Julia A. Schnabel, PhD, MSc, MA John M. Simpson, MD, FRCP |
| author_facet | Kuberan Pushparajah, MD, MRCPCH Ka Yee Kelly Chu Shujie Deng, PhD Gavin Wheeler, PhD Alberto Gomez, PhD Saleha Kabir, PhD Julia A. Schnabel, PhD, MSc, MA John M. Simpson, MD, FRCP |
| author_sort | Kuberan Pushparajah, MD, MRCPCH |
| collection | DOAJ |
| description | Objectives: To investigate how virtual reality (VR) imaging impacts decision-making in atrioventricular valve surgery. Methods: This was a single-center retrospective study involving 15 children and adolescents, median age 6 years (range, 0.33-16) requiring surgical repair of the atrioventricular valves between the years 2016 and 2019. The patients' preoperative 3-dimesnional (3D) echocardiographic data were used to create 3D visualization in a VR application. Five pediatric cardiothoracic surgeons completed a questionnaire formulated to compare their surgical decisions regarding the cases after reviewing conventionally presented 2-dimesnional and 3D echocardiographic images and again after visualization of 3D echocardiograms using the VR platform. Finally, intraoperative findings were shared with surgeons to confirm assessment of the pathology. Results: In 67% of cases presented with VR, surgeons reported having “more” or “much more” confidence in their understanding of each patient's pathology and their surgical approach. In all but one case, surgeons were at least as confident after reviewing the VR compared with standard imaging. The case where surgeons reported to be least confident on VR had the worst technical quality of data used. After viewing patient cases on VR, surgeons reported that they would have made minor modifications to surgical approach in 53% and major modifications in 7% of cases. Conclusions: The main impact of viewing imaging on VR is the improved clarity of the anatomical structures. Surgeons reported that this would have impacted the surgical approach in the majority of cases. Poor-quality 3D echocardiographic data were associated with a negative impact of VR visualization; thus. quality assessment of imaging is necessary before projecting in a VR format. |
| format | Article |
| id | doaj-art-5b97bb9ca74349478f22f034f57d2669 |
| institution | Kabale University |
| issn | 2666-2507 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-5b97bb9ca74349478f22f034f57d26692025-08-20T03:38:26ZengElsevierJTCVS Techniques2666-25072021-06-01726927710.1016/j.xjtc.2021.02.044Virtual reality three-dimensional echocardiographic imaging for planning surgical atrioventricular valve repairCentral MessagePerspectiveKuberan Pushparajah, MD, MRCPCH0Ka Yee Kelly Chu1Shujie Deng, PhD2Gavin Wheeler, PhD3Alberto Gomez, PhD4Saleha Kabir, PhD5Julia A. Schnabel, PhD, MSc, MA6John M. Simpson, MD, FRCP7School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom; Department of Congenital Heart Disease, Evelina London Children's Hospital, Guy's and St Thomas' National Health Service Foundation Trust, London, United Kingdom; Address for reprints: Kuberan Pushparajah, MD, MRCPCH, School of Biomedical Engineering and Imaging Sciences, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH United Kingdom.School of Biomedical Engineering & Imaging Sciences, King's College London, London, United KingdomSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, United KingdomSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, United KingdomSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, United KingdomDepartment of Congenital Heart Disease, Evelina London Children's Hospital, Guy's and St Thomas' National Health Service Foundation Trust, London, United KingdomSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, United KingdomSchool of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom; Department of Congenital Heart Disease, Evelina London Children's Hospital, Guy's and St Thomas' National Health Service Foundation Trust, London, United KingdomObjectives: To investigate how virtual reality (VR) imaging impacts decision-making in atrioventricular valve surgery. Methods: This was a single-center retrospective study involving 15 children and adolescents, median age 6 years (range, 0.33-16) requiring surgical repair of the atrioventricular valves between the years 2016 and 2019. The patients' preoperative 3-dimesnional (3D) echocardiographic data were used to create 3D visualization in a VR application. Five pediatric cardiothoracic surgeons completed a questionnaire formulated to compare their surgical decisions regarding the cases after reviewing conventionally presented 2-dimesnional and 3D echocardiographic images and again after visualization of 3D echocardiograms using the VR platform. Finally, intraoperative findings were shared with surgeons to confirm assessment of the pathology. Results: In 67% of cases presented with VR, surgeons reported having “more” or “much more” confidence in their understanding of each patient's pathology and their surgical approach. In all but one case, surgeons were at least as confident after reviewing the VR compared with standard imaging. The case where surgeons reported to be least confident on VR had the worst technical quality of data used. After viewing patient cases on VR, surgeons reported that they would have made minor modifications to surgical approach in 53% and major modifications in 7% of cases. Conclusions: The main impact of viewing imaging on VR is the improved clarity of the anatomical structures. Surgeons reported that this would have impacted the surgical approach in the majority of cases. Poor-quality 3D echocardiographic data were associated with a negative impact of VR visualization; thus. quality assessment of imaging is necessary before projecting in a VR format.http://www.sciencedirect.com/science/article/pii/S2666250721001991virtual realitycongenital heart diseasesurgeryatrioventricular valvesevolving technology |
| spellingShingle | Kuberan Pushparajah, MD, MRCPCH Ka Yee Kelly Chu Shujie Deng, PhD Gavin Wheeler, PhD Alberto Gomez, PhD Saleha Kabir, PhD Julia A. Schnabel, PhD, MSc, MA John M. Simpson, MD, FRCP Virtual reality three-dimensional echocardiographic imaging for planning surgical atrioventricular valve repairCentral MessagePerspective JTCVS Techniques virtual reality congenital heart disease surgery atrioventricular valves evolving technology |
| title | Virtual reality three-dimensional echocardiographic imaging for planning surgical atrioventricular valve repairCentral MessagePerspective |
| title_full | Virtual reality three-dimensional echocardiographic imaging for planning surgical atrioventricular valve repairCentral MessagePerspective |
| title_fullStr | Virtual reality three-dimensional echocardiographic imaging for planning surgical atrioventricular valve repairCentral MessagePerspective |
| title_full_unstemmed | Virtual reality three-dimensional echocardiographic imaging for planning surgical atrioventricular valve repairCentral MessagePerspective |
| title_short | Virtual reality three-dimensional echocardiographic imaging for planning surgical atrioventricular valve repairCentral MessagePerspective |
| title_sort | virtual reality three dimensional echocardiographic imaging for planning surgical atrioventricular valve repaircentral messageperspective |
| topic | virtual reality congenital heart disease surgery atrioventricular valves evolving technology |
| url | http://www.sciencedirect.com/science/article/pii/S2666250721001991 |
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