Preoperative Immersive Virtual Reality Planning and Simulation of Bronchoscopic Lung Volume Reduction Using Endobronchial Valves
ABSTRACT Bronchoscopic lung volume reduction (BLVR) with endobronchial valves is an established treatment for selected patients with advanced emphysema. A 74‐year‐old male patient with chronic obstructive pulmonary disease and severe dyspnea was scheduled to undergo BLVR targeting the right middle l...
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| Format: | Article |
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Wiley
2025-05-01
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| Series: | Respirology Case Reports |
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| Online Access: | https://doi.org/10.1002/rcr2.70157 |
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| author | Shotaro Okachi Hideaki Takahashi Hisashi Kako Takuma Ina Tomoya Horiguchi Yasuhiro Goto Yasushi Matsuda Sumito Isogai Naozumi Hashimoto Michitaka Fujiwara Kazuyoshi Imaizumi |
| author_facet | Shotaro Okachi Hideaki Takahashi Hisashi Kako Takuma Ina Tomoya Horiguchi Yasuhiro Goto Yasushi Matsuda Sumito Isogai Naozumi Hashimoto Michitaka Fujiwara Kazuyoshi Imaizumi |
| author_sort | Shotaro Okachi |
| collection | DOAJ |
| description | ABSTRACT Bronchoscopic lung volume reduction (BLVR) with endobronchial valves is an established treatment for selected patients with advanced emphysema. A 74‐year‐old male patient with chronic obstructive pulmonary disease and severe dyspnea was scheduled to undergo BLVR targeting the right middle lobe bronchus based on high‐resolution CT findings, which showed severe emphysematous changes with hyperinflation and fissure completeness of 98% in the right middle lobe. The physician conducted preoperative virtual reality (VR)‐assisted planning using the patient's imaging data, enabling comprehensive visualisation of the bronchial tree, airway measurements, and procedural simulation. The Chartis system confirmed a ‘no flow’ pattern, supporting the absence of collateral ventilation. During the procedure, a size 5.5 valve was placed in the right B4/5 bronchus following VR and intraoperative assessments. The patient remained stable postoperatively without complications. VR enhanced procedural planning by improving airway assessment, optimising valve sizing, and reducing cognitive load, leading to increased efficiency and operator confidence. Further research is warranted to validate the utility of VR in bronchoscopic interventions. |
| format | Article |
| id | doaj-art-83fc21abd0724be294e55296cd2860a8 |
| institution | DOAJ |
| issn | 2051-3380 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj-art-83fc21abd0724be294e55296cd2860a82025-08-20T03:21:39ZengWileyRespirology Case Reports2051-33802025-05-01135n/an/a10.1002/rcr2.70157Preoperative Immersive Virtual Reality Planning and Simulation of Bronchoscopic Lung Volume Reduction Using Endobronchial ValvesShotaro Okachi0Hideaki Takahashi1Hisashi Kako2Takuma Ina3Tomoya Horiguchi4Yasuhiro Goto5Yasushi Matsuda6Sumito Isogai7Naozumi Hashimoto8Michitaka Fujiwara9Kazuyoshi Imaizumi10Department of Respiratory Medicine Fujita Health University School of Medicine Toyoake Aichi JapanDepartment of Respiratory Medicine Fujita Health University School of Medicine Toyoake Aichi JapanDepartment of Respiratory Medicine Fujita Health University School of Medicine Toyoake Aichi JapanDepartment of Respiratory Medicine Fujita Health University School of Medicine Toyoake Aichi JapanDepartment of Respiratory Medicine Fujita Health University School of Medicine Toyoake Aichi JapanDepartment of Respiratory Medicine Fujita Health University School of Medicine Toyoake Aichi JapanDepartment of Thoracic Surgery Fujita Health University School of Medicine Toyoake Aichi JapanDepartment of Respiratory Medicine Fujita Health University School of Medicine Toyoake Aichi JapanDepartment of Respiratory Medicine Fujita Health University School of Medicine Toyoake Aichi JapanMedical xR Center Nagoya University Graduate School of Medicine Nagoya Aichi JapanDepartment of Respiratory Medicine Fujita Health University School of Medicine Toyoake Aichi JapanABSTRACT Bronchoscopic lung volume reduction (BLVR) with endobronchial valves is an established treatment for selected patients with advanced emphysema. A 74‐year‐old male patient with chronic obstructive pulmonary disease and severe dyspnea was scheduled to undergo BLVR targeting the right middle lobe bronchus based on high‐resolution CT findings, which showed severe emphysematous changes with hyperinflation and fissure completeness of 98% in the right middle lobe. The physician conducted preoperative virtual reality (VR)‐assisted planning using the patient's imaging data, enabling comprehensive visualisation of the bronchial tree, airway measurements, and procedural simulation. The Chartis system confirmed a ‘no flow’ pattern, supporting the absence of collateral ventilation. During the procedure, a size 5.5 valve was placed in the right B4/5 bronchus following VR and intraoperative assessments. The patient remained stable postoperatively without complications. VR enhanced procedural planning by improving airway assessment, optimising valve sizing, and reducing cognitive load, leading to increased efficiency and operator confidence. Further research is warranted to validate the utility of VR in bronchoscopic interventions.https://doi.org/10.1002/rcr2.70157bronchoscopyendobronchial valvelung volume reductionsimulationvirtual reality |
| spellingShingle | Shotaro Okachi Hideaki Takahashi Hisashi Kako Takuma Ina Tomoya Horiguchi Yasuhiro Goto Yasushi Matsuda Sumito Isogai Naozumi Hashimoto Michitaka Fujiwara Kazuyoshi Imaizumi Preoperative Immersive Virtual Reality Planning and Simulation of Bronchoscopic Lung Volume Reduction Using Endobronchial Valves Respirology Case Reports bronchoscopy endobronchial valve lung volume reduction simulation virtual reality |
| title | Preoperative Immersive Virtual Reality Planning and Simulation of Bronchoscopic Lung Volume Reduction Using Endobronchial Valves |
| title_full | Preoperative Immersive Virtual Reality Planning and Simulation of Bronchoscopic Lung Volume Reduction Using Endobronchial Valves |
| title_fullStr | Preoperative Immersive Virtual Reality Planning and Simulation of Bronchoscopic Lung Volume Reduction Using Endobronchial Valves |
| title_full_unstemmed | Preoperative Immersive Virtual Reality Planning and Simulation of Bronchoscopic Lung Volume Reduction Using Endobronchial Valves |
| title_short | Preoperative Immersive Virtual Reality Planning and Simulation of Bronchoscopic Lung Volume Reduction Using Endobronchial Valves |
| title_sort | preoperative immersive virtual reality planning and simulation of bronchoscopic lung volume reduction using endobronchial valves |
| topic | bronchoscopy endobronchial valve lung volume reduction simulation virtual reality |
| url | https://doi.org/10.1002/rcr2.70157 |
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