Advancing Pediatric Surgery: The Use of HoloLens 2 for 3D Anatomical Reconstructions in Preoperative Planning

Background: In pediatric surgery, a comprehensive knowledge of the child’s anatomy is crucial to optimize surgical outcomes and minimize complications. Recent advancements in medical imaging and technology have introduced innovative tools that enhance surgical planning and decision-making. Methods:...

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Main Authors: Marco Di Mitri, Annalisa Di Carmine, Simone D’Antonio, Benedetta Maria Capobianco, Cristian Bisanti, Edoardo Collautti, Sara Maria Cravano, Francesca Ruspi, Michele Libri, Tommaso Gargano, Mario Lima
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/12/1/32
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author Marco Di Mitri
Annalisa Di Carmine
Simone D’Antonio
Benedetta Maria Capobianco
Cristian Bisanti
Edoardo Collautti
Sara Maria Cravano
Francesca Ruspi
Michele Libri
Tommaso Gargano
Mario Lima
author_facet Marco Di Mitri
Annalisa Di Carmine
Simone D’Antonio
Benedetta Maria Capobianco
Cristian Bisanti
Edoardo Collautti
Sara Maria Cravano
Francesca Ruspi
Michele Libri
Tommaso Gargano
Mario Lima
author_sort Marco Di Mitri
collection DOAJ
description Background: In pediatric surgery, a comprehensive knowledge of the child’s anatomy is crucial to optimize surgical outcomes and minimize complications. Recent advancements in medical imaging and technology have introduced innovative tools that enhance surgical planning and decision-making. Methods: This study explores the integration of mixed reality technology, specifically the HoloLens 2 headset, for visualization and interaction with three-dimensional (3D) anatomical reconstructions obtained from computed tomography (CT) scans. Our prospective observational study, conducted at IRCCS (Scientific Hospitalization and Care Institute) Sant’Orsola-Malpighi University Hospital in Bologna, engaged ten pediatric surgeons, who assessed three types of anatomical malformations (splenic cysts, pulmonary cystic adenomatoid malformations, and pyelo-ureteral junction stenosis) and planned surgeries using both traditional 2D CT scans and 3D visualizations via HoloLens 2, followed by completing a questionnaire to evaluate the utility of each of these imaging techniques in surgical planning. Results: The statistical analysis revealed that the 3D visualizations significantly outperformed the 2D CT scans in clarity and utility (<i>p</i> < 0.05). The results indicated significant improvements in anatomy understanding and surgical precision. The immersive experience provided by HoloLens 2 enabled surgeons to better identify critical landmarks, understand spatial relationships, and prevent surgical challenges. Furthermore, this technology facilitated collaborative decision-making and streamlined surgical workflows. Conclusions: Despite some challenges in ease of use, HoloLens 2 showed promising results in reducing the learning curve for complex procedures. This study underscores the transformative potential of mixed reality technology in pediatric surgery, advocating for further research and development to integrate these advancements into routine clinical practice.
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spelling doaj-art-f205094e072a446b8dc129fc7d56446d2025-01-24T13:27:03ZengMDPI AGChildren2227-90672024-12-011213210.3390/children12010032Advancing Pediatric Surgery: The Use of HoloLens 2 for 3D Anatomical Reconstructions in Preoperative PlanningMarco Di Mitri0Annalisa Di Carmine1Simone D’Antonio2Benedetta Maria Capobianco3Cristian Bisanti4Edoardo Collautti5Sara Maria Cravano6Francesca Ruspi7Michele Libri8Tommaso Gargano9Mario Lima10Pediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyPediatric Surgery Department, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Via Massarenti 11, 40138 Bologna, ItalyBackground: In pediatric surgery, a comprehensive knowledge of the child’s anatomy is crucial to optimize surgical outcomes and minimize complications. Recent advancements in medical imaging and technology have introduced innovative tools that enhance surgical planning and decision-making. Methods: This study explores the integration of mixed reality technology, specifically the HoloLens 2 headset, for visualization and interaction with three-dimensional (3D) anatomical reconstructions obtained from computed tomography (CT) scans. Our prospective observational study, conducted at IRCCS (Scientific Hospitalization and Care Institute) Sant’Orsola-Malpighi University Hospital in Bologna, engaged ten pediatric surgeons, who assessed three types of anatomical malformations (splenic cysts, pulmonary cystic adenomatoid malformations, and pyelo-ureteral junction stenosis) and planned surgeries using both traditional 2D CT scans and 3D visualizations via HoloLens 2, followed by completing a questionnaire to evaluate the utility of each of these imaging techniques in surgical planning. Results: The statistical analysis revealed that the 3D visualizations significantly outperformed the 2D CT scans in clarity and utility (<i>p</i> < 0.05). The results indicated significant improvements in anatomy understanding and surgical precision. The immersive experience provided by HoloLens 2 enabled surgeons to better identify critical landmarks, understand spatial relationships, and prevent surgical challenges. Furthermore, this technology facilitated collaborative decision-making and streamlined surgical workflows. Conclusions: Despite some challenges in ease of use, HoloLens 2 showed promising results in reducing the learning curve for complex procedures. This study underscores the transformative potential of mixed reality technology in pediatric surgery, advocating for further research and development to integrate these advancements into routine clinical practice.https://www.mdpi.com/2227-9067/12/1/32HoloLens 2three-dimensional reconstructionVerimapediatric surgeryinnovationsmixed reality
spellingShingle Marco Di Mitri
Annalisa Di Carmine
Simone D’Antonio
Benedetta Maria Capobianco
Cristian Bisanti
Edoardo Collautti
Sara Maria Cravano
Francesca Ruspi
Michele Libri
Tommaso Gargano
Mario Lima
Advancing Pediatric Surgery: The Use of HoloLens 2 for 3D Anatomical Reconstructions in Preoperative Planning
Children
HoloLens 2
three-dimensional reconstruction
Verima
pediatric surgery
innovations
mixed reality
title Advancing Pediatric Surgery: The Use of HoloLens 2 for 3D Anatomical Reconstructions in Preoperative Planning
title_full Advancing Pediatric Surgery: The Use of HoloLens 2 for 3D Anatomical Reconstructions in Preoperative Planning
title_fullStr Advancing Pediatric Surgery: The Use of HoloLens 2 for 3D Anatomical Reconstructions in Preoperative Planning
title_full_unstemmed Advancing Pediatric Surgery: The Use of HoloLens 2 for 3D Anatomical Reconstructions in Preoperative Planning
title_short Advancing Pediatric Surgery: The Use of HoloLens 2 for 3D Anatomical Reconstructions in Preoperative Planning
title_sort advancing pediatric surgery the use of hololens 2 for 3d anatomical reconstructions in preoperative planning
topic HoloLens 2
three-dimensional reconstruction
Verima
pediatric surgery
innovations
mixed reality
url https://www.mdpi.com/2227-9067/12/1/32
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