Skip to main content
Erschienen in: International Journal of Computer Assisted Radiology and Surgery 6/2017

25.03.2017 | Original Article

Comparison of optical see-through head-mounted displays for surgical interventions with object-anchored 2D-display

verfasst von: Long Qian, Alexander Barthel, Alex Johnson, Greg Osgood, Peter Kazanzides, Nassir Navab, Bernhard Fuerst

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 6/2017

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Purpose

Optical see-through head-mounted displays (OST-HMD) feature an unhindered and instantaneous view of the surgery site and can enable a mixed reality experience for surgeons during procedures. In this paper, we present a systematic approach to identify the criteria for evaluation of OST-HMD technologies for specific clinical scenarios, which benefit from using an object-anchored 2D-display visualizing medical information.

Methods

Criteria for evaluating the performance of OST-HMDs for visualization of medical information and its usage are identified and proposed. These include text readability, contrast perception, task load, frame rate, and system lag. We choose to compare three commercially available OST-HMDs, which are representatives of currently available head-mounted display technologies. A multi-user study and an offline experiment are conducted to evaluate their performance.

Results

Statistical analysis demonstrates that Microsoft HoloLens performs best among the three tested OST-HMDs, in terms of contrast perception, task load, and frame rate, while ODG R-7 offers similar text readability. The integration of indoor localization and fiducial tracking on the HoloLens provides significantly less system lag in a relatively motionless scenario.

Conclusions

With ever more OST-HMDs appearing on the market, the proposed criteria could be used in the evaluation of their suitability for mixed reality surgical intervention. Currently, Microsoft HoloLens may be more suitable than ODG R-7 and Epson Moverio BT-200 for clinical usability in terms of the evaluated criteria. To the best of our knowledge, this is the first paper that presents a methodology and conducts experiments to evaluate and compare OST-HMDs for their use as object-anchored 2D-display during interventions.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 390 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Maschinenbau + Werkstoffe




 

Jetzt Wissensvorsprung sichern!

Literatur
1.
Zurück zum Zitat Abe Y, Sato S, Kato K, Hyakumachi T, Yanagibashi Y, Ito M, Abumi K (2013) A novel 3D guidance system using augmented reality for percutaneous vertebroplasty: technical note. J Neurosurg Spine 19(4):492–501CrossRefPubMed Abe Y, Sato S, Kato K, Hyakumachi T, Yanagibashi Y, Ito M, Abumi K (2013) A novel 3D guidance system using augmented reality for percutaneous vertebroplasty: technical note. J Neurosurg Spine 19(4):492–501CrossRefPubMed
2.
Zurück zum Zitat Armstrong DG, Rankin TM, Giovinco NA, Mills JL, Matsuoka Y (2014) A heads-up display for diabetic limb salvage surgery a view through the google looking glass. J Diabetes Sci Technol 8:951–956CrossRefPubMedPubMedCentral Armstrong DG, Rankin TM, Giovinco NA, Mills JL, Matsuoka Y (2014) A heads-up display for diabetic limb salvage surgery a view through the google looking glass. J Diabetes Sci Technol 8:951–956CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Azimi E, Doswell J, Kazanzides P (2012) Augmented reality goggles with an integrated tracking system for navigation in neurosurgery. In: 2012 IEEE Virtual Reality Workshops (VRW), pp 123–124. doi:10.1109/VR.2012.6180913 Azimi E, Doswell J, Kazanzides P (2012) Augmented reality goggles with an integrated tracking system for navigation in neurosurgery. In: 2012 IEEE Virtual Reality Workshops (VRW), pp 123–124. doi:10.​1109/​VR.​2012.​6180913
4.
Zurück zum Zitat Badiali G, Ferrari V, Cutolo F, Freschi C, Caramella D, Bianchi A, Marchetti C (2014) Augmented reality as an aid in maxillofacial surgery: validation of a wearable system allowing maxillary repositioning. J Craniomaxillofacial Surg 42(8):1970–1976CrossRef Badiali G, Ferrari V, Cutolo F, Freschi C, Caramella D, Bianchi A, Marchetti C (2014) Augmented reality as an aid in maxillofacial surgery: validation of a wearable system allowing maxillary repositioning. J Craniomaxillofacial Surg 42(8):1970–1976CrossRef
5.
Zurück zum Zitat Bajura M, Fuchs H, Ohbuchi R (1992) Merging virtual objects with the real world: Seeing ultrasound imagery within the patient. SIGGRAPH 26(2):203–210. doi:10.1145/142920.134061 Bajura M, Fuchs H, Ohbuchi R (1992) Merging virtual objects with the real world: Seeing ultrasound imagery within the patient. SIGGRAPH 26(2):203–210. doi:10.​1145/​142920.​134061
6.
Zurück zum Zitat Bichlmeier C, Ockert B, Heining SM, Ahmadi A, Navab N (2008) Stepping into the operating theater: ARAV—augmented reality aided vertebroplasty. In: Proceedings of the 7th IEEE/ACM International Symposium on Mixed and Augmented Reality. ISMAR ’08, pp 165–166. IEEE Computer Society, Washington, DC. doi:10.1109/ISMAR.2008.4637348 Bichlmeier C, Ockert B, Heining SM, Ahmadi A, Navab N (2008) Stepping into the operating theater: ARAV—augmented reality aided vertebroplasty. In: Proceedings of the 7th IEEE/ACM International Symposium on Mixed and Augmented Reality. ISMAR ’08, pp 165–166. IEEE Computer Society, Washington, DC. doi:10.​1109/​ISMAR.​2008.​4637348
7.
Zurück zum Zitat Chen X, Xu L, Wang Y, Wang H, Wang F, Zeng X, Wang Q, Egger J (2015) Development of a surgical navigation system based on augmented reality using an optical see-through head-mounted display. J Biomed Inform 55:124–131CrossRefPubMed Chen X, Xu L, Wang Y, Wang H, Wang F, Zeng X, Wang Q, Egger J (2015) Development of a surgical navigation system based on augmented reality using an optical see-through head-mounted display. J Biomed Inform 55:124–131CrossRefPubMed
8.
Zurück zum Zitat Cutolo F, Parchi PD, Ferrari V (2014) Video see through AR head-mounted display for medical procedures. In: 2014 IEEE International Symposium on Mixed and Augmented Reality (ISMAR), p 393–396. doi:10.1109/ISMAR.2014.6948504 Cutolo F, Parchi PD, Ferrari V (2014) Video see through AR head-mounted display for medical procedures. In: 2014 IEEE International Symposium on Mixed and Augmented Reality (ISMAR), p 393–396. doi:10.​1109/​ISMAR.​2014.​6948504
9.
Zurück zum Zitat Hart SG (2006) NASA-task load index (NASA-TLX); 20 years later. In: Proceedings of the human factors and ergonomics society annual meeting, vol 50. Sage Publications, pp 904–908. doi:10.1177/154193120605000909 Hart SG (2006) NASA-task load index (NASA-TLX); 20 years later. In: Proceedings of the human factors and ergonomics society annual meeting, vol 50. Sage Publications, pp 904–908. doi:10.​1177/​1541931206050009​09
10.
Zurück zum Zitat Herron D, Lantis Ii J, Maykel J, Basu C, Schwaitzberg S (1999) The 3-D monitor and head-mounted display. Surg Endosc 13(8):751–755CrossRefPubMed Herron D, Lantis Ii J, Maykel J, Basu C, Schwaitzberg S (1999) The 3-D monitor and head-mounted display. Surg Endosc 13(8):751–755CrossRefPubMed
11.
Zurück zum Zitat Hoffman DM, Girshick AR, Akeley K, Banks MS (2008) Vergence-accommodation conflicts hinder visual performance and cause visual fatigue. J Vision 8(3):33–33CrossRef Hoffman DM, Girshick AR, Akeley K, Banks MS (2008) Vergence-accommodation conflicts hinder visual performance and cause visual fatigue. J Vision 8(3):33–33CrossRef
12.
Zurück zum Zitat Itoh Y, Amano T, Iwai D, Klinker G (2016) Gaussian light field: estimation of viewpoint-dependent blur for optical see-through head-mounted displays. IEEE Trans Vis Comput Graph 22(11):2368–2376CrossRefPubMed Itoh Y, Amano T, Iwai D, Klinker G (2016) Gaussian light field: estimation of viewpoint-dependent blur for optical see-through head-mounted displays. IEEE Trans Vis Comput Graph 22(11):2368–2376CrossRefPubMed
13.
Zurück zum Zitat Janin AL, Mizell DW, Caudell TP (1993) Calibration of head-mounted displays for augmented reality applications. In: Proceedings of VR annual international symposium, p 246–255. doi:10.1109/VRAIS.1993.380772 Janin AL, Mizell DW, Caudell TP (1993) Calibration of head-mounted displays for augmented reality applications. In: Proceedings of VR annual international symposium, p 246–255. doi:10.​1109/​VRAIS.​1993.​380772
14.
Zurück zum Zitat Kersten-Oertel M, Jannin P, Collins DL (2012) DVV: a taxonomy for mixed reality visualization in image guided surgery. IEEE Trans Vis Comput Graph 18(2):332–352CrossRefPubMed Kersten-Oertel M, Jannin P, Collins DL (2012) DVV: a taxonomy for mixed reality visualization in image guided surgery. IEEE Trans Vis Comput Graph 18(2):332–352CrossRefPubMed
15.
Zurück zum Zitat Kersten-Oertel M, Jannin P, Collins DL (2013) The state of the art of visualization in mixed reality image guided surgery. Comput Med Imaging Graph 37(2):98–112CrossRefPubMed Kersten-Oertel M, Jannin P, Collins DL (2013) The state of the art of visualization in mixed reality image guided surgery. Comput Med Imaging Graph 37(2):98–112CrossRefPubMed
16.
Zurück zum Zitat Koesveld J, Tetteroo G, Graaf E (2003) Use of head-mounted display in transanal endoscopic microsurgery. Surg Endosc 17(6):943–946CrossRefPubMed Koesveld J, Tetteroo G, Graaf E (2003) Use of head-mounted display in transanal endoscopic microsurgery. Surg Endosc 17(6):943–946CrossRefPubMed
17.
Zurück zum Zitat Kramida G (2016) Resolving the vergence-accommodation conflict in head-mounted displays. IEEE Trans Vis Comput Graph 22(7):1912–1931CrossRefPubMed Kramida G (2016) Resolving the vergence-accommodation conflict in head-mounted displays. IEEE Trans Vis Comput Graph 22(7):1912–1931CrossRefPubMed
18.
Zurück zum Zitat Kress B, Starner T (2013) A review of head-mounted displays (HMD) technologies and applications for consumer electronics. Proc SPIE 8720:87200A–87200A-13. doi:10.1117/12.2015654 Kress B, Starner T (2013) A review of head-mounted displays (HMD) technologies and applications for consumer electronics. Proc SPIE 8720:87200A–87200A-13. doi:10.​1117/​12.​2015654
19.
Zurück zum Zitat Liao H, Inomata T, Sakuma I, Dohi T (2010) Three-dimensional augmented reality for mriguided surgery using integral videography auto stereoscopic-image overlay. IEEE Trans Biomed Eng 57(6):1476–1486CrossRefPubMed Liao H, Inomata T, Sakuma I, Dohi T (2010) Three-dimensional augmented reality for mriguided surgery using integral videography auto stereoscopic-image overlay. IEEE Trans Biomed Eng 57(6):1476–1486CrossRefPubMed
20.
Zurück zum Zitat Maithel S, Villegas L, Stylopoulos N, Dawson S, Jones D (2005) Simulated laparoscopy using a head-mounted display vs traditional video monitor: an assessment of performance and muscle fatigue. Surg Endosc 19(3):406–411CrossRefPubMed Maithel S, Villegas L, Stylopoulos N, Dawson S, Jones D (2005) Simulated laparoscopy using a head-mounted display vs traditional video monitor: an assessment of performance and muscle fatigue. Surg Endosc 19(3):406–411CrossRefPubMed
21.
Zurück zum Zitat Martin-Gonzalez A, Heining SM, Navab N (2009) Head-mounted virtual loupe with sight-based activation for surgical applications. In: 2009 8th IEEE international symposium on mixed and augmented reality, pp 207–208 Martin-Gonzalez A, Heining SM, Navab N (2009) Head-mounted virtual loupe with sight-based activation for surgical applications. In: 2009 8th IEEE international symposium on mixed and augmented reality, pp 207–208
22.
Zurück zum Zitat Mentler T, Wolters C, Herczeg M (2015) Use cases and usability challenges for head-mounted displays in healthcare. Curr Dir Biomed Eng 1(1):534–537 Mentler T, Wolters C, Herczeg M (2015) Use cases and usability challenges for head-mounted displays in healthcare. Curr Dir Biomed Eng 1(1):534–537
23.
Zurück zum Zitat Milgram P, Colquhoun H (1999) A taxonomy of real and virtual world display integration. Mixed Real Merg Real Virtual World 1:1–26 Milgram P, Colquhoun H (1999) A taxonomy of real and virtual world display integration. Mixed Real Merg Real Virtual World 1:1–26
24.
Zurück zum Zitat Morisawa T, Kida H, Kusumi F, Okinaga S, Ohana M (2015) Endoscopic submucosal dissection using head-mounted display. Gastroenterology 149(2):290–291CrossRefPubMed Morisawa T, Kida H, Kusumi F, Okinaga S, Ohana M (2015) Endoscopic submucosal dissection using head-mounted display. Gastroenterology 149(2):290–291CrossRefPubMed
25.
Zurück zum Zitat Ortega G, Wolff A, Baumgaertner M, Kendoff D (2008) Usefulness of a head mounted monitor device for viewing intraoperative fluoroscopy during orthopaedic procedures. Arch Orthop Trauma Surg 128(10):1123–1126CrossRefPubMed Ortega G, Wolff A, Baumgaertner M, Kendoff D (2008) Usefulness of a head mounted monitor device for viewing intraoperative fluoroscopy during orthopaedic procedures. Arch Orthop Trauma Surg 128(10):1123–1126CrossRefPubMed
26.
Zurück zum Zitat Qian L, Winkler A, Fuerst B, Kazanzides P, Navab N (2016) Reduction of interaction space in single point active alignment method for optical see-through head-mounted display calibration. In: 2016 IEEE international symposium on mixed and augmented reality (ISMAR-Adjunct), pp 156–157 Qian L, Winkler A, Fuerst B, Kazanzides P, Navab N (2016) Reduction of interaction space in single point active alignment method for optical see-through head-mounted display calibration. In: 2016 IEEE international symposium on mixed and augmented reality (ISMAR-Adjunct), pp 156–157
27.
Zurück zum Zitat Queisner M (2016) Medical screen operations: how head-mounted displays transform action and perception in surgical practice. Mediat 6(1):30–51 Queisner M (2016) Medical screen operations: how head-mounted displays transform action and perception in surgical practice. Mediat 6(1):30–51
28.
Zurück zum Zitat Rolland JP, Fuchs H (2000) Optical versus video see-through head-mounted displays in medical visualization. Presence Teleoperator Virtual Environ 9(3):287–309CrossRef Rolland JP, Fuchs H (2000) Optical versus video see-through head-mounted displays in medical visualization. Presence Teleoperator Virtual Environ 9(3):287–309CrossRef
29.
Zurück zum Zitat Sadda P, Azimi E, Jallo G, Doswell J, Kazanzides P (2012) Surgical navigation with a head-mounted tracking system and display. Stud Health Technol Inform 184:363–369 Sadda P, Azimi E, Jallo G, Doswell J, Kazanzides P (2012) Surgical navigation with a head-mounted tracking system and display. Stud Health Technol Inform 184:363–369
31.
Zurück zum Zitat Suthau T, Vetter M, Hassenpflug P, Meinzer HP, Hellwich O (2002) A concept work for augmented reality visualisation based on a medical application in liver surgery. ISPRS Arch 34(5):274–280 Suthau T, Vetter M, Hassenpflug P, Meinzer HP, Hellwich O (2002) A concept work for augmented reality visualisation based on a medical application in liver surgery. ISPRS Arch 34(5):274–280
32.
Zurück zum Zitat Sutherland IE (1968) A head-mounted three dimensional display. In: Proceedings of the fall joint computer conference, part I, ACM, p 757–764, 9–11 December 1968 Sutherland IE (1968) A head-mounted three dimensional display. In: Proceedings of the fall joint computer conference, part I, ACM, p 757–764, 9–11 December 1968
33.
Zurück zum Zitat Thomsen MN, Lang RD (2004) An experimental comparison of 3-dimensional and 2-dimensional endoscopic systems in a model. Arthroscopy 20(4):419–423CrossRefPubMed Thomsen MN, Lang RD (2004) An experimental comparison of 3-dimensional and 2-dimensional endoscopic systems in a model. Arthroscopy 20(4):419–423CrossRefPubMed
34.
Zurück zum Zitat Thrun S, Leonard JJ (2008) Simultaneous localization and mapping. In: Siciliano B, Khatib O (eds) Springer handbook of robotics. Springer, Berlin, pp 871–889 Thrun S, Leonard JJ (2008) Simultaneous localization and mapping. In: Siciliano B, Khatib O (eds) Springer handbook of robotics. Springer, Berlin, pp 871–889
35.
Zurück zum Zitat Tuceryan M, Navab N (2000) Single point active alignment method (SPAAM) for optical see-through HMD calibration for AR. In: Proceedings IEEE and ACM international symposium on augmented reality (ISAR 2000), pp 149–158 Tuceryan M, Navab N (2000) Single point active alignment method (SPAAM) for optical see-through HMD calibration for AR. In: Proceedings IEEE and ACM international symposium on augmented reality (ISAR 2000), pp 149–158
36.
Zurück zum Zitat Wagner D, Reitmayr G, Mulloni A, Drummond T, Schmalstieg D (2008) Pose Tracking from natural features on mobile phones. In: Proceedings of the 7th IEEE/ACM international symposium on mixed and augmented reality, Washington, DC, USA, pp 125–134 Wagner D, Reitmayr G, Mulloni A, Drummond T, Schmalstieg D (2008) Pose Tracking from natural features on mobile phones. In: Proceedings of the 7th IEEE/ACM international symposium on mixed and augmented reality, Washington, DC, USA, pp 125–134
37.
Zurück zum Zitat Wang H, Wang F, Leong APY, Xu L, Chen X, Wang Q (2015) Precision insertion of percutaneous sacroiliac screws using a novel augmented reality-based navigation system: a pilot study. Int Orthop 40:1–7 Wang H, Wang F, Leong APY, Xu L, Chen X, Wang Q (2015) Precision insertion of percutaneous sacroiliac screws using a novel augmented reality-based navigation system: a pilot study. Int Orthop 40:1–7
38.
Zurück zum Zitat Wang J, Suenaga H, Hoshi K, Yang L, Kobayashi E, Sakuma I, Liao H (2014) Augmented reality navigation with automatic marker-free image registration using 3-d image overlay for dental surgery. IEEE Trans Biomed Eng 61(4):1295–1304CrossRefPubMed Wang J, Suenaga H, Hoshi K, Yang L, Kobayashi E, Sakuma I, Liao H (2014) Augmented reality navigation with automatic marker-free image registration using 3-d image overlay for dental surgery. IEEE Trans Biomed Eng 61(4):1295–1304CrossRefPubMed
39.
Zurück zum Zitat Wilcoxon F, Katti S, Wilcox RA (1970) Critical values and probability levels for the wilcoxon rank sum test and the wilcoxon signed rank test. Sel Table Math Stat 1:171–259 Wilcoxon F, Katti S, Wilcox RA (1970) Critical values and probability levels for the wilcoxon rank sum test and the wilcoxon signed rank test. Sel Table Math Stat 1:171–259
40.
Zurück zum Zitat Yoon JW, Chen RE, Han PK, Si P, Freeman WD, Pirris SM (2016) Technical feasibility and safety of an intraoperative head-up display device during spine instrumentation. Int J Med Robot Comput Assist Surg. doi:10.1002/rcs.1770 Yoon JW, Chen RE, Han PK, Si P, Freeman WD, Pirris SM (2016) Technical feasibility and safety of an intraoperative head-up display device during spine instrumentation. Int J Med Robot Comput Assist Surg. doi:10.​1002/​rcs.​1770
41.
Zurück zum Zitat Yoshida S, Kihara K, Takeshita H, Nakanishi Y, Kijima T, Ishioka J, Matsuoka Y, Numao N, Saito K, Fujii Y (2014) Head-mounted display for a personal integrated image monitoring system: ureteral stent placement. Urol Int 94(1):117–120 Yoshida S, Kihara K, Takeshita H, Nakanishi Y, Kijima T, Ishioka J, Matsuoka Y, Numao N, Saito K, Fujii Y (2014) Head-mounted display for a personal integrated image monitoring system: ureteral stent placement. Urol Int 94(1):117–120
42.
Zurück zum Zitat Zhang X, Chen G, Liao H (2016) High quality see-through surgical guidance system using enhanced 3d autostereoscopic augmented reality. IEEE Trans Biomed Eng. doi:10.1109/TBME.2016.2624632 Zhang X, Chen G, Liao H (2016) High quality see-through surgical guidance system using enhanced 3d autostereoscopic augmented reality. IEEE Trans Biomed Eng. doi:10.​1109/​TBME.​2016.​2624632
Metadaten
Titel
Comparison of optical see-through head-mounted displays for surgical interventions with object-anchored 2D-display
verfasst von
Long Qian
Alexander Barthel
Alex Johnson
Greg Osgood
Peter Kazanzides
Nassir Navab
Bernhard Fuerst
Publikationsdatum
25.03.2017
Verlag
Springer International Publishing
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 6/2017
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-017-1564-y

Weitere Artikel der Ausgabe 6/2017

International Journal of Computer Assisted Radiology and Surgery 6/2017 Zur Ausgabe