Image quality and Dose Comparison of Three Mobile Intraoperative 3D imaging Systems in Spine Surgery

Study Design Prospective cohort study. Objectives In spine surgery, accurate screw guidance is critical to achieving satisfactory fixation. Augmented reality (AR) is a novel technology to assist in screw placement and has shown promising results in early studies. This study aims to provide our early experience evaluating safety and efficacy with an Food and Drug Administration-approved head-mounted (head-mounted device augmented reality (HMD-AR)) device. Methods Consecutive adult patients undergoing AR-assisted thoracolumbar fusion between October 2020 and August 2021 with 2 -week follow-up were included. Preoperative, intraoperative, and postoperative data were collected to include demographics, complications, revision surgeries, and AR performance. Intraoperative 3D imaging was used to assess screw accuracy using the Gertzbein-Robbins (G-R) grading scale. Results Thirty-two patients (40.6% male) were included with a total of 222 screws executed using HMD-AR. Intraoperatively, 4 (1.8%) were deemed misplaced and revised using AR or freehand. The remaining 218 (98.2%) screws were placed accurately. There were no intraoperative adverse events or complications, and AR was not abandoned in any case. Of the 208 AR-placed screws with 3D imaging confirmation, 97.1% were considered clinically accurate (91.8% Grade A, 5.3% Grade B). There were no early postoperative surgical complications or revision surgeries during the 2 -week follow-up. Conclusions This early experience study reports an overall G-R accuracy of 97.1% across 218 AR-guided screws with no intra or early postoperative complications. This shows that HMD-AR-assisted spine surgery is a safe and accurate tool for pedicle, cortical, and pelvic fixation. Larger studies are needed to continue to support this compelling evolution in spine surgery.

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Detecting Bombs in X-Ray Images of Hold Baggage: 2D Versus 3D Imaging

Human Factors The Journal of the Human Factors and Ergonomics Society ◽

10.1177/0018720818799215 ◽

2018 ◽

Vol 61 (2) ◽

pp. 305-321 ◽

Cited By ~ 6

Author(s):

Nicole Hättenschwiler ◽

Marcia Mendes ◽

Adrian Schwaninger

Keyword(s):

Image Quality ◽

3D Imaging ◽

Visual Inspection ◽

Standard Procedure ◽

Detection Performance ◽

Imaging Systems ◽

Specific Training ◽

X Ray ◽

2D Imaging ◽

Lower Image Quality

Objective: This study compared the visual inspection performance of airport security officers (screeners) when screening hold baggage with state-of-the-art 3D versus older 2D imaging. Background: 3D imaging based on computer tomography features better automated detection of explosives and higher baggage throughput than older 2D X-ray imaging technology. Nonetheless, some countries and airports hesitate to implement 3D systems due to their lower image quality and the concern that screeners will need extensive and specific training before they can be allowed to work with 3D imaging. Method: Screeners working with 2D imaging (2D screeners) and screeners working with 3D imaging (3D screeners) conducted a simulated hold baggage screening task with both types of imaging. Differences in image quality of the imaging systems were assessed with the standard procedure for 2D imaging. Results: Despite lower image quality, screeners’ detection performance with 3D imaging was similar to that with 2D imaging. 3D screeners revealed higher detection performance with both types of imaging than 2D screeners. Conclusion: Features of 3D imaging systems (3D image rotation and slicing) seem to compensate for lower image quality. Visual inspection competency acquired with one type of imaging seems to transfer to visual inspection with the other type of imaging. Application: Replacing older 2D with newer 3D imaging systems can be recommended. 2D screeners do not need extensive and specific training to achieve comparable detection performance with 3D imaging. Current image quality standards for 2D imaging need revision before they can be applied to 3D imaging.

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