See-through type 3D head-mounted display-based surgical microscope system for microsurgery: A feasibility study

Cheol Hwan Kim, Seon Young Ryu, Ji Young Yoon, Hyoung Kwon Lee, Nak Gu Choi, Il Ho Park, Hae Young Choi

Research output: Contribution to journalArticle

Abstract

Background: The surgical microscope is used primarily for microsurgeries, which are more complicated than other surgical procedures and require delicate tasks for a long time. Therefore, during these surgical procedures, surgeons experience back and neck pain. To solve this problem, new technology, such as wearable displays, is required to help surgeons maintain comfortable postures and enjoy advanced functionality during microsurgery. Objective: The objective of this study was to develop a surgical microscope system that would work with wearable devices. It would include a head-mounted display (HMD) that can offer 3D surgical images and allow a flexible and comfortable posture instead of fixed eyepieces of surgical microscope and can also provide peripheral visual field with its optical see-through function. Methods: We designed and fabricated a surgical microscope system that incorporates a see-through type 3D HMD, and we developed an image processing software to provide better image quality. The usability of the proposed system was confirmed with preclinical examination. Seven ENT (ear, nose, and throat) surgical specialists and 8 residents performed a mock surgery-axillary lymph node dissection on a rat. They alternated between looking through the eyepieces of the surgical microscope and viewing a 3D HMD screen connected to the surgical microscope. We examined the success of the surgery and asked the specialists and residents to grade eye fatigue on a scale of 0 (none) to 6 (severe) and posture discomfort on a scale of 1 (none) to 5 (severe). Furthermore, a statistical comparison was performed using 2-tailed paired t test, and P=.00083 was considered significant. Results: Although 3D HMD case showed a slightly better result regarding visual discomfort (P=.097), the average eye fatigue was not significantly different between eyepiece and 3D HMD cases (P=.79). However, the average posture discomfort, especially in neck and shoulder, was lower with 3D HMD display use than with eyepiece use (P=.00083). Conclusions: We developed a see-through type 3D HMD-based surgical microscope system and showed through preclinical testing that the system could help reduce posture discomfort. The proposed system, with its advanced functions, could be a promising new technique for microsurgery.

Original languageEnglish
Article numbere11251
JournalJournal of medical Internet research
Volume21
Issue number3
DOIs
Publication statusPublished - 2019 Mar 1

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Microsurgery
Feasibility Studies
Head
Posture
Asthenopia
Neck Pain
Back Pain
Pharynx
Lymph Node Excision
Visual Fields
Nose
Ear
Neck
Software
Technology
Equipment and Supplies

Keywords

  • 3D imaging
  • Head-mounted display
  • Microsurgery
  • Surgical microscope

ASJC Scopus subject areas

  • Health Informatics

Cite this

See-through type 3D head-mounted display-based surgical microscope system for microsurgery : A feasibility study. / Kim, Cheol Hwan; Ryu, Seon Young; Yoon, Ji Young; Lee, Hyoung Kwon; Choi, Nak Gu; Park, Il Ho; Choi, Hae Young.

In: Journal of medical Internet research, Vol. 21, No. 3, e11251, 01.03.2019.

Research output: Contribution to journalArticle

Kim, Cheol Hwan ; Ryu, Seon Young ; Yoon, Ji Young ; Lee, Hyoung Kwon ; Choi, Nak Gu ; Park, Il Ho ; Choi, Hae Young. / See-through type 3D head-mounted display-based surgical microscope system for microsurgery : A feasibility study. In: Journal of medical Internet research. 2019 ; Vol. 21, No. 3.
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AU - Kim, Cheol Hwan

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AU - Lee, Hyoung Kwon

AU - Choi, Nak Gu

AU - Park, Il Ho

AU - Choi, Hae Young

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