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Sidebar to Information Technology

Diagnosis, planning move to real-time
Head-mounted displays put images in the OR

By Kathy Kincade

Improved visualization methods are making it possible for surgeons to view preoperative patient data during surgery. Radiological images that are stored and processed digitally can be retrieved for review in the operating room, although all data must be optimally processed and remain available for the duration of the operation.

Head-mounted displays provide a low-cost solution for visualizing digital data, including radiological images, in the operating room. Affixing an HMD to the surgeon's head offers the advantage of continuous, uninterrupted work and simultaneous visualization of the data at any time. [Fig. 1]

Two types of HMD exist for use in radiology and surgery: closed-view and see-through. Standard closed-view HMDs do not allow a direct view of the real world and can be used only as monitoring tools. See-through HMDs let the user see the real world with virtual objects superimposed by optical or video technologies.

Optical see-through HMDs rely on optical combiners placed in front of the user's eyes. Because these combiners are partially transmissive and partially reflective, the user can look at both the real world and the computed data. Alternatively, video see-through HMDs combine a closed-view HMD with one or two head-mounted video cameras that provide users with a view of the real world. Footage from these cameras is combined with the radiological images, blending the real and the virtual.

The see-through method is likely to be used increasingly to superimpose medical data on patients during surgery. Image-based data must be saved and processed digitally for direct transfer to an HMD for optimized demonstration.

By 2015, this technology will have a place in radiology as well. Technologists predict that the lightbox of the future may very well be a retinal scanning device with virtual displays of images projected directly onto the retina.



 
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