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MINERVA CHIRURGICA

A Journal on Surgery


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Minerva Chirurgica 2018 Feb 21

DOI: 10.23736/S0026-4733.18.07659-9

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Augmented reality for breast imaging

Alberto RANCATI 1 , Claudio ANGRIGIANI 1, Maurizio B. NAVA 2, 3, Giuseppe CATANUTO 4, 3, Nicola ROCCO 5, 3, Fernando VENTRICE 1, Julio DORR 1

1 Instituto Oncologico Henry Moore (IOHM), Universidad de Buenos Aires, Buenos Aires, Argentina; 2 School of Plastic Surgery, University of Milan, Milan, Italy; 3 Group for REconstructive and Therapeutic Advancements, G.RE.T.A., Milan, Naples, Catania, Italy; 4 Multidisciplinary Breast Unit, Azienda Ospedaliera Cannizzaro, Catania, Italy; 5 Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy


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BACKGROUND: Augmented reality (AR) enables the superimposition of virtual reality reconstructions onto clinical images of a real patient, in real time. This allows visualization of internal structures through overlying tissues, thereby providing a virtual transparency vision of surgical anatomy. AR has been applied to neurosurgery, which utilizes a relatively fixed space, frames, and bony references; the application of AR facilitates the relationship between virtual and real data. Augmented Breast imaging (ABI) is described.
METHODS: Breast MRI studies for breast implant patients with seroma were performed using a Siemens 3T system with a body coil and a four-channel bilateral phased-array breast coil as the transmitter and receiver, respectively. The contrast agent used was (CA) gadolinium (Gd) injection (0.1 mmol/kg at 2 ml/s) by a programmable power injector. Dicom formated images data from 10 MRI cases of breast implant seroma and 10 MRI cases with T1-2 N0 M0 breast cancer, were imported and transformed into Augmented reality images.
RESULTS: Augmented breast imaging (ABI) demonstrated stereoscopic depth perception, focal point convergence, 3D cursor use, and joystick fly-through.
CONCLUSIONS: Augmented breast imaging (ABI) to the breast can improve clinical outcomes, giving an enhanced view of the structures to work on. It should be further studied to determine its utility in clinical practice.


KEY WORDS: Augmented reality - Breast Surgery - Magnetic resonance imaging - Virtual reality

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Publication History

Article first published online: February 21, 2018
Manuscript accepted: February 9, 2018
Manuscript received: February 2, 2018

Cite this article as

Rancati A, Angrigiani C, Nava MB, Catanuto G, Rocco N, Ventrice F, et al. Augmented reality for breast imaging. Minerva Chir 2018 Feb 21. DOI: 10.23736/S0026-4733.18.07659-9

Corresponding author e-mail

rancati@gmail.com