Quantification of the Interventional Approaches Into the Pterygopalatine Fossa by Solid Angles Using Virtual Reality

Authors

DOI:

https://doi.org/10.5566/ias.2581

Keywords:

Solid angle, virtual reality, interventional radiology, minimally invasive approach, procedure planning

Abstract

Virtual reality is increasingly used in medicine for diagnostics, for visualisation of complex structures and for preoperative planning. In interventional radiology, minimally invasive approach could be described with a target point representing the desired needle tip position and an array of all possible trajectories leading to it resembling irregular “cone” or “pyramid”. We present a pilot study of planning a minimally invasive posterior infrazygomatic and suprazygomatic approaches into the pterygopalatine fossa using a solid angle as a measure of size of the approach in five virtually reconstructed heads. The minimally invasive approaches were planned by manually drawing the edges of “pyramids” that described each approach in 3D using virtual reality program Tracer. For each head, a transverse diameter was measured and for each approach a solid angle size, average edge length and estimated area on the skin from where the target point could be reached were calculated. We found that, the solid angle of posterior infrazygomatic approach was significantly larger than suprazygomatic approach (p<0.001). Furthermore, the transverse head diameter and solid angle in posterior infrazygomatic approach were negatively correlated (ρ=-0.55, p=0.0002), while transverse head diameter and the estimated area on the skin from where the target point could be reached in the suprazygomatic approach were positively correlated (ρ=0.37, p=0.0206). In conclusion, our findings provide important preliminary evidence on the feasibility of evaluating and comparing different minimally invasive approaches using virtual reality systems, and affirm the validity of solid angle as a measure of the size of the approach. 

References

Anugerah A, Nguyen K, Nader A (2020) Technical considerations for approaches to the ultrasound-guided maxillary nerve block via the pterygopalatine fossa: A literature review. Reg Anesth Pain Med 45:301–5. https://doi.org/10.1136/rapm-2019-100569

Ayoub A, Pulijala Y (2019) The application of virtual reality and augmented reality in Oral & Maxillofacial Surgery. BMC Oral Health 19:238. https://doi.org/10.1186/s12903-019-0937-8

Cao C, Cerfolio RJ (2019) Virtual or Augmented Reality to Enhance Surgical Education and Surgical Planning. Thorac Surg Clin 29:329–37. https://doi.org/10.1016/j.thorsurg.2019.03.010

Chiono J, Raux O, Bringuier S, Sola C, Bigorre M, Capdevila X, Dadure C (2014) Bilateral Suprazygomatic Maxillary Nerve Block for Cleft Palate Repair in Children. Anesthesiology 120:1362–69. https://doi.org/10.1097/aln.0000000000000171

Deora H, Pruthi N, Rao KVLN, Saini J, Dikshit P (2020) Predicting the Ideal Ventricular Freehand Pass Trajectory Using Osirix Software and the Role of Occipital Shape Variations. World Neurosurg 141:e341–57. https://doi.org/10.1016/j.wneu.2020.05.146

Devcic Z, Idakoji I, Kesselman A, Shah R, AbdelRazek M, Kothary N (2018) Augmented virtual reality assisted treatment planning for splenic artery aneurysms: a pilot study. J Vasc Interv Radiol 29:S17. https://doi.org/10.1016/j.jvir.2018.01.037

Elsayed M, Kadom N, Ghobadi C, Strauss B, Al Dandan O, Aggarwal A, Anzai Y, Griffith B, Lazarow F, Straus CM, Safdar NM (2020) Virtual and augmented reality: potential applications in radiology. Acta radiol 61:1258–65. https://doi.org/10.1177/0284185119897362

Ghaednia H, Fourman MS, Lans A, Detels K, Dijkstra H, Lloyd S, Sweeney A, Oosterhoff JHF, Schwab JH (2021) Augmented and virtual reality in spine surgery, current applications and future potentials. Spine J S1529-943:155–8. https://doi.org/10.1016/j.spinee.2021.03.018

Janáček J, Cvetko E, Kubínová L, Travnik L, Eržen I (2011) A novel method for evaluation of capillarity in human skeletal muscles from confocal 3D images. Microvasc Res 81:231–8. https://doi.org/10.1016/j.mvr.2010.11.012

Janáček J, Jirák D (2019) Volume tensor estimation using a virtual line grid: Study of a developing pheasant brain. Image Anal Stereol 38:255–60. https://doi.org/10.5566/ias.1701

Knez D, Vrtovec T (2020) Computerized three-dimensional pedicle morphometry from computed tomography images of the thoracic spine. Image Anal Stereol 39:101–9. https://doi.org/10.5566/ias.2349

Kuhlemann I, Kleemann M, Jauer P, Schweikard A, Ernst F (2017) Towards X-ray free endovascular interventions - Using HoloLens for on-line holographic visualisation. Healthc Technol Lett 4:184–7. https://doi.org/10.1049/htl.2017.0061

Nagib M, Hood P, Matteo J (2020) Sphenopalatine Ganglion Block: Treatment of Migraine and Trigeminal Neuralgia Associated With Multiple Sclerosis. Cureus 12:e8522. https://doi.org/10.7759/cureus.8522

Ong CS, Deib G, Yesantharao P, Qiao Y, Pakpoor J, Hibino N, Hui F, Garcia JR (2018) Virtual Reality in Neurointervention. J Vasc Interv Neurol 10:17–22

Porcino TM, Clua E, Trevisan D, Vasconcelos CN, Valente L (2017) Minimizing cyber sickness in head mounted display systems: Design guidelines and applications. In: 2017 IEEE 5th International Conference on Serious Games and Applications for Health, SeGAH 2017. Institute of Electrical and Electronics Engineers Inc.

Rizzetto F, Bernareggi A, Rantas S, Vanzulli A, Vertemati M (2020) Immersive Virtual Reality in surgery and medical education: Diving into the future. Am. J. Surg. 220:856–7. https://doi.org/10.1016/j.amjsurg.2020.04.033

Sconfienza LM, Adriaensen M, Albano D, Allen G, Aparisi Gómez MP, Bazzocchi A, Beggs I, Bignotti B, Chianca V, Corazza A, Dalili D, De Dea M, del Cura JL, Di Pietto F, Drakonaki E, Facal de Castro F, Filippiadis D, Gielen J, Gitto S, Gupta H, Klauser AS, Lalam R, Martin S, Martinoli C, Mauri G, McCarthy C, McNally E, Melaki K, Messina C, Mirón Mombiela R, Neubauer B, Obradov M, Olchowy C, Orlandi D, Gonzalez RP, Rutkauskas S, Snoj Z, Tagliafico AS, Talaska A, Vasilevska-Nikodinovska V, Vucetic J, Wilson D, Zaottini F, Zappia M, Plagou A (2020a) Clinical indications for image guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part III, nerves of the upper limb. Eur Radiol 30:1498–1506 . https://doi.org/10.1007/s00330-019-06479-z

Sconfienza LM, Adriaensen M, Albano D, Aparisi Gómez MP, Bazzocchi A, Beggs I, Bignotti B, Chianca V, Corazza A, Dalili D, De Dea M, del Cura JL, Di Pietto F, Drakonaki E, Facal de Castro F, Filippiadis D, Gielen J, Gitto S, Gupta H, Klauser AS, Lalam R, Martin S, Martinoli C, Mauri G, McCarthy C, McNally E, Melaki K, Messina C, Mirón Mombiela R, Neubauer B, Obradov M, Olchowy C, Orlandi D, Plagou A, Prada Gonzalez R, Rutkauskas S, Snoj Z, Tagliafico AS, Talaska A, Vasilevska-Nikodinovska V, Vucetic J, Wilson D, Zaottini F, Zappia M, Allen G (2020b) Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—Part II, elbow and wrist. Eur Radiol 30:2220–30. https://doi.org/10.1007/s00330-019-06545-6

Snoj Ž, Hebar T, Sconfienza LM, Vanhoenacker FMHM, Shahabpour M, Salapura V, Isaac A, Drakonaki E, Vasilev Y, Drape JL, Adriaensen M, Friedrich K, Guglielmi G, Vieira A, Sanal HT, Kerttula L, Hellund JC, Nagy J, Hueck A, Rutten M, Tzalonikou M, Hansen U, Niemunis-Sawicka J, Becce F, Silverstri E, Juan ELS, Wörtler K (2020) Present Status of Musculoskeletal Radiology in Europe: International Survey by the European Society of Musculoskeletal Radiology. Semin Musculoskelet Radiol 24:323–30. https://doi.org/10.1055/s-0040-1713119

Sutherland J, Belec J, Sheikh A, Chepelev L, Althobaity W, Chow BJW, Mitsouras D, Christensen A, Rybicki FJ, La Russa DJ (2019) Applying Modern Virtual and Augmented Reality Technologies to Medical Images and Models. J Digit Imaging 32:38–53. https://doi.org/10.1007/s10278-018-0122-7

Downloads

Published

2021-07-09

Issue

Section

Short Research Communication

How to Cite

Jerman, A., Janáček, J., Snoj, Žiga, & Umek, N. (2021). Quantification of the Interventional Approaches Into the Pterygopalatine Fossa by Solid Angles Using Virtual Reality. Image Analysis and Stereology, 40(2), 63-69. https://doi.org/10.5566/ias.2581

Most read articles by the same author(s)