Medicine-Engineering Interdisciplinary

Visualization System for Closed Thoracic Drainage Puncture Based on Augmented Reality and Ultrafine Diameter Camera

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  • 1. School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China; 2. Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China

Received date: 2024-06-05

  Accepted date: 2024-10-08

  Online published: 2025-06-06

Abstract

Closed thoracic drainage can be performed using a steel-needle-guided chest tube to treat pleural effusion or pneumothorax in clinics. However, the puncture procedure during surgery is invisible, increasing the risk of surgical failure. Therefore, it is necessary to design a visualization system for closed thoracic drainage. Augmented reality (AR) technology can assist in visualizing the internal anatomical structure and determining the insertion point on the body surface. The structure of the currently used steel-needle-guided chest tube was modified by integrating it with an ultrafine diameter camera to provide real-time visualization of the puncture process. After simulation experiments, the overall registration error of the AR method was measured to be within (3.59±0.53) mm, indicating its potential for clinical application. The ultrafine diameter camera module and improved steel-needle-guided chest tube can timely reflect the position of the needle tip in the human body. A comparative experiment showed that video guidance could improve the safety of the puncture process compared to the traditional method. Finally, a qualitative evaluation of the usability of the system was conducted through a questionnaire. This system facilitates the visualization of closed thoracic drainage puncture procedure and provides an implementation scheme to enhance the accuracy and safety of the operative step, which is conducive to reducing the learning curve and improving the proficiency of the doctors.

Cite this article

Qin Wei, Wang Shuyi, Chen Xueyu, Zhuang Yiwei, Shen Yichun, Shen Yuhán . Visualization System for Closed Thoracic Drainage Puncture Based on Augmented Reality and Ultrafine Diameter Camera[J]. Journal of Shanghai Jiaotong University(Science), 2025 , 30(3) : 417 -424 . DOI: 10.1007/s12204-025-2808-6

References

[1] DESIMONAS N, TSIAMIS C, SGANTZOS M. The innovated “closed chest drainage system” of William smoult playfair (1871) [J]. Surgical Innovation, 2019, 26(6): 760-762.

[2] KIM M J, PARK I, PARK J M, et al. Systematic review and meta-analysis of initial management of pneumothorax in adults: Intercostal tube drainage versus other invasive methods [J]. PLoS One, 2017, 12(6): e0178802.

[3] MCELNAY P J, LIM E. Modern techniques to insert chest drains [J]. Thoracic Surgery Clinics, 2017, 27(1): 29-34.

[4] LAAN D, DIEM VU T N, HERNANDEZ M, et al. Magnetic chest tube positioning system [J]. Journal of Medical Devices, 2018, 12(2): 025001.

[5] LIU X Y, YIN M L, HUANG J, et al. A design and application method of the thoracic puncture cannula [J]. Chinese Critical Care Medicine, 2021, 33(12): 1511-1513 (in Chinese).

[6] LEE Y J, CHOI H J, LIM T H, et al. The development and experimental application of a new thoracostomy trocar [J]. The American Journal of Emergency Medicine, 2016, 34(5): 917-920.

[7] GRAY E J, BETCHER J A, HUANG R D, et al. 366 point-of-care ultrasound for identifying safe tube thoracostomy insertion sites [J]. Annals of Emergency Medicine, 2017, 70(4): S144.

[8] LIU S Y, ZHAO F, LI Q, et al. Vacuum negative pressure drainage of pleural effusion by ultrasound-guided thoracentesis and central venous catheterization [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(12): 1241-1245 (in Chinese).

[9]   CAO J Y, HAN H, JIN Y J, et al. High frequency ultrasound-guided catheter drainage of pleural effusion [J]. Chinese Journal of Interventional Imaging and Therapy. 2021, 18(3): 187-189 (in Chinese).

[10] WOLF J, WOLFER V, HALBE M, et al. Comparing the effectiveness of augmented reality-based and conventional instructions during single ECMO cannulation training [J]. International Journal of Computer Assisted Radiology and Surgery, 2021, 16(7): 1171-1180.

[11] RAHMAN R, WOOD M E, QIAN L, et al. Head-mounted display use in surgery: A systematic review [J]. Surgical Innovation, 2020, 27(1): 88-100.

[12] YU J Q, WANG S Y, WANG Y Q, et al. Novel visualization tool for percutaneous renal puncture training using augmented reality technology [J]. Journal of Shanghai Jiao Tong University (Science), 2023, 28(4): 517-525.

[13] OKACHI S, SAKURAI M, MATSUI T, et al. The application of mixed reality in bronchoscopy simulation training: A feasibility study [J]. Surgical Innovation, 2023, 30(5): 685-686.

[14] ZHOU J, ZHAO Z C, CHEN X H, et al. Single-use video endoscope for vertebral pedicle puncture [C]//Eighth Symposium on Novel Photoelectronic Detection Technology and Applications. Kunming: SPIE, 2022: 1835-1846.

[15] QU J L, JIN K, WANG M, et al. Real-time stripe noise removal method for endoscope image [C]//2021 IEEE 4th International Conference on Electronics Technology. Chengdu: IEEE, 2021: 865-870.

[16] WANG Q, WEBSTER T J. Nanostructured selenium for preventing biofilm formation on polycarbonate medical devices [J]. Journal of Biomedical Materials Research Part A, 2012, 100A(12): 3205-3210.

[17] JIANG T R, ZHU M, ZAN T, et al. A novel augmented reality-based navigation system in perforator flap transplantation - A feasibility study [J]. Annals of Plastic Surgery, 2017, 79(2): 192-196.

[18] SHAO L, YANG S, FU T Y, et al. Augmented reality calibration using feature triangulation iteration-based registration for surgical navigation [J]. Computers in Biology and Medicine, 2022, 148: 105826.

[19] TAGHIAN A, ABO-ZAHHAD M, SAYED M S, et al. Virtual and augmented reality in biomedical engineering [J]. Biomedical Engineering Online, 2023, 22(1): 76.

[20] SCHERL C, STRATEMEIER J, KARLE C, et al. Augmented reality with HoloLens in parotid surgery: How to assess and to improve accuracy [J]. European Archives of Oto-Rhino-Laryngology, 2021, 278(7): 2473-2483.

[21] LI Y Q. Clinical effect of thoracic catheter with trocar in the treatment of traumatic hemopneumothorax [J]. Clinical Research and Practice, 2019, 4(25): 88-90 (in Chinese).

[22] PORCEL J M. Chest tube drainage of the pleural space: A concise review for pulmonologists [J]. Tuberculosis and Respiratory Diseases, 2018, 81(2): 106-115.

[23] GONZÁLEZ IZARD S, SÁNCHEZ TORRES R, ALONSO PLAZA Ó, et al. Nextmed: Automatic imaging segmentation, 3D reconstruction, and 3D model visualization platform using augmented and virtual reality [J]. Sensors, 2020, 20(10): 2962.

[24] ZACCARDI S, FRANTZ T, BECKWÉE D, et al. On-device execution of deep learning models on HoloLens2 for real-time augmented reality medical applications [J]. Sensors, 2023, 23(21): 8698.

[25] ANDREWS C M, HENRY A B, SORIANO I M, et al. Registration techniques for clinical applications of three-dimensional augmented reality devices [J]. IEEE Journal of Translational Engineering in Health and Medicine, 2020, 9: 4900214.

[26] BIAN M, SHI W, YANG X. Development of portable digital intelligent thoracic drainage system [J]. China Medical Devices, 2023, 38(6): 43-49 (in Chinese).


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