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Augmented Reality for Percutaneous Renal Interventions

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Advances in Image-Guided Urologic Surgery

Abstract

Optimal access to the renal collecting system or renal parenchyma guarantees a successful operation. The use of augmented reality to navigate the surgeon during endoscopic and percutaneous procedures is increasing. Marker-based iPad-assisted puncture of the renal collecting system shows more benefit for trainees with reduction of radiation exposure. 3D laser-assisted puncture of the renal collecting system using Uro Dyna-CT realised in an ex vivo model enables minimal radiation time. Electromagnetic tracking for puncture of the renal collecting system using a sensor at the tip of the ureteral catheter worked in an in vivo model of a porcine ureter and kidney. Attitude tracking for ultrasound-guided puncture of renal tumours by accelerometer reduces puncture error. Intraoperative navigation is helpful during percutaneous puncture of the collecting system and biopsy of renal tumour using various tracking techniques. Combination of different tracking techniques may further improve this interesting addition to video-assisted surgery.

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Author information

Authors and Affiliations

  1. Department of Urology, SLK Kliniken Heilbronn, Heidelberg, Germany

    Jens Rassweiler MD

  2. Department of Urology, Medical School Mannheim, University of Heidelberg, Heidelberg, Germany

    Marie-Claire Rassweiler MD, Manuel Ritter MD & Axel Häcker MD

  3. Division of Medical and Biological Informatics, German Cancer Research Center, Heidelberg, Germany

    Michael Müller PhD, Hans-Peter Meinzer PhD & Ingmar Wegner PhD

  4. Department of Urology, Medical School Braga, University of Braga, Braga, Portugal

    Estevao Lima MD

  5. Department of Urology and Oncology, Medical School Cluj, University of Cluj, Cluj-Napoca, Romania

    Bogdan Petrut MD

  6. Department of Urology, Medical School, Technical University of Dresden, Dresden, Germany

    Johannes Huber MD

  7. Department of Urology, SLK Kliniken Heilbronn, University of Heidelberg, Heidelberg, Germany

    Jan Klein MD & Ali S. Gözen MD

  8. Department of Radiology, SLK Kliniken Heilbronn, University of Heidelberg, Heidelberg, Germany

    Phillipe Pereira MD

  9. Department of Urology, Medical School Heidelberg, University of Heidelberg, Heidelberg, Germany

    Dogu Teber MD

Authors
  1. Jens Rassweiler MD
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  2. Marie-Claire Rassweiler MD
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  14. Dogu Teber MD
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Corresponding author

Correspondence to Jens Rassweiler MD .

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Editors and Affiliations

  1. Department of Urology, Stanford University School of Medicine, Stanford, California, USA

    Joseph C. Liao

  2. Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA

    Li-Ming Su

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Rassweiler, J. et al. (2015). Augmented Reality for Percutaneous Renal Interventions. In: Liao, J., Su, LM. (eds) Advances in Image-Guided Urologic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1450-0_17

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  • DOI: https://doi.org/10.1007/978-1-4939-1450-0_17

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