Jun, Eun Kyung Lim, Sunghwan Seo, Joonho Lee, Kae Hong Lee, Jae Hee Lee, Deukhee Koh, Jae Chul 2024-01-19T10:01:32Z 2024-01-19T10:01:32Z 2023-04-13 2023-03 1178-7090 https://pubs.kist.re.kr/handle/201004/113925 Purpose: Multiple studies have attempted to demonstrate the benefits of augmented reality (AR)-assisted navigation systems in surgery. Lumbosacral transforaminal epidural injection is an effective treatment commonly used in patients with radiculopathy due to spinal degenerative pathologies. However, few studies have applied AR-assisted navigation systems to this procedure. The study aimed to investigate the safety and effectiveness of an AR-assisted navigation system for transforaminal epidural injection. Patients and Methods: Through a real-time tracking system and a wireless network to the head-mounted display, computed tomography images of the spine and the path of a spinal needle to the target were visualized on a torso phantom with respiration movements installed. From L1/L2 to L5/S1, needle insertions were performed using an AR-assisted system on the left side of the phantom, and the conventional method was performed on the right side. Results: The procedure duration was approximately three times shorter, and the number of radiographs required was reduced in the experimental group compared to the control group. The distance from the needle tips to the target areas in the plan showed no significant difference between the two groups. (AR group 1.7 +/- 2.3mm, control group 3.2 +/- 2.8mm, P value 0.067). Conclusion: An AR-assisted navigation system may be used to reduce the time required for spinal interventions and ensure the safety of patients and physicians in view of radiation exposure. Further studies are essential to apply AR-assisted navigation systems to spine interventions. English Dove Medical Press Limited Augmented Reality-Assisted Navigation System for Transforaminal Epidural Injection Article 10.2147/JPR.S400955 1 Journal of Pain Research, v.16, pp.921 - 931 Journal of Pain Research 16 921 931 Y scie scopus 000954936000001 2-s2.0-85151147648 Clinical Neurology Neurosciences & Neurology Article OCCUPATIONAL RADIATION-EXPOSURE VIRTUAL-REALITY SURGERY CATARACT RISK interventional procedure epidural injection augmented reality navigation system radiation exposure