Multicenter Assessment of Augmented Reality Registration Methods for Image-guided Interventions
This research provides an incremental improvement in the usability of augmented reality for image-guided interventions, specifically for medical professionals, by demonstrating faster manual registration with the HoloLens 2.
This study evaluated manual and automatic registration methods for aligning 3D holographic models with real-world environments using the HoloLens 2. It found that hand gesture registration times on HoloLens 2 were 81.7% faster than on HoloLens 1, approaching the 5.3-second automatic registration time, while maintaining similar accuracy (5.9-9.5 mm) across manual methods.
Purpose: To evaluate manual and automatic registration times as well as accuracy with augmented reality during alignment of a holographic 3-dimensional (3D) model onto the real-world environment. Method: 18 participants in various stages of clinical training across two academic centers registered a 3D CT phantom model onto a CT grid using the HoloLens 2 augmented reality headset 3 consecutive times. Registration times and accuracy were compared among different registration methods (hand gesture, Xbox controller, and automatic registration), levels of clinical experience, and consecutive attempts. Registration times were also compared with prior HoloLens 1 data. Results: Mean aggregate manual registration times were 27.7, 24.3, and 72.8 seconds for one-handed gesture, two-handed gesture, and Xbox controller, respectively; mean automatic registration time was 5.3s (ANOVA p<0.0001). No significant difference in registration times was found among attendings, residents and fellows, and medical students (p>0.05). Significant improvements in registration times were detected across consecutive attempts using hand gestures (p<0.01). Compared with previously reported HoloLens 1 experience, hand gesture registration times were 81.7% faster (p<0.05). Registration accuracies were not significantly different across manual registration methods, measuring at 5.9, 9.5, and 8.6 mm with one-handed gesture, two-handed gesture, and Xbox controller, respectively (p>0.05). Conclusions: Manual registration times decreased significantly with updated hand gesture maneuvers on HoloLens 2 versus HoloLens 1, approaching the registration times of automatic registration and outperforming Xbox controller mediated registration. These results will encourage wider clinical integration of HoloLens 2 in procedural medical care.