Whether navigating a star ship through a meteor storm or lurking through
the murky underbelly of a city at midnight, gamers have long used
virtual reality technology to make their experiences seem… well, virtually real.
Hoag Hospital in Newport Beach recently hosted a tour of its
operating rooms that are using the same technology to let doctors virtually experience
human anatomy in great detail and perfect surgeries before performing
the real thing.
Hoag was the first hospital in Orange County and is is one of only a handful
around the country using systems created by Surgical Theater, a Los Angeles
company specializing in virtual reality medical imagining.
Wearing the Surgical Theater headset, which looks exactly like what would
be worn by gamers,
Dr. Robert Louis, a neurosurgeon, said he can virtually implant himself in a patient’s brain and
travel anywhere in the brain he needs to go.
The technology allows a surgeon to rehearse complex brain and spine surgery
in virtual reality, multiple times if necessary, before operating on a
live patient.
“I can do it three or four times in the virtual space and I only
have to do it once – and I can do it safely – in a real patient,”
Louis said. “Before this, there was no ability to practice surgery.
The practice was on patients.”
Surgical Theater was founded by Alon Geri and Moty Avisar, former Israeli
fighter pilots adapted the technology used in flight simulators to the
operating room.
Geri and Avisar began working on their project in 2005 and the technology
received FDA clearance in 2013.
The technology uses existing MRI scans to create 3D models of the brain
that are compatible with virtual reality.
Surgical Theater also allows the surgeon to take the patients through the
3D images and the planned surgery.
“The advantage of this is that I can give myself what we call a ‘Superman’s
view,’ allowing me to see what I will not be able to see in surgery
until the tumor is removed,” Louis said. “I’m actually
flying through the tumor, and then bringing myself out to the back side.”
Hoag began using Surgical Theater in 2015, building on the systems in recent years.
Additions include software enabling 3D imagery used before the surgery
to be overlaid on top of a live surgical image of a patient during the surgery.
“It gives you the ability to see what you can’t see,”
Louis said.
The hospital has two operating rooms equipped with Surgical Theater equipment
and has used it in more than 1,000 cases, Louis said.
Both operating rooms are also
equipped with an 84-inch touchscreen monitor – think of giant flat-screen TV – that allows for manipulating
an image in 4K resolution.
The images can be recorded and later reviewed, or they can be streamed
live onto screens outside of the operating room.
Initially the virtual reality technology was used mainly for brain surgery,
but the 3D platform is now being expanded to other medical specialties, said
Dr. Michael Brant-Zawadzki, senior physician executive at Hoag.
“We’re starting to see virtual reality in healthcare expanding
dramatically,” Brant-Zawadzki said. “It ensures shorter patient
surgical times, improves outcomes and improves safety, (equating) to cost
savings for the healthcare.”
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