Metaverse Surgical Planning with Three-dimensional Virtual Models for Minimally Invasive Partial Nephrectomy.

Journal: European urology
PMID:

Abstract

The recent integration of new virtual visualization modalities with artificial intelligence and high-speed internet connection has opened the door to the advent of the metaverse in medicine. In this totally virtual environment, three-dimensional virtual models (3DVMs) of the patient's anatomy can be visualized and discussed via digital avatars. Here we present for the first time a metaverse preoperative clinical case discussion before minimally invasive partial nephrectomy. The surgeons' digital avatars met in a virtual room and participated in a virtual consultation on the surgical strategy and clamping approach before the procedure. Robotic or laparoscopic procedures are then carried out according to the simulated surgical strategy. We demonstrate how this immersive virtual reality experience overcomes the barriers of distance and how the quality of surgical planning is enriched by a great sense of "being there", even if virtually. Further investigation will improve the quality of interaction with the models and among the avatars.

Authors

  • Enrico Checcucci
    Division of Urology, Department of Oncology, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy.
  • Daniele Amparore
    Division of Urology, Department of Oncology, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy.
  • Gabriele Volpi
    Department of Urology, "San Luigi Gonzaga" Hospital, University of Turin, Orbassano (Turin), Italy.
  • Sabrina De Cillis
    Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy.
  • Federico Piramide
    Department of Urology, "San Luigi Gonzaga" Hospital, University of Turin, Orbassano (Turin), Italy.
  • Paolo Verri
    Department of Oncology, Division of Urology, University of Turin, San Luigi Gonzaga Hospital, Orbassano (Turin), Italy.
  • Alberto Piana
    Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy.
  • Michele Sica
    Department of Oncology, Division of Urology, University of Turin, San Luigi Gonzaga Hospital, Orbassano (Turin), Italy.
  • Cecilia Gatti
    Department of Electronics, Information and Bioengineering, Politecnico di Milano, p.zza Leonardo da Vinci, 32, 20133 Milano, Italy.
  • Paolo Alessio
    Department of Surgery, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
  • Alberto Quarà
    Endolase lab, GRC20, Sorbonne Université and PIMM-Arts et Métiers Paris Tech, Paris, France.
  • Mariano Burgio
    Division of Urology, Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Regione Gonzole 10, 10043, Orbassano (Turin), Italy.
  • Marco Colombo
    Department of Urology, San Luigi Gonzaga Hospital, University of Turin, 10043 Orbassano, Italy.
  • Giovanni Busacca
    Department of Urology, San Luigi Gonzaga Hospital, University of Turin, 10043 Orbassano, Italy.
  • Alex Mottrie
    3 Department of Urology, OLV , Aalst, Belgium .
  • Edward Cherullo
    Rush University Medical Center, Chicago, Illinois.
  • Alberto Breda
    Department of Urology, Universitat Autònoma de Barcelona, Fundaciò Puigvert, Barcelona, Spain. Electronic address: albbred@hotmail.com.
  • Alessandro Antonelli
    Department of Urology, Azienda Ospedaliera Universitaria Integrata Verona, University of Verona, Verona, Italy.
  • Renaud Bollens
    Urology Department, Centre Hospitalier de Wallonie Picarde, Tournai, Belgium.
  • Andrea Minervini
    Department of Urology, Careggi Hospital, University of Florence, Florence, Italy.
  • James Porter
    Swedish Urology Group, Swedish Medical Center Seattle and Issaquah, Seattle, WA, USA.
  • Riccardo Schiavina
    1 Department of Urology, University of Bologna , Bologna, Italy .
  • Riccardo Autorino
    Department of Urology, Rush University, Chicago, IL, USA.
  • Ashutosh Tewari
    Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Michele Di Dio
    Division of Urology, Department of Surgery, SS Annunziata Hospital, Cosenza, Italy.
  • Cristian Fiori
    Division of Urology, Department of Oncology, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy.
  • Francesco Porpiglia
    Division of Urology, Department of Oncology, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy.