Using a Motion Sensor-Equipped Smartphone to Facilitate CT-Guided Puncture

Purpose To demonstrate the use of “Smart Puncture,” a smartphone application to assist conventional CT-guided puncture without CT fluoroscopy, and to describe the advantages of this application. Materials and Methods A puncture guideline is displayed by entering the angle into the application. Regar...

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Veröffentlicht in:Cardiovascular and interventional radiology 2017-04, Vol.40 (4), p.609-615
Hauptverfasser: Hirata, Masaaki, Watanabe, Ryouhei, Koyano, Yasuhiro, Sugata, Shigenori, Takeda, Yukie, Nakamura, Seiji, Akamune, Akihisa, Tsuda, Takaharu, Mochizuki, Teruhito
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container_end_page 615
container_issue 4
container_start_page 609
container_title Cardiovascular and interventional radiology
container_volume 40
creator Hirata, Masaaki
Watanabe, Ryouhei
Koyano, Yasuhiro
Sugata, Shigenori
Takeda, Yukie
Nakamura, Seiji
Akamune, Akihisa
Tsuda, Takaharu
Mochizuki, Teruhito
description Purpose To demonstrate the use of “Smart Puncture,” a smartphone application to assist conventional CT-guided puncture without CT fluoroscopy, and to describe the advantages of this application. Materials and Methods A puncture guideline is displayed by entering the angle into the application. Regardless of the angle at which the device is being held, the motion sensor ensures that the guideline is displayed at the appropriate angle with respect to gravity. The angle of the smartphone’s liquid crystal display (LCD) is also detected, preventing needle deflection from the CT slice image. Physicians can perform the puncture procedure by advancing the needle using the guideline while the smartphone is placed adjacent to the patient. In an experimental puncture test using a sponge as a target, the target was punctured at 30°, 50°, and 70° when the device was tilted to 0°, 15°, 30°, and 45°, respectively. The punctured target was then imaged with a CT scan, and the puncture error was measured. Results The mean puncture error in the plane parallel to the LCD was less than 2°, irrespective of device tilt. The mean puncture error in the sagittal plane was less than 3° with no device tilt. However, the mean puncture error tended to increase when the tilt was increased. Conclusion This application can transform a smartphone into a valuable tool that is capable of objectively and accurately assisting CT-guided puncture procedures.
doi_str_mv 10.1007/s00270-017-1605-5
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Materials and Methods A puncture guideline is displayed by entering the angle into the application. Regardless of the angle at which the device is being held, the motion sensor ensures that the guideline is displayed at the appropriate angle with respect to gravity. The angle of the smartphone’s liquid crystal display (LCD) is also detected, preventing needle deflection from the CT slice image. Physicians can perform the puncture procedure by advancing the needle using the guideline while the smartphone is placed adjacent to the patient. In an experimental puncture test using a sponge as a target, the target was punctured at 30°, 50°, and 70° when the device was tilted to 0°, 15°, 30°, and 45°, respectively. The punctured target was then imaged with a CT scan, and the puncture error was measured. Results The mean puncture error in the plane parallel to the LCD was less than 2°, irrespective of device tilt. The mean puncture error in the sagittal plane was less than 3° with no device tilt. However, the mean puncture error tended to increase when the tilt was increased. Conclusion This application can transform a smartphone into a valuable tool that is capable of objectively and accurately assisting CT-guided puncture procedures.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-017-1605-5</identifier><identifier>PMID: 28194507</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abscess - diagnostic imaging ; Abscess - therapy ; Adult ; Cardiology ; COMPUTERIZED TOMOGRAPHY ; Drainage - instrumentation ; Drainage - methods ; ERRORS ; Female ; FLUOROSCOPY ; Humans ; Imaging ; LIQUID CRYSTALS ; Medicine ; Medicine &amp; Public Health ; Motion ; Needles ; Nuclear Medicine ; PATIENTS ; Punctures - methods ; Radiography, Interventional - methods ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; RECOMMENDATIONS ; SENSORS ; Smartphone ; Technical Note ; Tomography, X-Ray Computed - methods ; Ultrasound ; VASCULAR DISEASES</subject><ispartof>Cardiovascular and interventional radiology, 2017-04, Vol.40 (4), p.609-615</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2017</rights><rights>CardioVascular and Interventional Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-46fd10875033224c50cf592c69ba1d54801af47eb454c1b4038bdc60d3e66b3e3</citedby><cites>FETCH-LOGICAL-c400t-46fd10875033224c50cf592c69ba1d54801af47eb454c1b4038bdc60d3e66b3e3</cites><orcidid>0000-0002-9017-6282</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-017-1605-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-017-1605-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28194507$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22645230$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirata, Masaaki</creatorcontrib><creatorcontrib>Watanabe, Ryouhei</creatorcontrib><creatorcontrib>Koyano, Yasuhiro</creatorcontrib><creatorcontrib>Sugata, Shigenori</creatorcontrib><creatorcontrib>Takeda, Yukie</creatorcontrib><creatorcontrib>Nakamura, Seiji</creatorcontrib><creatorcontrib>Akamune, Akihisa</creatorcontrib><creatorcontrib>Tsuda, Takaharu</creatorcontrib><creatorcontrib>Mochizuki, Teruhito</creatorcontrib><title>Using a Motion Sensor-Equipped Smartphone to Facilitate CT-Guided Puncture</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose To demonstrate the use of “Smart Puncture,” a smartphone application to assist conventional CT-guided puncture without CT fluoroscopy, and to describe the advantages of this application. Materials and Methods A puncture guideline is displayed by entering the angle into the application. Regardless of the angle at which the device is being held, the motion sensor ensures that the guideline is displayed at the appropriate angle with respect to gravity. The angle of the smartphone’s liquid crystal display (LCD) is also detected, preventing needle deflection from the CT slice image. Physicians can perform the puncture procedure by advancing the needle using the guideline while the smartphone is placed adjacent to the patient. In an experimental puncture test using a sponge as a target, the target was punctured at 30°, 50°, and 70° when the device was tilted to 0°, 15°, 30°, and 45°, respectively. The punctured target was then imaged with a CT scan, and the puncture error was measured. Results The mean puncture error in the plane parallel to the LCD was less than 2°, irrespective of device tilt. 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Materials and Methods A puncture guideline is displayed by entering the angle into the application. Regardless of the angle at which the device is being held, the motion sensor ensures that the guideline is displayed at the appropriate angle with respect to gravity. The angle of the smartphone’s liquid crystal display (LCD) is also detected, preventing needle deflection from the CT slice image. Physicians can perform the puncture procedure by advancing the needle using the guideline while the smartphone is placed adjacent to the patient. In an experimental puncture test using a sponge as a target, the target was punctured at 30°, 50°, and 70° when the device was tilted to 0°, 15°, 30°, and 45°, respectively. The punctured target was then imaged with a CT scan, and the puncture error was measured. Results The mean puncture error in the plane parallel to the LCD was less than 2°, irrespective of device tilt. The mean puncture error in the sagittal plane was less than 3° with no device tilt. However, the mean puncture error tended to increase when the tilt was increased. Conclusion This application can transform a smartphone into a valuable tool that is capable of objectively and accurately assisting CT-guided puncture procedures.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28194507</pmid><doi>10.1007/s00270-017-1605-5</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9017-6282</orcidid></addata></record>
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language eng
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subjects Abscess - diagnostic imaging
Abscess - therapy
Adult
Cardiology
COMPUTERIZED TOMOGRAPHY
Drainage - instrumentation
Drainage - methods
ERRORS
Female
FLUOROSCOPY
Humans
Imaging
LIQUID CRYSTALS
Medicine
Medicine & Public Health
Motion
Needles
Nuclear Medicine
PATIENTS
Punctures - methods
Radiography, Interventional - methods
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
RECOMMENDATIONS
SENSORS
Smartphone
Technical Note
Tomography, X-Ray Computed - methods
Ultrasound
VASCULAR DISEASES
title Using a Motion Sensor-Equipped Smartphone to Facilitate CT-Guided Puncture
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