Imperial College London

DrPhilipPratt

Faculty of MedicineDepartment of Surgery & Cancer

Honorary Senior Research Fellow
 
 
 
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Contact

 

+44 (0)20 3312 5525p.pratt Website

 
 
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Location

 

005Paterson WingSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Hughes-Hallett:2014:10.1016/j.urology.2014.02.051,
author = {Hughes-Hallett, A and Pratt, P and Mayer, E and Martin, S and Darzi, A and Vale, J},
doi = {10.1016/j.urology.2014.02.051},
journal = {Urology},
pages = {237--242},
title = {Image guidance for all-tilepro display of 3-dimensionally reconstructed images in robotic partial nephrectomy},
url = {http://dx.doi.org/10.1016/j.urology.2014.02.051},
volume = {84},
year = {2014}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - ObjectiveTo determine the feasibility of a novel low-barrier-to-entry image guidance system.MethodsInitially a randomized crossover study was performed to establish the interface (iPad or 3-dimensional mouse) that minimized both the amount of time required to perform a manual image registration and the error of that registration. A subsequent clinical feasibility study was undertaken on 5 patients undergoing robot-assisted partial nephrectomy. Randomized crossover study primary outcomes were time to task completion, NASA–Task Load Index score, and alignment error (translational and rotational). The Mann-Whitney U test was used to compare groups. Surgeon feedback was sought when assessing the system in a clinical setting.ResultsIn the initial randomized crossover study, the iPad-based system was able to achieve adequate alignment accuracy (Frobenius norm of 0.3; total error of 20.8 mm) in significantly less time (33 seconds; P <.01) than the 3-dimensional mouse interface. The platform received good feedback from the operating surgeon in all instances with the surgeon commenting particularly on the improved appreciation of hilar vascular anatomy.ConclusionIn this study, we have demonstrated the feasibility of a “low-barrier-to-entry” image guidance system in a clinical setting. The system was able to achieve swift and sufficiently accurate alignment, with little impact on the surgical workflow.
AU - Hughes-Hallett,A
AU - Pratt,P
AU - Mayer,E
AU - Martin,S
AU - Darzi,A
AU - Vale,J
DO - 10.1016/j.urology.2014.02.051
EP - 242
PY - 2014///
SN - 0090-4295
SP - 237
TI - Image guidance for all-tilepro display of 3-dimensionally reconstructed images in robotic partial nephrectomy
T2 - Urology
UR - http://dx.doi.org/10.1016/j.urology.2014.02.051
UR - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000341364900059&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR - http://hdl.handle.net/10044/1/60411
VL - 84
ER -