Authorship：Last author   Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1002/rcr2.70031

Authorship：Lead author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1097/LBR.0000000000000984

Authorship：Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1002/rcr2.1405

Language：English   Publisher：Journal of Ultrasonography  

Aim: This study aimed to examine the feasibility and potential benefits of an optical see-through head-mounted display (OST-HMD) during real-time ultrasound-guided thoracentesis simulations. Material and methods: Six physicians performed a thoracentesis simulation using an OST-HMD and a wireless image transmission system. The time required, puncture needle visibility, pleural fluid collection success rate, and head movement during the procedure using a smart glass equipped with an inertial measurement unit were all recorded and compared with and without the HMD. Results: Study participants successfully extracted effusions in all procedures. The use of OST-HMD did not significantly affect the time of the procedure, but notably decreased the horizontal and vertical head movements during the procedure. Conclusions: The study demonstrated the feasibility of using an OST-HMD in a simulated real-time ultrasound-guided thoracentesis procedure and showed the potential of HMD in thoracentesis to improve ergonomics and accuracy. Further research is necessary to confirm these findings.

DOI： 10.15557/jou.2024.0012

Scopus

PubMed

Language：English   Publisher：Surgical Innovation  

DOI： 10.1177/15533506231160201

Web of Science

Scopus

PubMed

Authorship：Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)  

DOI： https://doi.org/10.18907/jjsre.45.5_339

Authorship：Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)  

DOI： https://doi.org/10.18907/jjsre.45.1_37

Publisher：Surgical Innovation  

Background/need. The increases in reference images and information during bronchoscopy using virtual bronchoscopic navigation (VBN) and fluoroscopy has potentially created the need for support using a head-mounted display (HMD) because bronchoscopists feel difficulty to see displays that are at a distance from them and turn their head and body in various directions. Methodology and device description. The binocular see-through Moverio BT-35E Smart Glasses can be connected via a high-definition multimedia interface and have a 720p high-definition display. We developed a system that converts fluoroscopic (live and reference), VBN, and bronchoscopic image signals through a converter and references them using the Moverio BT-35E. Preliminary results. We performed a virtual bronchoscopy-guided transbronchial biopsy simulation using the system. Four experienced pulmonologists performed a simulated bronchoscopy of 5 cases each with the Moverio BT-35E glasses, using bronchoscopy training model. For all procedures, the bronchoscope was advanced successfully into the target bronchus according to the VBN image. None of the operators reported eye or body fatigue during or after the procedure. Current status. This small-scale simulation study suggests the feasibility of using a HMD during bronchoscopy. For clinical use, it is necessary to evaluate the safety and usefulness of the system in larger clinical trials in the future.

DOI： 10.1177/15533506211068928

Web of Science

Scopus

PubMed

Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.21037/jtd-22-809

Open Access

Web of Science

Scopus

PubMed

Language：English   Publisher：Respirology Case Reports  

A 59-year-old woman complained of continuous dyspnea. Computed tomography revealed multiple pulmonary nodules, mildly small enlarged mediastinal lymph nodes and a nodule in the liver segment 8. Her dyspnea worsened with respiratory failure 4 days after presentation. Liver biopsy was not possible as she could not hold her breath; thus, we performed bronchoscopy. For biopsy, the pulmonary nodules with a positive bronchus sign were preferred over the mildly small enlarged mediastinal lymph nodes. Bronchoscopy under non-invasive positive pressure ventilation (NPPV) or high-flow nasal cannula (HFNC) was impossible because of the lack of equipment. Therefore, we biopsied via thin bronchoscope through nasal cavity under a high-concentration oxygen mask. Pathological findings revealed epidermal growth factor receptor mutation-positive lung adenocarcinoma. For patients with respiratory failure who cannot undergo bronchoscopy under NPPV or HFNC, thin bronchoscopy through the nasal cavity under a high-concentration oxygen mask may be clinically useful to prevent hypoxaemia during the procedure.

DOI： 10.1002/rcr2.1007

Web of Science

Scopus

PubMed

Language：English   Publisher：Journal of Hospital Infection  

DOI： 10.1016/j.jhin.2022.01.022

Web of Science

Scopus

PubMed

Authorship：Lead author   Language：English  

DOI： https://doi.org/10.1111/crj.13324

Authorship：Lead author   Language：English  

DOI： https://doi.org/10.1002/rcr2.710

Open Access

Authorship：Lead author   Language：English  

DOI： https://doi.org/10.3390/diagnostics11122269

Open Access

Authorship：Lead author   Language：English  

DOI： https://doi.org/10.1177/15330338211043040

Open Access

Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)  

DOI： https://doi.org/10.3390/cancers13225751

Open Access

Language：English  

DOI： https://doi.org/10.1016/j.rmcr.2020.101028

Open Access

Authorship：Lead author   Language：English  

Language：English  

DOI： https://doi.org/10.1016/j.cllc.2019.07.006

Authorship：Lead author   Language：English  

DOI： https://doi.org/10.1002/rcr2.309

Authorship：Lead author   Language：Japanese  

DOI： 10.18907/jjsre.38.3_201

Open Access