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Development of a novel guidance system for regional anesthesia using augmented reality technology

Research Project

Project/Area Number 17K16765
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Anesthesiology
Research InstitutionKansai Medical University

Principal Investigator

YOSHIDA Takayuki  関西医科大学, 医学部, 研究医員 (30634852)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2019: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords拡張現実 / augmented reality / 区域麻酔 / 神経ブロック / 超音波ガイド / ナビゲーション / 医学教育 / 硬膜外麻酔 / 疼痛管理学
Outline of Final Research Achievements

In our research, a vision-based augmented reality (AR) technology allowed visualizing 3D data of a spine model within a human torso simulator onto a picture of the simulator on the screen. However, the insufficient accuracy of the position of structures on the screen prevented us from using this technology as guidance for regional anesthesia techniques in the real world scenario. We changed our original plan and tried to create a new guidance system that presents the positional relationship between an ultrasound transducer and a needle onto the screen during an ultrasound-guided regional anesthesia procedure, using AR technology. While the margin of error between the needle position on the screen and the exact needle position was found to be roughly 1 cm, we could not improve this error within the study period. Therefore, we have not assessed our system in a clinical setting.

Academic Significance and Societal Importance of the Research Achievements

近年、麻薬性鎮痛薬の過剰使用および不適切使用が社会問題となっている。区域麻酔法は、麻薬性鎮痛薬に頼らずに手術や外傷および慢性疾患による痛みを取り除くことができる方法であり、その重要性が増している。一方で、区域麻酔法は技術的修練を要する。そのため、手技の施行を容易にするガイドシステムが開発されれば、区域麻酔の恩恵に与る対象を増やすことができる。本研究では、AR技術を応用して、区域麻酔手技を簡単かつ安全に行えるようにすることを目指した。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (34 results)

All 2019 2018 2017

All Journal Article (10 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 10 results,  Open Access: 5 results) Presentation (19 results) (of which Int'l Joint Research: 10 results,  Invited: 8 results) Book (5 results)

  • [Journal Article] Effects of Catheter Tip Location on the Spread of Sensory Block Caused by a Continuous Thoracic Paravertebral Block: A Prospective, Randomized, Controlled, Double-Blind Study2019

    • Author(s)
      Yoshida Takayuki、Watanabe Yoshiko、Hashimoto Takeshi、Ohta Atsushi、Nakamoto Tatsuo
    • Journal Title

      BioMed Research International

      Volume: 2019 Pages: 1-8

    • DOI

      10.1155/2019/1051629

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Superiority of Dynamic Needle Tip Positioning for Ultrasound-Guided Peripheral Venous Catheterization in Patients Younger Than 2 Years Old: A Randomized Controlled Trial2019

    • Author(s)
      Takeshita J, Yoshida T, Nakajima Y, Nakayama Y, Nishiyama K, Ito Y, Shimizu Y, Takeuchi M, Shime N.
    • Journal Title

      Pediatr Crit Care Med.

      Volume: 20 (9) Issue: 9 Pages: e410-e414

    • DOI

      10.1097/pcc.0000000000002034

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Residual shunt in an infant following patent ductus arteriosus ligation detected via transesophageal echocardiography monitoring during pulmonary artery banding: a case report2019

    • Author(s)
      Yoshida Takayuki、Anada Natsuki、Nakajima Yasufumi
    • Journal Title

      JA Clinical Reports

      Volume: 5 Issue: 1 Pages: 1-2

    • DOI

      10.1186/s40981-019-0240-3

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] An Ultrasound-Guided Lateral Approach for Proximal Sciatic Nerve Block2018

    • Author(s)
      Yoshida Takayuki、Nakamoto Tatsuo、Hashimoto Chikako、Aihara Satoshi、Nishimoto Kota、Kamibayashi Takahiko
    • Journal Title

      Regional Anesthesia and Pain Medicine

      Volume: 43 Pages: 712-719

    • DOI

      10.1097/aap.0000000000000835

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Dynamic Needle Tip Positioning for Ultrasound-Guided Arterial Catheterization in Infants and Small Children With Deep Arteries: A Randomized Controlled Trial.2018

    • Author(s)
      Takeshita J, Yoshida T, Nakajima Y, Nakayama Y, Nishiyama K, Ito Y, Shimizu Y, Takeuchi M, Shime N.
    • Journal Title

      J Cardiothorac Vasc Anesth.

      Volume: 印刷中 Issue: 7 Pages: 1-7

    • DOI

      10.1053/j.jvca.2018.12.002

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Impact of pectoral nerve block on postoperative pain and quality of recovery in patients undergoing breast cancer surgery2018

    • Author(s)
      Kamiya Yoshinori、Hasegawa Miki、Yoshida Takayuki、Takamatsu Misako、Koyama Yu
    • Journal Title

      European Journal of Anaesthesiology

      Volume: 35 Issue: 3 Pages: 215-223

    • DOI

      10.1097/eja.0000000000000762

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Ultrasound-Guided Obturator Nerve Block: A Focused Review on Anatomy and Updated Techniques2017

    • Author(s)
      Yoshida Takayuki、Nakamoto Tatsuo、Kamibayashi Takahiko
    • Journal Title

      BioMed Research International

      Volume: 2017 Pages: 1-9

    • DOI

      10.1155/2017/7023750

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Intraoperative Detection of Persistent Endoleak by Detecting Residual Spontaneous Echocardiographic Contrast in the Aneurysmal Sac During Thoracic Endovascular Aortic Repair2017

    • Author(s)
      Imai Hidekazu、Ohashi Nobuko、Yoshida Takayuki、Okamoto Takeshi、 Kitamura Nobutaka、Tanaka Takahiro、Baba Hiroshi
    • Journal Title

      Anesthesia and Analgesia

      Volume: 125 Issue: 2 Pages: 417-420

    • DOI

      10.1213/ane.0000000000002207

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Practical tips for placement of transversus abdominis plane catheter using oblique subcostal approach2017

    • Author(s)
      Yoshida Takayuki、Nakamoto Tatsuo
    • Journal Title

      Asian Journal of Anesthesiology

      Volume: 55 Issue: 2 Pages: 50-51

    • DOI

      10.1016/j.aja.2017.06.003

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Transversus Abdominis Plane Block: An Updated Review of Anatomy and Techniques2017

    • Author(s)
      Tsai Hsiao-Chien、Yoshida Takayuki、Chuang Tai-Yuan、Yang Sheng-Feng、Chang Chuen-Chau、Yao Han-Yun、Tai Yu-Ting、Lin Jui-An、Chen Kung-Yen
    • Journal Title

      BioMed Research International

      Volume: 2017 Pages: 1-12

    • DOI

      10.1155/2017/8284363

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 胸部傍脊椎ブロックの正体に迫る2019

    • Author(s)
      吉田敬之
    • Organizer
      日本臨床麻酔学会第39回大会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] A Case of Painless Labor Managed by a Combination of Bilateral Ultrasound-Guided Percutaneous Pudendal Nerve Blocks and Intravenous Remifentanil Infusion2019

    • Author(s)
      Takayuki Yoshida, Katsutoshi Nakahata, Michiko Kanazawa, Chisato Sumi
    • Organizer
      ANESTHESIOLOGY 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A SUBFASCIAL LOCAL ANESTHETIC INJECTION TO THE PSOAS MAJOR MUSCLE COMBINED WITH THE ANTERIOR APPROACH FOR QUADRATUS LUMBORUM BLOCK: TECHNICAL DESCRIPTION AND RETROSPECTIVE EVALUATION2019

    • Author(s)
      Takayuki Yoshida, Tatsuo Nakamoto, Takahiko Kamibayashi
    • Organizer
      38th Annual ESRA Congress
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 胸部傍脊椎腔造影で雲状パターンが生じる原因の解剖所見に基づく推察2019

    • Author(s)
      吉田敬之、中本達夫
    • Organizer
      日本ペインクリニック学会第53回大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 超音波ガイド下神経ブロックをいかに教育するか 胸部体幹神経ブロックの教育体制構築2019

    • Author(s)
      吉田敬之
    • Organizer
      日本麻酔科学会第66回学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 坐骨神経ブロックのリバイバルアプローチ2019

    • Author(s)
      吉田敬之
    • Organizer
      日本区域麻酔学会第6回学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Utilizing truncal nerve blocks in abdominal surgeries: myths and facts2019

    • Author(s)
      Takayuki Yoshida
    • Organizer
      The 15th Asian and Oceanic Society of Regional Anesthesia and Pain Medicine Congress
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] A New Ultrasound-Guided Lateral Approach for Proximal Sciatic Nerve Block: A Comparison with the Anterior Approach and a Cadaveric Evaluation2018

    • Author(s)
      Takayuki Yoshida、Tatsuo Nakamoto
    • Organizer
      2018 World Congress on Regional Anesthesia & Pain Medicine
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Ultrasound-guided proximal lateral sciatic nerve block2018

    • Author(s)
      Takayuki Yoshida
    • Organizer
      7th Annual Meeting RA Asia 2018 in Tokyo
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 坐骨神経ブロック近位側方アプローチの超音波ガイド下新手法の報告 -超音波ガイド下前方アプローチとの前向き無作為化観察者盲検比較試験-2018

    • Author(s)
      吉田敬之、中本達夫、高橋千香子、相原聡、西本浩太、上林卓彦
    • Organizer
      日本麻酔科学会 第65回学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] EFFECTIVENESS OF ULTRASOUND-GUIDED CONFIRMATION OF CATHETER TIP POSITION ON THE SPREAD OF SENSORY BLOCK PRODUCED BY A CONTINUOUS THORACIC PARAVERTEBRAL BLOCK: A PROSPECTIVE COHORT STUDY2018

    • Author(s)
      Takayuki Yoshida、Takeshi Hashimoto、Takashi Fujiwara、Kenta Furutani、Tatsuo Nakamoto
    • Organizer
      37th Annual ESRA Congress
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] An Infant Case of Residual Shunt Following Patent Ductus Arteriosus Ligation Detected Via Transesophageal Echocardiography Monitoring During Pulmonary Artery Banding2018

    • Author(s)
      Natsuki Anada、Takayuki Yoshida、Yasufumi Nakajima
    • Organizer
      ANESTHESIOLOGY 2018 annual meeting
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 持続末梢神経ブロック 体幹部における持続末梢神経ブロックの応用2018

    • Author(s)
      吉田敬之
    • Organizer
      日本臨床麻酔学会 第38回大会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] TAPブロックの歴史を振り返る-ランドマーク法の登場からQLBへの派生まで-2017

    • Author(s)
      吉田敬之
    • Organizer
      日本区域麻酔学会 第4回学術集会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] A case of psoas major muscle abscess diagnosed using ultrasound-guided percutaneous puncture2017

    • Author(s)
      Yoshida Takayuki、Sakuma Kazuhiro、Watanabe Satoshi
    • Organizer
      Euroanaesthesia 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] A NEW ULTRASOUND-GUIDED LATERAL APPROACH FOR PROXIMAL SCIATIC NERVE BLOCK: TECHNICAL DESCRIPTION AND RETROSPECTIVE EVALUATION2017

    • Author(s)
      Yoshida Takayuki、Nakamoto Tatsuo、Kamibayashi Takahiko
    • Organizer
      36th Annual ESRA Congress
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] ANALGESIC EFFICACY OF ULTRASOUND-GUIDED LOCAL ANESTHETIC INJECTION INTO THE LONGUS CAPITIS MUSCLE IN CAROTID ENDARTERECTOMY: A RETROSPECTIVE COMPARATIVE STUDY2017

    • Author(s)
      Ando Akiko、Yoshida Takayuki、Nakamoto Tatsuo、Ikeda Sakahiro
    • Organizer
      36th Annual ESRA Congress
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 新しい坐骨神経ブロック法:超音波ガイド下近位側方アプローチ2017

    • Author(s)
      吉田敬之、中本達夫、上林卓彦
    • Organizer
      日本臨床麻酔学会 第37回大会
    • Related Report
      2017 Research-status Report
  • [Presentation] 本邦における臨床研究-4 臨床研究を通じて麻酔を愉しむ2017

    • Author(s)
      吉田敬之
    • Organizer
      日本臨床麻酔学会 第37回大会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Book] Hadzic’s Textbook of Regional Anesthesia and Acute Pain Management: Self-Assessment and Review First Edition2019

    • Author(s)
      Admir Hadzic, Hiroaki Murata, Tatsuo Nakamoto, Takayuki Yoshida
    • Total Pages
      448
    • Publisher
      McGraw-Hill Education
    • ISBN
      9781260142709
    • Related Report
      2019 Annual Research Report
  • [Book] 続・末梢神経ブロックの疑問~実践編~Q&A702018

    • Author(s)
      上嶋 浩順、大嶽 浩司、吉田 敬之、ほか
    • Total Pages
      232
    • Publisher
      中外医学社
    • Related Report
      2018 Research-status Report
  • [Book] Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, Second Edition2017

    • Author(s)
      Admir Hadzic、Hiroaki Murata、Tatsuo Nakamoto、Takayuki Yoshida、Manoj K. Karmakar、ほか
    • Total Pages
      1536
    • Publisher
      McGraw-Hill Education / Medical
    • ISBN
      9780071717595
    • Related Report
      2017 Research-status Report
  • [Book] 末梢神経ブロックの疑問Q&A702017

    • Author(s)
      上嶋 浩順、大嶽 浩司、吉田 敬之、ほか
    • Total Pages
      235
    • Publisher
      中外医学社
    • ISBN
      9784498055322
    • Related Report
      2017 Research-status Report
  • [Book] 超音波診断装置が有用な運動器疾患診断治療ガイド2017

    • Author(s)
      奥田 泰久、臼井 要介、中本 達夫、山内 正憲、吉田 敬之、ほか
    • Total Pages
      187
    • Publisher
      克誠堂出版
    • ISBN
      9784771904910
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2021-02-19  

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