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<p>Understanding congenital heart disease requires a 3D mental framework, yet clinicians typically rely on 2D imaging. Multi-disciplinary case management conference (CMC) discussions often involve review of complex anatomy utilizing cross-sectional imaging. Mixed reality (MR) offers immersive 3D visualization that may enhance these discussions. Our objectives were to demonstrate the feasibility of integrating MR-guided discussions into CMC and assess Heart Center perceptions of its use.&#xa0;This prospective, single-center study was conducted during multi-disciplinary CMCs. Baseline and post-presentation Likert-scale questionnaires were administered. EchoPixel True3D (Santa Clara, CA) was used to present 3D MR models from cardiac CT datasets. Participants used electronic glasses wirelessly linked to a 3D projector to view the MR models in conference, which were manipulated in real-time.&#xa0;On the baseline survey (<i>n</i> = 46), 67% agreed that complex cardiac anatomy is difficult to interpret with 2D imaging. Twelve MR cases were presented. On the post-survey (<i>n</i> = 100), 93% rated the MR model quality as good/excellent, 75% felt that MR improved their understanding of the cardiac anatomy, and 89% supported regular use of MR in CMC. Among surgeons and interventionalists, 82% reported improved procedural planning and 57% altered their procedural approach.&#xa0;Mixed reality imaging can be successfully incorporated into CMC presentations and discussions, with positive participant responses. MR provides a virtual 3D framework that closely replicates patient anatomy and supports pre-procedural planning and execution.</p>

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Mixed Reality as a Tool for Congenital Heart Disease Case Management Discussions

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月23日

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  • Megan Gunsaulus,
  • Jayanthi Parthasarathy,
  • Carson Richardson,
  • Christopher Schmitt,
  • Sergio A. Carrillo,
  • Marc Dutro,
  • Arash Salavitabar

摘要

Understanding congenital heart disease requires a 3D mental framework, yet clinicians typically rely on 2D imaging. Multi-disciplinary case management conference (CMC) discussions often involve review of complex anatomy utilizing cross-sectional imaging. Mixed reality (MR) offers immersive 3D visualization that may enhance these discussions. Our objectives were to demonstrate the feasibility of integrating MR-guided discussions into CMC and assess Heart Center perceptions of its use. This prospective, single-center study was conducted during multi-disciplinary CMCs. Baseline and post-presentation Likert-scale questionnaires were administered. EchoPixel True3D (Santa Clara, CA) was used to present 3D MR models from cardiac CT datasets. Participants used electronic glasses wirelessly linked to a 3D projector to view the MR models in conference, which were manipulated in real-time. On the baseline survey (n = 46), 67% agreed that complex cardiac anatomy is difficult to interpret with 2D imaging. Twelve MR cases were presented. On the post-survey (n = 100), 93% rated the MR model quality as good/excellent, 75% felt that MR improved their understanding of the cardiac anatomy, and 89% supported regular use of MR in CMC. Among surgeons and interventionalists, 82% reported improved procedural planning and 57% altered their procedural approach. Mixed reality imaging can be successfully incorporated into CMC presentations and discussions, with positive participant responses. MR provides a virtual 3D framework that closely replicates patient anatomy and supports pre-procedural planning and execution.