Out-of-Plane Needle Placements Using 3D Augmented Reality Protractor on Smartphone: An Experimental Phantom Study.

PURPOSE: To evaluate the accuracy of needle placement using a three-dimensional (3D) augmented reality (AR) protractor on smartphones (AR Puncture). MATERIALS AND METHODS: An AR protractor that can be rotated in three directions against the CT plane with angle guidance lines for smartphones was developed. The protractor center can be adjusted to an entry point by manually moving the smartphone with the protractor center fixed at the center of the screen (Fix-On-Screen) or by image tracking with a printed QR code placed at an entry point (QR-Tracking). Needle placement was performed by viewing a target line in the tangent direction with the Bull's eye method. The needle placement errors placed by four operators in six out-of-plane directions in a phantom using a smartphone (iPhone XR, Apple, Cupertino, CA, USA) were compared with two registration methods. RESULTS: No significant difference in the average needle placement error was observed between the Fix-On-Screen and QR-Tracking methods (5.6 ± 1.7 mm vs. 6.1 ± 2.9 mm, p = 0.475). The average procedural time of the Fix-On-Screen method was shorter than that of the QR-Tracking method (71.0 ± 23.9 s vs. 98.4 ± 59.5 s, p = 0.042). CONCLUSION: The accuracies of out-of-plane needle placements using the 3D AR protractor with the two registration methods were equally high, with short procedure times. In clinical use, the Fix-On-Screen registration method would be more convenient because no additional markers are required.

Fluid Layered Ferroelectrics with Global C∞v Symmetry.

Ferroelectricity in fluid materials, which allows free rotation of molecules, is an unusual phenomenon raising cutting-edge questions in science. Conventional ferroelectric liquid crystals have been found in phases with low symmetry that permit the presence of spontaneous polarization. Recently, the discovery of ferroelectricity with high symmetry in the nematic phase has attracted considerable attention. However, the physical mechanism and molecular origin of ferroelectricity are poorly understood and a large domain of macroscopically oriented spontaneous polarization is difficult to fabricate in the ferroelectric nematic phase. This study reports new fluid layered ferroelectrics with the C∞v symmetry in which nearly complete orientation of the spontaneous polarization remains stable under zero electric field without any orientation treatment. These ferroelectrics are obtained by simplifying the molecular structure of a compound with a known ferroelectric nematic phase, although the simplification reduced the dipole moment. The results provide useful insights into the mechanism of ferroelectricity due to dipole-dipole interactions in molecular assemblies. The new ferroelectric materials are promising for a wide range of applications as soft ferroelectrics.