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SIR 2026

Scientific Session

Late-breaking Abstract

Imaging

Session: Late-breaking Abstracts 2

First in Human Use of Spatial Computing During Interventional Radiology Procedures: IR and The Apple Vision Pro

Monday, April 13, 2026
4:03 PM - 4:12 PM ET
Location: 718B
Purpose: To describe the feasibility of use, suitability, and ergonomics of using the Apple Vision Pro (AVP) spatial computing headset as a fully integrated imaging system during conduct of interventional radiology procedures

Materials and Methods: Feasibility testing was performed to affirm that multiple imaging inputs, including fluoroscopy, reference images, and physiologic monitors could be broadcast and displayed in real time into the AVP without lag nor image compromise. A prospectively created survey was created to assess device function. The AVP was integrated into a Siemens (Artis) system with the creation of a local closed multi-router wifi network within the IR suite. Cases were performed with the AVP by a single operator. Case mix included:  prostatic artery embolization (n=3), pelvic vein embolization, nephrostomy (n=2) and biliary tube changes (n=2), complex TIPS creation (chronic portal vein thrombosis) (n=1).

Results:

All procedures were successfully completed in entirety while the operator was wearing the headset. Transparency mode allowed suitable visualization of all devices and their handling (including 0.14"/0.018 wires and microcatheters primarily threaded and manipulated by the operator). Floating and resizable windows of live and reference fluoroscopy images, and physiologic monitors were easily positioned in size and locations of much improved ergonomics compared with the large ceiling mounted 8K. Ability to zoom images reduced need for fluoroscopy magnification and monitor proximity during embolizations with particles, coils, and liquids.  Use and ergonomic survey results included: Average 30 question survey scores (1-5) yielded 4.8/5 (positive) regarding efficiency, ergonomics, utility, ease of use, user experience for procedures of low, medium and high complexity.

Conclusion: This first-in human use of the Apple Vision Pro headset proved comfortable and ergonomic, and provided increased value in visualization and operator comfort, and allowed successful completion of a variety of basic and complex interventional procedures. Having high resolution images during IR procedures, in operator-managed size, focus and locations, may improve comfort and ergonomics and data access during interventional procedures.