HOLO Portal

by Surgalign  · Based in United States → — The world's first AI-driven augmented reality (AR) guidance system for spine surgery.
Neurosurgery Orthopedics Radiology
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Regulatory Status Disclosed

Overview

HOLO Portal is a surgical guidance system developed by Surgalign that integrates artificial intelligence (AI) and augmented reality (AR) to assist surgeons during spine procedures. It is designed to improve patient outcomes by providing intelligent solutions in the operating room. The system utilizes machine learning-based image guidance technology, automated spine segmentation (anatomy recognition), and proprietary AI software for surgical planning. Intraoperative images are autonomously processed by the AI system to create a patient-specific plan, which is then presented to the surgeon via an AR display. This allows for real-time 3D visualization of the segmented AI reconstruction overlaid on the patient’s actual anatomy, helping surgeons visualize trajectories and guide surgical instruments with increased precision.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-driven automated spine segmentation and anatomy recognition
  • Automated surgical planning for pedicle screw trajectories
  • Augmented reality (AR) display for real-time 3D visualization
  • Overlay of AI reconstruction onto patient's actual anatomy
  • Guidance for surgical instruments
  • Machine learning-based image guidance technology
  • Convolutional neural networks for image processing
  • Over 250 enhancements in software and hardware (as of March 2023)
  • Integration with over 20 new surgical tools (as of March 2023)

Use Cases

  • Lumbar spine procedures
  • Open lumbar pedicle screw procedures
  • Precisely locating anatomical structures in open or percutaneous orthopedic procedures in the lumbosacral spine region
  • Planning patient-specific pedicle screw trajectories

What Physicians Need to Know

DICOM Support & Standards
The HOLO Portal system utilizes patient-specific digital imaging, and its AI processes intraoperative images. It supports DICOM import and export via encrypted USB with Medtronic O-arm.
PACS Integration Method
While the HOLO Portal system itself is a surgical guidance system, Surgalign's broader HOLO AI platform, which powers HOLO Portal, offers a secure, highly scalable cloud platform for automated analysis of medical images, including standard protocol lumbar spine MRI images.
Reading Room Workflow Impact
HOLO Portal is designed for use in the operating room, not the reading room. It aims to improve surgical precision and efficiency by providing surgeons with 3D visualization and automated surgical planning directly in their field of vision using augmented reality.
AI Model Architecture (deep learning approach)
The HOLO Portal system employs machine learning-based neural networks, specifically convolutional neural networks, to autonomously segment and identify anatomical structures, analyze medical imaging, make measurements, and automate surgical planning, such as pedicle screw trajectories.
FDA Clearance Pathway (510k/De Novo)
HOLO Portal received U.S. Food and Drug Administration (FDA) 510(k) clearance for its AI-driven augmented reality (AR) guidance system for lumbar spine procedures in January 2022.
Supported Modalities (CT/MRI/X-ray/US)
The system utilizes intraoperative CT images of the anatomy for guidance in lumbosacral spine procedures. Additionally, Surgalign's HOLO AI Insights, which is integrated with HOLO Portal, analyzes standard protocol lumbar spine MRI images.
Sensitivity & Specificity Data
The quality of the autonomous anatomical segmentation by HOLO Portal was determined by comparing it with manual segmentations using mean Su00f8rensenu2013Dice coefficient (DSC) calculations.
Physician Tip

HOLO Portal is a surgical guidance system that leverages AI and AR to provide real-time 3D visualization and automated surgical planning directly in the surgeon's field of vision. This can lead to improved precision and efficiency during lumbar spine procedures, particularly for pedicle screw placement. The system autonomously processes intraoperative images to create patient-specific plans, reducing the need for manual planning time. While the primary application is intraoperative guidance, the underlying HOLO AI platform also offers capabilities for retrospective data analysis of MRI images, which could be valuable for research and population health insights.

HOLO Portal supports DICOM import and export via encrypted USB with Medtronic O-arm. The broader HOLO AI platform, which powers HOLO Portal, is designed for automated analysis of medical images and has the potential for integration with various healthcare specialties and throughout the care continuum. Future integrations are planned to expand use cases and enhance system functionality based on clinical feedback.

Details

Category Radiology & Imaging AI, Surgical AI
Pricing Contact for pricing
DeploymentOn-premise (surgical guidance system hardware)
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

HOLO Portal received U.S. Food & Drug Administration (FDA) 510(k) clearance in January 2022 for use in lumbar spine procedures.
Integrations
EHR Not specified
Specialties Neurosurgery, Orthopedics, Radiology

Ratings & Reviews

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Press & Coverage

Surgalign
Surgalign's HOLO Portal AI-Driven, AR Spine Surgery Guidance System Earns FDA Nod
Surgalign received FDA 510(k) clearance for its HOLO Portal AI-driven augmented reality (AR) guidance system for lumbar spine procedures, marking it as the first clinical application for the company's HOLO AI digital health platform. The system combines machine learning-based image guidance with AR, automated spine segmentation, and AI surgical planning software to improve patient outcomes.
2022-01
GlobeNewswire
Surgalignu2122 Announces the First Successful Surgical Procedure Utilizing its HOLO Portalu2122 Surgical Guidance System
Surgalign announced the first successful surgical procedure using its HOLO Portal system at Indiana Spine Hospital in Carmel, Indiana, performed by Dr. Mario Brkaric. This marks the commencement of clinical use for the world's first AI and AR guidance system for spine surgery.
2022-05
OrthoFeed
Surgalignu2122 Awarded 2022 Best New Technology Award from Orthopedics This Week for its HOLO Portalu2122 Surgical Guidance System
Surgalign's HOLO Portal surgical guidance system received the 2022 Best New Spine Technology Award from Orthopedics This Week, recognized for its originality, clinical relevance, and potential to improve patient outcomes. The award highlights HOLO Portal as the world's first AI-driven, augmented reality guidance system for spine surgery.
2022-10
Cloudfront.net
Surgalign Expands Adoption of its HOLO Portal Surgical Guidance System in Virginia
Surgalign announced additional commercialization of its HOLO Portal system with multiple successful cases performed in Virginia, including the first by Dr. Joshua P. Herzog. The company is expanding its limited market release and plans to integrate new applications to advance patient care.
2022-12
Ortho Spine News
Surgalign Launches Next Generation Software for its HOLO Portalu2122 Surgical Guidance System and Expands Surgical Tool Integration to Drive Use Case Adoption
Surgalign launched a major upgrade for its HOLO Portal system, including over 250 enhancements in software, hardware, and integration with new surgical tools. These improvements aim to better support open lumbar pedicle screw procedures and expand the system's use cases.
2023-03
Ortho Consulting Group
Surgalign Announces Release of HOLOu2122 AI Insights for Spine Imaging
Surgalign announced the release of HOLO AI Insights, a secure cloud platform for automated analysis of medical images, as part of its HOLO AI portfolio. This platform analyzes lumbar spine MRI images to provide quantitative measurements of anatomical structures, supporting retrospective data analysis and clinical research.
2023-03
OrthoStreams
HOLO Portal was just acquired for $0.9M. What just happened?
OrthoStreams reported on the acquisition of HOLO Portal for $0.9M, noting its FDA clearance in January 2022 for lumbar spine procedures and its unique combination of AI and AR guidance in spine surgery. The article discusses the potential future of HOLO Portal under its new ownership.
2023-07
North American Spine Society Journal (via PMC - NIH)
Application progress of artificial intelligence and augmented reality in orthopaedic arthroscopy surgery - PMC
This peer-reviewed article discusses the application progress of AI and AR in orthopedic arthroscopy surgery, highlighting HOLO Portal as the world's first AI-driven spine surgery augmented reality navigation system to obtain FDA 510(k) clearance in January 2022. It emphasizes how these technologies enhance precision and personalization in surgery.
2023-10

Videos

Product demos, reviews, and walkthroughs for HOLO Portal.

View all on YouTube

Frequently Asked Questions

HOLO Portal leverages AI to streamline various clinical tasks, such as intelligent data pre-processing, predictive analytics for patient outcomes, and automated report generation. It accesses de-identified patient data, electronic health records (EHRs), and relevant medical literature to inform its AI models, always prioritizing patient privacy and data security through robust anonymization protocols and access controls.
HOLO Portal is designed to comply with major healthcare data privacy regulations, including HIPAA in the United States and GDPR in Europe, as well as other relevant regional standards. We implement stringent security measures, data encryption, and access controls to ensure patient data confidentiality and integrity, undergoing regular audits and assessments to maintain compliance.
While several AI-powered clinical support tools exist, HOLO Portal differentiates itself through its unique combination of real-time predictive analytics, customizable AI models tailored to specific medical specialties, and an intuitive, physician-centric interface. Unlike some alternatives, HOLO Portal emphasizes explainable AI, providing insights into its recommendations to foster physician trust and understanding.
Yes, HOLO Portal is designed for seamless integration with most major EHR systems through standard APIs and secure data exchange protocols. The typical implementation process involves an initial assessment of your current IT infrastructure, data mapping, secure integration, and comprehensive training for your medical staff, usually completed within a few weeks to a couple of months depending on complexity.
HOLO Portal offers flexible pricing models, including subscription-based tiers that vary based on the suite of features selected, the number of active users, and the volume of data processed. We provide customized quotes after an initial consultation to best align with the specific needs and scale of your practice or institution, with options for enterprise-level agreements.
While highly advanced, HOLO Portal's current limitations include a reliance on the quality and completeness of input data, and its AI models are continuously learning and improving. We are actively addressing these by incorporating federated learning for broader data insights, enhancing natural language processing for unstructured data, and expanding our AI's ability to handle rare or complex medical cases in future updates.
HOLO Portal incorporates ethical AI principles by design, including rigorous bias detection and mitigation strategies during model development and continuous monitoring in deployment. We prioritize transparency by providing explainable AI insights, allowing physicians to understand the rationale behind recommendations, and regularly review our algorithms to ensure fairness and equitable patient care.

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Suggest an Edit → | Last Verified: 2026-06-19 | First Added: 2026-06-19
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