Augmented reality in neurosurgery: a systematic review.

Augmented reality in neurosurgery: a systematic review.
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DOI:
10.1007/s10143-016-0732-9
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发表时间:
2017-10
影响因子:
2.8
通讯作者:
Ferrari V
Ferrari V
中科院分区:
医学3区
文献类型:
--
作者:
Meola A;Cutolo F;Carbone M;Cagnazzo F;Ferrari M;Ferrari V

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神经导航已经成为一种重要的神经外科工具,以追求最小的侵入性和最大的安全性,即使它有几个技术限制。增强现实(AR)神经导航是一项重大进步,它提供了一个实时更新的三维虚拟解剖细节模型,覆盖在真实的手术领域上。目前,只有少数AR系统在临床环境中进行了测试。目的是审查这些设备。我们使用搜索词“增强现实”和“神经外科”,对仅限于人类研究的报告进行了PubMed检索,这些报告是关于AR在任何神经外科手术中的体内应用。资格评估由两名审稿人以非盲法标准化方式独立进行。根据以下方面对系统进行定性评估:神经外科应用亚专科、治疗病变的病理和病变位置、真实数据源、虚拟数据源、跟踪方式、注册技术、可视化处理、显示类型和感知位置。在1996年至2015年9月30日期间纳入了18项研究。AR系统按真实数据源分组:显微镜(8)、手持或头戴式相机(4)、患者直接观察(2)、内窥镜(1)、x射线透视(1)和头戴式显示器(1)。共治疗195例病变:肿瘤75例(38.46%),神经血管77例(39.48%),脑积水1例(0.51%),未确诊42例(21.53%)。目前的文献证实,AR是一种可靠的、通用的工具,适用于广泛的神经外科疾病的微创入路,尽管目前还没有前瞻性的随机研究,技术上还需要改进。
Neuronavigation has become an essential neurosurgical tool in pursuing minimal invasiveness and maximal safety, even though it has several technical limitations. Augmented reality (AR) neuronavigation is a significant advance, providing a real-time updated 3D virtual model of anatomical details, overlaid on the real surgical field. Currently, only a few AR systems have been tested in a clinical setting. The aim is to review such devices. We performed a PubMed search of reports restricted to human studies of in vivo applications of AR in any neurosurgical procedure using the search terms “Augmented reality” and “Neurosurgery.” Eligibility assessment was performed independently by two reviewers in an unblinded standardized manner. The systems were qualitatively evaluated on the basis of the following: neurosurgical subspecialty of application, pathology of treated lesions and lesion locations, real data source, virtual data source, tracking modality, registration technique, visualization processing, dis- play type, and perception location. Eighteen studies were included during the period 1996 to September 30, 2015. The AR systems were grouped by the real data source: microscope (8), hand- or head-held cameras (4), direct patient view (2), endoscope (1), and X-ray fluoroscopy (1) head-mounted display (1). A total of 195 lesions were treated: 75 (38.46 %) were neoplastic, 77 (39.48 %) neurovascular, and 1 (0.51 %) hydrocephalus, and 42 (21.53 %) were undetermined. Current literature confirms that AR is a reliable and versatile tool when performing minimally invasive approaches in a wide range of neurosurgical diseases, although prospective randomized studies are not yet available and technical improvements are needed.
DOI: 10.1227/01.neu.0000349918.36700.1c
发表时间: 2009-10-01
期刊: NEUROSURGERY
影响因子: 4.8
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