Utility of optical see-through head mounted displays in augmented reality-assisted surgery: A systematic review.

Utility of optical see-through head mounted displays in augmented reality-assisted surgery: A systematic review.
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在增强现实辅助手术中的光学透明头部固定显示的效用:系统评价。

DOI:
10.1016/j.media.2022.102361
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发表时间:
2022-04
影响因子:
10.9
通讯作者:
Stoyanov, Danail
Stoyanov, Danail
中科院分区:
工程技术1区
文献类型:
--
作者:
Birlo, Manuel;Edwards, P. J. Eddie;Clarkson, Matthew;Stoyanov, Danail

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我们对 2013 年至 2020 年光学透视头戴式显示器 (OST-HMD) 在增强现实手术应用中的使用情况进行了系统回顾。符合所有纳入标准的 91 篇文章按 OST-HMD 设备、手术专业、手术应用背景、可视化内容、实验设计和评估、人机交互的准确性和人为因素进行分类。人为因素对于 OST-HMD 实用性具有重要意义。已发表文章的显着上升趋势是显而易见的,但此类设备尚未在手术室中建立,并且缺乏显示其益处的临床研究。集中精力解决实验室中的技术注册和感知因素,再加上考虑人为因素的设计来解决明确的临床问题,应确保当前的重大研究工作取得成功。本文对 2013 年至 2020 年光学透视头戴式显示器 (OST-HMD) 在增强现实 (AR) 手术应用中的使用情况进行了系统回顾。文章按以下分类:OST-HMD 设备、手术专业、手术应用背景、可视化内容、实验设计和评估、人机交互的准确性和人为因素。 91 篇文章满足所有纳入标准。一些明显的趋势出现了。微软 HoloLens 日益占据该领域的主导地位,其中骨科手术是最受欢迎的应用 (28.6%)。到目前为止,最常见的手术环境是手术指导(),分段术前模型主导可视化()。实验主要涉及体模()或系统设置(),患者案例研究排名第三(),反映出该领域相对处于起步阶段。实验涵盖了从配准到感知的问题,但准确度结果却截然不同。人为因素对于 OST-HMD 的实用性至关重要。所提出的系统解决了一些因素,例如注意力从手术部位转移以及 2D 图像到 3D 患者解剖结构的心理映射。其他持久的人为因素仍然存在或由 OST-HMD 解决方案引起,包括易用性、舒适度和空间感知问题。已发表文章的显着上升趋势是显而易见的,但此类设备尚未在手术室中建立,并且缺乏显示其益处的临床研究。集中精力解决实验室中的技术注册和感知因素,再加上考虑人为因素的设计来解决明确的临床问题,应确保当前的重大研究工作取得成功。
We present a systematic review of optical see-through head mounted display (OST-HMD) usage in augmented reality surgery applications from 2013 to 2020. 91 articles that fulfilled all inclusion criteria were categorized by OST- HMD device, surgical speciality, surgical application context, visualisation content, experimental design and evaluation, accuracy and human factors of human-computer interaction. Human Factors emerge as significant to OST-HMD utility. The significant upward trend in published articles is clear, but such devices are not yet established in the operating room and clinical studies showing benefit are lacking. A focused effort addressing technical registration and perceptual factors in the lab coupled with design that incorporates human factors considerations to solve clear clinical problems should ensure that the significant current research efforts will succeed. This article presents a systematic review of optical see-through head mounted display (OST-HMD) usage in augmented reality (AR) surgery applications from 2013 to 2020. Articles were categorised by: OST-HMD device, surgical speciality, surgical application context, visualisation content, experimental design and evaluation, accuracy and human factors of human-computer interaction. 91 articles fulfilled all inclusion criteria. Some clear trends emerge. The Microsoft HoloLens increasingly dominates the field, with orthopaedic surgery being the most popular application (28.6%). By far the most common surgical context is surgical guidance () and segmented preoperative models dominate visualisation (). Experiments mainly involve phantoms () or system setup (), with patient case studies ranking third (), reflecting the comparative infancy of the field. Experiments cover issues from registration to perception with very different accuracy results. Human factors emerge as significant to OST-HMD utility. Some factors are addressed by the systems proposed, such as attention shift away from the surgical site and mental mapping of 2D images to 3D patient anatomy. Other persistent human factors remain or are caused by OST-HMD solutions, including ease of use, comfort and spatial perception issues. The significant upward trend in published articles is clear, but such devices are not yet established in the operating room and clinical studies showing benefit are lacking. A focused effort addressing technical registration and perceptual factors in the lab coupled with design that incorporates human factors considerations to solve clear clinical problems should ensure that the significant current research efforts will succeed.
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