Augmented reality visualization in brain lesions: a prospective randomized controlled evaluation of its potential and current limitations in navigated microneurosurgery

Roethe, Anna L.; Rösler, Judith; Misch, Martin; Vajkoczy, Peter; Picht, Thomas

doi:10.1007/s00701-021-05045-1

Cited by 26 publications

(61 citation statements)

References 45 publications

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“…This review is based on 95 references . We identified the utility of VR in neurosurgery, beyond planning, in the areas of neurosurgery training [2,, neuronavigation [15,[35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51], robotic neurosurgery [8,[52][53][54][55], pain management [56][57][58][59][60][61][62][63][64][65][66], rehabilitation [67][68][69][70][71][72][73][74][75][76], and consent taking [77][78][79][80], as well as diagnostic tools [81]…”

Section: Resultsmentioning

confidence: 99%

“…In a recent article, T. Fick et al [40] have shown that a stand-alone AR HMD can be used in lieu of conventional neuronavigation, with significant advantages, such as direct superimposition of images the patient, improved ergonomics, and diminishing attention shifts [40]. The main benefit of AR HMD visualization in brain tumor surgery is the integrated continuous display, allowing for pointer-less navigation [46]. Navigation view provides the highest usability, while blocking the operative field less frequently.…”

Section: Virtual Reality For Neuronavigationmentioning

confidence: 99%

“…Navigation view provides the highest usability, while blocking the operative field less frequently. Roethe et al [46] reported the use of the AR display in 44.4% of resection time, with a predominant AR type navigation view (75.7% of time), followed by target volume view (20.1% of time). Intraoperative VR has been described for critical mapping and discerning eloquent regions of the brain, especially in awake craniotomies.…”

Section: Virtual Reality For Neuronavigationmentioning

confidence: 99%

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Virtual Reality in Neurosurgery: Beyond Neurosurgical Planning

Mishra

Narayanan

Umana

et al. 2022

IJERPH

122

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Background: While several publications have focused on the intuitive role of augmented reality (AR) and virtual reality (VR) in neurosurgical planning, the aim of this review was to explore other avenues, where these technologies have significant utility and applicability. Methods: This review was conducted by searching PubMed, PubMed Central, Google Scholar, the Scopus database, the Web of Science Core Collection database, and the SciELO citation index, from 1989–2021. An example of a search strategy used in PubMed Central is: “Virtual reality” [All Fields] AND (“neurosurgical procedures” [MeSH Terms] OR (“neurosurgical” [All Fields] AND “procedures” [All Fields]) OR “neurosurgical procedures” [All Fields] OR “neurosurgery” [All Fields] OR “neurosurgery” [MeSH Terms]). Using this search strategy, we identified 487 (PubMed), 1097 (PubMed Central), and 275 citations (Web of Science Core Collection database). Results: Articles were found and reviewed showing numerous applications of VR/AR in neurosurgery. These applications included their utility as a supplement and augment for neuronavigation in the fields of diagnosis for complex vascular interventions, spine deformity correction, resident training, procedural practice, pain management, and rehabilitation of neurosurgical patients. These technologies have also shown promise in other area of neurosurgery, such as consent taking, training of ancillary personnel, and improving patient comfort during procedures, as well as a tool for training neurosurgeons in other advancements in the field, such as robotic neurosurgery. Conclusions: We present the first review of the immense possibilities of VR in neurosurgery, beyond merely planning for surgical procedures. The importance of VR and AR, especially in “social distancing” in neurosurgery training, for economically disadvantaged sections, for prevention of medicolegal claims and in pain management and rehabilitation, is promising and warrants further research.

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Section: Resultsmentioning

confidence: 99%

Section: Virtual Reality For Neuronavigationmentioning

confidence: 99%

Section: Virtual Reality For Neuronavigationmentioning

confidence: 99%

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Virtual Reality in Neurosurgery: Beyond Neurosurgical Planning

Mishra

Narayanan

Umana

et al. 2022

IJERPH

122

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“…AR in neurosurgery involves an overlay of the necessary information, such as CT/MRI imaging and functional information augmented onto the surgical eld as the main visual reference plane [9]. Thereby, AR can provide crucial information such as tumour boundaries and risky adjacent structures to reduce surgical risks, reduce intraoperative cognitive load and provide information for the entire surgical team [34,49,64,86]. Multiple factors have been reported to in uence the suitability of cases for AR and VR.…”

Section: Discussionmentioning

confidence: 99%

Augmented and Virtual Reality Usage in Awake Craniotomy: A Systematic Review

Mofatteh

Mashayekhi²,

Arfaie³

et al. 2022

Preprint

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Background Augmented and virtual reality (AR, VR) are becoming promising tools in neurosurgery. AR and VR can reduce challenges associated with conventional approaches via the simulation and mimicry of specific environments of choice for the surgeons. Awake craniotomy (AC) enables the resection of lesions from eloquent brain areas while monitoring higher cortical and subcortical functions. Both surgeons and patients may benefit from the various applications of AR and VR in AC. We aimed to investigate the application of AR and VR in AC and assess its prospective utility in neurosurgery. Methods A systematic review of the literature was performed using PubMed, Scopus and Web of Science databases from inception to May 20th 2022 in accordance with the PRISMA guidelines. Results Our search results yielded 220 articles. Six articles consisting of 118 patients were included in this review. VR was used in four papers, and the other two used AR. Tumour was the most common pathology in 108 patients, followed by vascular lesions in eight patients. VR was used for intraoperative mapping of language, vision, and social cognition, while AR was incorporated in preoperative training of white matter dissection and intraoperative visualisation and navigation. Overall, patients and surgeons were satisfied with the applications of AR and VR in their cases. Conclusion AR and VR can be safely incorporated during AC to supplement and/or replace conventional approaches in neurosurgery. Future investigations are required to assess the feasibility of AR and VR in variousphases of AC.

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“…Among these, VR is recently emerging as an outstanding tool with highly promising potential. [4][5][6][7] Focusing on the case presented in this video article, 1 the following points should be considered concerning the choice of the surgical approach. Several alternative approaches can be selected for the removal of this kind of meningioma: Most of these are discussed by the authors and visualized by means of VR with interesting educational value.…”

mentioning

confidence: 99%