Augmented reality in surgical training: a systematic review

Williams, Matthew; McVeigh, James; Handa, Ashok; Lee, Regent

doi:10.1136/postgradmedj-2020-137600

Cited by 42 publications

(32 citation statements)

References 23 publications

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“…Their research has inspired this study, and there is some thematic overlap, but they presented their findings in a different way. However, to the best of our knowledge, no meta-analysis has been conducted to assess AR in medical training, with the exception of 2 studies—those by Williams et al [ 20 ] and Barsom et al [ 16 ], which conducted a systematic review with no meta-analysis. Therefore, filling this gap represents a significant addition to the literature.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Using Augmented Reality for Training in the Medical Professions: Meta-analysis

Baashar¹,

Alkawsi²,

Ahmad³

et al. 2022

JMIR Serious Games

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Background Augmented reality (AR) is an interactive technology that uses persuasive digital data and real-world surroundings to expand the user's reality, wherein objects are produced by various computer applications. It constitutes a novel advancement in medical care, education, and training. Objective The aim of this work was to assess how effective AR is in training medical students when compared to other educational methods in terms of skills, knowledge, confidence, performance time, and satisfaction. Methods We performed a meta-analysis on the effectiveness of AR in medical training that was constructed by using the Cochrane methodology. A web-based literature search was performed by using the Cochrane Library, Web of Science, PubMed, and Embase databases to find studies that recorded the effect of AR in medical training up to April 2021. The quality of the selected studies was assessed by following the Cochrane criteria for risk of bias evaluations. Results In total, 13 studies with a total of 654 participants were included in the meta-analysis. The findings showed that using AR in training can improve participants' performance time (I2=99.9%; P<.001), confidence (I2=97.7%; P=.02), and satisfaction (I2=99.8%; P=.006) more than what occurs under control conditions. Further, AR did not have any effect on the participants’ knowledge (I2=99.4%; P=.90) and skills (I2=97.5%; P=.10). The meta-regression plot shows that there has been an increase in the number of articles discussing AR over the years and that there is no publication bias in the studies used for the meta-analysis. Conclusions The findings of this work suggest that AR can effectively improve performance time, satisfaction, and confidence in medical training but is not very effective in areas such as knowledge and skill. Therefore, more AR technologies should be implemented in the field of medical training and education. However, to confirm these findings, more meticulous research with more participants is needed.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Using Augmented Reality for Training in the Medical Professions: Meta-analysis

Baashar¹,

Alkawsi²,

Ahmad³

et al. 2022

JMIR Serious Games

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“…AR is assuming a fundamental and emerging role also for what concerns surgical training and medical education [79][80][81][82][83]. Its introduction results in providing students with a better anatomic conceptualization and allows surgical simulations to improve their performances [84].…”

Section: Surgical Training and Medical Educationmentioning

confidence: 99%

Augmented Reality in Surgery: A Scoping Review

Barcali

Iadanza

Manetti³

et al. 2022

Applied Sciences

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Augmented reality (AR) is an innovative system that enhances the real world by superimposing virtual objects on reality. The aim of this study was to analyze the application of AR in medicine and which of its technical solutions are the most used. We carried out a scoping review of the articles published between 2019 and February 2022. The initial search yielded a total of 2649 articles. After applying filters, removing duplicates and screening, we included 34 articles in our analysis. The analysis of the articles highlighted that AR has been traditionally and mainly used in orthopedics in addition to maxillofacial surgery and oncology. Regarding the display application in AR, the Microsoft HoloLens Optical Viewer is the most used method. Moreover, for the tracking and registration phases, the marker-based method with a rigid registration remains the most used system. Overall, the results of this study suggested that AR is an innovative technology with numerous advantages, finding applications in several new surgery domains. Considering the available data, it is not possible to clearly identify all the fields of application and the best technologies regarding AR.

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“…An exception worth mentioning is the success of AR for surgical training [50], with several commercially available platforms already in use [51], and clear potential for expanding training programs to low-resource settings around the world [52].…”

Section: Augmented Realitymentioning

confidence: 99%

Autonomy in Surgical Robotics

Attanasio

Scaglioni

Momi

et al. 2021

Annu. Rev. Control Robot. Auton. Syst.

128

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This review examines the dichotomy between automatic and autonomous behaviors in surgical robots, maps the possible levels of autonomy of these robots, and describes the primary enabling technologies that are driving research in this field. It is organized in five main sections that cover increasing levels of autonomy. At level 0, where the bulk of commercial platforms are, the robot has no decision autonomy. At level 1, the robot can provide cognitive and physical assistance to the surgeon, while at level 2, it can autonomously perform a surgical task. Level 3 comes with conditional autonomy, enabling the robot to plan a task and update planning during execution. Finally, robots at level 4 can plan and execute a sequence of surgical tasks autonomously. Expected final online publication date for the Annual Review of Control, Robotics, and Autonomous Systems, Volume 4 is May 3, 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

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Augmented reality in surgical training: a systematic review

Cited by 42 publications

References 23 publications

Effectiveness of Using Augmented Reality for Training in the Medical Professions: Meta-analysis

Effectiveness of Using Augmented Reality for Training in the Medical Professions: Meta-analysis

Augmented Reality in Surgery: A Scoping Review

Autonomy in Surgical Robotics

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