Comparative study on the clinical application of mixed reality technology leading micro-invasive intervertebral  foramen puncture location and blind puncture location

Guo, Malong; Yue, Songtao; Wang, Jiangyi; Cui, Hongxun

doi:10.12669/pjms.36.3.1683

Cited by 5 publications

(12 citation statements)

References 19 publications

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“…However, in orthopaedic trauma surgery, AR use was not already validated [9]. As shown in numerous experimental studies [24,[44][45][46][47][48][49][50], such as the one conducted by Cho et al [51], AR's potential practical applications appear countless. Some of these are still under development, while others have been proven successful in animals and still need to be redesigned for human application.…”

Section: Discussionmentioning

confidence: 99%

Augmented Reality, Virtual Reality and Artificial Intelligence in Orthopedic Surgery: A Systematic Review

et al. 2021

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Background: The application of virtual and augmented reality technologies to orthopaedic surgery training and practice aims to increase the safety and accuracy of procedures and reducing complications and costs. The purpose of this systematic review is to summarise the present literature on this topic while providing a detailed analysis of current flaws and benefits. Methods: A comprehensive search on the PubMed, Cochrane, CINAHL, and Embase database was conducted from inception to February 2021. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to improve the reporting of the review. The Cochrane Risk of Bias Tool and the Methodological Index for Non-Randomized Studies (MINORS) was used to assess the quality and potential bias of the included randomized and non-randomized control trials, respectively. Results: Virtual reality has been proven revolutionary for both resident training and preoperative planning. Thanks to augmented reality, orthopaedic surgeons could carry out procedures faster and more accurately, improving overall safety. Artificial intelligence (AI) is a promising technology with limitless potential, but, nowadays, its use in orthopaedic surgery is limited to preoperative diagnosis. Conclusions: Extended reality technologies have the potential to reform orthopaedic training and practice, providing an opportunity for unidirectional growth towards a patient-centred approach.

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Section: Discussionmentioning

confidence: 99%

Augmented Reality, Virtual Reality and Artificial Intelligence in Orthopedic Surgery: A Systematic Review

et al. 2021

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“…Within orthopedic surgery, MR has mostly been used in spinal procedures, such as lumbar pedicle screw implantation, operational treatment of lumbar intervertebral disc herniation, and percutaneous kyphoplasty [31][32][33]. Several comparative studies report reduced bleeding and radiation exposure, shorter operating times, improved accuracy of screw placement, higher success rates, and improved pain and functionality scores when MR was compared to traditional x-ray guidance [31][32][33]. These results were attributed to improved anatomical understanding, resulting in smaller surgical trauma and a clearer incision site [32].…”

Section: Intraoperative and Interventional Guidancementioning

confidence: 99%

“…Several comparative studies report reduced bleeding and radiation exposure, shorter operating times, improved accuracy of screw placement, higher success rates, and improved pain and functionality scores when MR was compared to traditional x-ray guidance [31][32][33]. These results were attributed to improved anatomical understanding, resulting in smaller surgical trauma and a clearer incision site [32]. Reported disadvantages to MR include higher requirements for preoperative CT imaging, which might restrict its use to more specialized centers [31][32][33].…”

Section: Intraoperative and Interventional Guidancementioning

confidence: 99%

“…These results were attributed to improved anatomical understanding, resulting in smaller surgical trauma and a clearer incision site [32]. Reported disadvantages to MR include higher requirements for preoperative CT imaging, which might restrict its use to more specialized centers [31][32][33]. General acceptance of MR using HMD was reported as good in a study that investigated surgeon experience [34].…”

Section: Intraoperative and Interventional Guidancementioning

confidence: 99%

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Mixed Reality in Modern Surgical and Interventional Practice: Narrative Review of the Literature

Vervoorn¹,

Wulfse²,

Doormaal³

et al. 2023

JMIR Serious Games

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Background Mixed reality (MR) and its potential applications have gained increasing interest within the medical community over the recent years. The ability to integrate virtual objects into a real-world environment within a single video-see-through display is a topic that sparks imagination. Given these characteristics, MR could facilitate preoperative and preinterventional planning, provide intraoperative and intrainterventional guidance, and aid in education and training, thereby improving the skills and merits of surgeons and residents alike. Objective In this narrative review, we provide a broad overview of the different applications of MR within the entire spectrum of surgical and interventional practice and elucidate on potential future directions. Methods A targeted literature search within the PubMed, Embase, and Cochrane databases was performed regarding the application of MR within surgical and interventional practice. Studies were included if they met the criteria for technological readiness level 5, and as such, had to be validated in a relevant environment. Results A total of 57 studies were included and divided into studies regarding preoperative and interventional planning, intraoperative and interventional guidance, as well as training and education. Conclusions The overall experience with MR is positive. The main benefits of MR seem to be related to improved efficiency. Limitations primarily seem to be related to constraints associated with head-mounted display. Future directions should be aimed at improving head-mounted display technology as well as incorporation of MR within surgical microscopes, robots, and design of trials to prove superiority.

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“…Most studies were performed in neurosurgery, 33 general surgery 22 and orthopaedic surgery. 14 Figure 6 shows studies of different designs grouped by authors' surgical specialities. 14 studies in orthopaedic surgery were identified, of which there were five RCTs, three prospective cohort studies, two case series and two cases reports (Figure 6).…”

Section: Literature Search Summarymentioning

confidence: 99%

The intraoperative use of augmented and mixed reality technology to improve surgical outcomes: A systematic review

Bollen

Awad

Langridge

et al. 2022

Robotics Computer Surgery

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Background This systematic review aims to critically appraise the intraoperative use of augmented and mixed reality technology to improve surgical outcomes. Method A literature search of PubMed, Scopus, Cochrane Central Register of Controlled Trials, http://ClinicalTrials.gov and WHO ICTRP was performed in accordance with Cochrane Handbook for Systematic Reviews of Interventions. Results This review included 94 studies on 2473 patients, comprising 78 studies on augmented reality and 16 on mixed reality. This technology has seen broad intraoperative application. Augmented and mixed reality can reduce operative duration, blood loss, and the duration of inpatient care. Current evidence shows that they achieve this most in percutaneous surgery. Conclusions Augmented and mixed reality technology improve surgical outcomes by increasing navigational speed and reducing navigational error intraoperatively. However, they have technical limitations which are the subject of ongoing research. Further studies are necessary to define how this technology is best applied intraoperatively. Systematic Review Registration: PROSPERO CRD42020205892.

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Comparative study on the clinical application of mixed reality technology leading micro-invasive intervertebral foramen puncture location and blind puncture location

Cited by 5 publications

References 19 publications

Augmented Reality, Virtual Reality and Artificial Intelligence in Orthopedic Surgery: A Systematic Review

Augmented Reality, Virtual Reality and Artificial Intelligence in Orthopedic Surgery: A Systematic Review

Mixed Reality in Modern Surgical and Interventional Practice: Narrative Review of the Literature

The intraoperative use of augmented and mixed reality technology to improve surgical outcomes: A systematic review

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