Virtual Reality During Brain Mapping for Awake-Patient Brain Tumor Surgery: Proposed Tasks and Domains to Test

Katsevman, Gennadiy A.; Greenleaf, Walter J.; García, Ricardo García; Perea, María Victoria; Fernández, Valentina Ladera; Sherman, Jonathan H.; Rodrı́guez, Gabriel

doi:10.1016/j.wneu.2021.05.118

Cited by 9 publications

(16 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It can ensure that patients remain awake during craniotomy, so as to help doctors determine the functional area of the brain and the scope of tumor resection. This is helpful to improve the accuracy of tumor resection during operation [ 4 ]. However, in clinical application, although this method can accurately remove brain tumors, it will cause serious physical stress response and postoperative complications.…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Remifentanil Combined with Propofol in Craniotomy for Tumor Was Evaluated by Wake Quality, Hemodynamics, and Adverse Reactions

Zhou

Han

Chen

2022

BioMed Research International

View full text Add to dashboard Cite

In order to investigate the effect of remifentanil combined with propofol on awakening of craniotomy for tumor, a retrospective analysis is conducted. 86 patients who underwent craniotomy for brain tumor in our hospital from July 2020 to December 2021 are chosen to observe the quality of awakening, hemodynamic parameters, and the occurrence of adverse reactions. All patients are divided into group A ( n = 43 ) and group B ( n = 43 ) according to the use of anesthesia drugs. The intraoperative awakening quality and the hemodynamic parameters during different periods of the two groups are compared. The experimental results show that the incidence of postoperative adverse reactions in group B is significantly lower than that in group A ( P < 0.05 ). It is clearly evident that remifentanil combined with protocol has good intraoperative wake-up effect in craniotomy for tumor and maintain the hemodynamic stability of patients. Also, it can obtain high wake-up quality and effectively reduce postoperative adverse reactions.

show abstract

Section: Introductionmentioning

confidence: 99%

The Efficacy of Remifentanil Combined with Propofol in Craniotomy for Tumor Was Evaluated by Wake Quality, Hemodynamics, and Adverse Reactions

Zhou

Han

Chen

2022

BioMed Research International

View full text Add to dashboard Cite

show abstract

“…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%

“…Intraoperative VR has been described for critical mapping and discerning eloquent regions of the brain, especially in awake craniotomies. VR for awake craniotomy provides an immersive environment that is absent in traditional mapping techniques [47].…”

Section: Virtual Reality For Neuronavigationmentioning

confidence: 99%

“…VR has also shown promise in mapping social cognition during awake craniotomy and other complex cognitive functions that are routinely not mapped during surgery [66,92]. Katsevman et al [47] reported the use of a VR protocol as a feasible functional tool in awake-patient brain tumor surgery by using it as a complement during cognitive screening, in addition to language testing. Similarly, Mazerand et al [50] showed the use of intraoperative visual field assessment with a virtual reality headset during direct subcortical stimulation, to map the optical radiations and prevent a permanent visual field defect during awake surgery (a promising approach).…”

Section: Additional Avenues and Challenges Of Vr In Neurosurgerymentioning

confidence: 99%

See 1 more Smart Citation

Virtual Reality in Neurosurgery: Beyond Neurosurgical Planning

Mishra

Narayanan

Umana

et al. 2022

IJERPH

View full text Add to dashboard Cite

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.

show abstract

“…In language mapping, for example, the neurosurgeon uses direct electrical stimulation to stimulate cortical and subcortical areas, while the patient is asked to name images presented to them in real-time. Perturbation or arrest of language uency upon stimulation of certain areas marks identi cation of language networks and/or subnetworks [29]. Mapping of motor areas can be done by asking patients to perform certain motor tasks [30][31][32].…”

Section: Introductionmentioning

confidence: 99%

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

Mofatteh

Mashayekhi²,

Arfaie³

et al. 2022

Preprint

View full text Add to dashboard Cite

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.

show abstract

Virtual Reality During Brain Mapping for Awake-Patient Brain Tumor Surgery: Proposed Tasks and Domains to Test

Cited by 9 publications

References 28 publications

The Efficacy of Remifentanil Combined with Propofol in Craniotomy for Tumor Was Evaluated by Wake Quality, Hemodynamics, and Adverse Reactions

The Efficacy of Remifentanil Combined with Propofol in Craniotomy for Tumor Was Evaluated by Wake Quality, Hemodynamics, and Adverse Reactions

Virtual Reality in Neurosurgery: Beyond Neurosurgical Planning

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

Contact Info

Product

Resources

About