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Updated: Jun 4, 2026

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Pioneering Patient-Specific Approaches for Precision Surgery Using Imaging and Virtual Reality
Published on: April 5, 2024
Virtual interactive presence and augmented reality (VIPAR) for remote surgical assistance
Mahesh B Shenai1, Marcus Dillavou, Corey Shum
1Division of Neurosurgery, Department of Surgery, University of Alabama-Birmingham, Alabama 35294-3410, USA.
Neurosurgery
|February 10, 2011
Summary
A new Virtual Interactive Presence and Augmented Reality (VIPAR) platform enables remote surgeons to provide real-time assistance. This technology aids surgical training and expert consultation by enhancing visualization and spatial guidance during procedures.
Area of Science:
- Surgical Technology
- Medical Simulation
- Augmented Reality
Background:
- Surgery demands complex decision-making and spatiovisual coordination.
- Remote surgical assistance can bridge geographical gaps in expertise.
Purpose of the Study:
- To develop and evaluate a Virtual Interactive Presence and Augmented Reality (VIPAR) platform.
- To enable remote surgeons to provide real-time virtual assistance to local surgeons.
Main Methods:
- The VIPAR system utilized local and remote stations with stereoscopic cameras and high-definition viewers.
- Real-time virtual interaction was achieved through Internet-connected workstations.
- Volumetric MRI renderings were integrated to augment the surgeon's view.
Main Results:
- The VIPAR system facilitated real-time virtual collaboration between local and remote surgeons.
- Anatomical structures were visualized and identified during simulated carotid endarterectomy and pterional craniotomy.
- Technical challenges included camera resolution, color contrast, time lag, and depth perception.
Conclusions:
- Virtual interactive presence and augmented reality offer a novel approach to remote surgical assistance.
- The VIPAR platform has significant potential for surgical training and remote expert support.

