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Augmented reality in neurosurgery: a systematic review.

Antonio Meola1, Fabrizio Cutolo2, Marina Carbone2

  • 1Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115, Boston, MA, USA. ameola@partners.org.

Neurosurgical Review
|May 8, 2016
PubMed
Summary

Augmented reality (AR) neuronavigation enhances neurosurgery safety and precision by overlaying 3D models onto the surgical field. This review highlights AR

Keywords:
AneurysmArterovenous malformationAugmented realityCavernous malformationNavigationTumorVirtual reality

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Area of Science:

  • Neurosurgery
  • Medical Technology
  • Image-Guided Therapy

Background:

  • Neuronavigation is crucial for minimally invasive and safe neurosurgery, despite existing technical limitations.
  • Augmented reality (AR) neuronavigation represents a significant advancement, offering real-time 3D virtual anatomical models overlaid onto the surgical field.
  • Clinical application of AR neuronavigation systems is emerging, necessitating a review of current devices.

Purpose of the Study:

  • To review existing augmented reality (AR) neuronavigation systems used in clinical neurosurgical settings.
  • To qualitatively evaluate AR systems based on various technical and application parameters.

Main Methods:

  • A PubMed search was conducted for human studies on in vivo AR applications in neurosurgery.
  • Search terms included "Augmented reality" and "Neurosurgery."
  • Eighteen studies (1996-2015) were included, with AR systems categorized by their real data source (e.g., microscope, cameras, endoscope).

Main Results:

  • AR systems were reviewed based on application, lesion type/location, data sources, tracking, registration, visualization, display, and perception.
  • The 18 studies involved 195 treated lesions, primarily neoplastic (38.46%) and neurovascular (39.48%).
  • AR systems utilized various real data sources, including microscopes (8), cameras (4), and others.

Conclusions:

  • Augmented reality (AR) is confirmed as a reliable and versatile tool for minimally invasive neurosurgery across diverse conditions.
  • Further technical improvements and prospective randomized studies are needed to fully establish AR neuronavigation.
  • Current literature supports AR's role in enhancing surgical approaches for a wide range of neurosurgical diseases.