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Usefulness of Mixed Reality in Surgical Treatment: Delphi Study
Renato Magalhães1,2, Ana Carolina Lima3, António Marques1
1LabRP-CIR - Psychosocial Rehabilitation Laboratory - Center for Rehabilitation Research, ESS, Polytechnic of Porto, Porto, Portugal.
Journal of Medical Internet Research
|July 8, 2025
Summary
Mixed reality (MR) technology shows significant promise in surgical navigation, planning, and training. However, high costs and ethical considerations are key challenges for its widespread adoption in surgical procedures.
Area of Science:
- Mixed Reality (MR) applications in medicine
- Surgical technology innovation
- Human-computer interaction in healthcare
Background:
- Mixed reality (MR) integrates real and virtual elements, offering potential in diverse fields, including surgery.
- MR headsets can enhance surgical navigation, planning, and training, but their indispensability requires assessment.
- This study employed the Delphi method and PRISMA framework to evaluate MR's utility in surgical settings.
Purpose of the Study:
- To evaluate the feasibility and benefits of mixed reality (MR) technology within surgical contexts.
- To guide healthcare professionals, researchers, and developers in integrating MR to improve surgical quality and safety.
Main Methods:
- A 3-round Delphi approach was used with 22 experts in virtual reality, augmented reality, and surgical technologies.
- Round 1 involved open-ended questions on MR applications; subsequent rounds refined and presented consensus data.
- Consensus was defined as agreement by at least 70% of participants.
Main Results:
- A 95% consensus was reached on the usefulness of MR in surgical treatment.
- Key benefits identified include surgical navigation (75%), planning (75%), and teaching/training (70%).
- Cost and investment were cited as primary constraints by 75% of experts.
Conclusions:
- Mixed reality (MR) technology offers substantial benefits for surgical navigation, planning, and training.
- Implementation costs and investments represent significant limitations to MR adoption in surgery.
- Ethical considerations, including patient safety and privacy, are crucial for MR integration.

