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Related Experiment Video

Updated: Sep 14, 2025

Technical Approach for Infrared Tracking for Soft Tissue Navigation with a Holographic Head-Mounted Display and Preclinical Validation
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Transforming Neurosurgery With Spatial Computing: Enhancing Intraoperative Visualization and Precision Through

Rosivel Galvez1, Brianna Donnelly1, Lilah Wilfong1

  • 1Department of Neurosurgery, Lenox Hill Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York , New York , USA.

Operative Neurosurgery (Hagerstown, Md.)
|July 21, 2025
PubMed
Summary

Extended reality (XR) enhances neurosurgery precision and ergonomics by integrating spatial computing into the operating room. This technology improves visualization and patient outcomes in complex procedures.

Keywords:
Augmented realityConnectomicsExoscopeExtended realityTractography

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Area of Science:

  • Neurosurgery
  • Medical Technology
  • Spatial Computing

Background:

  • Extended reality (XR) systems are transforming neurosurgery.
  • Integrating XR into the intraoperative environment is a novel frontier.
  • This study explores XR integration in neurosurgical operating rooms (ORs) for spatial computing and improved ergonomics.

Purpose of the Study:

  • To explore the integration of XR systems into neurosurgical ORs.
  • To leverage spatial computing capabilities for enhanced surgical procedures.
  • To improve surgical ergonomic conditions for neurosurgeons.

Main Methods:

  • Analysis of 3 neurosurgical cases using the Medivis surgical augmented reality (AR) platform.
  • Utilized a Microsoft HoloLens for real-time overlay of 3D volumes and exoscopic/endoscopic outputs.
  • Captured and streamed surgical outputs to the AR system for surgeon interaction.

Main Results:

  • XR enhanced precision and visualization through real-time 3D imaging overlay.
  • The AR platform with HoloLens integrated spatial computing, improving OR ergonomics and sight lines.
  • All patients experienced successful recovery without postoperative complications.

Conclusions:

  • Wearable XR systems are valuable tools for neurosurgical procedures.
  • XR enhances surgical precision, visualization, and ergonomics.
  • Integrating XR into the OR mitigates risks and improves patient outcomes.