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视觉扩展现实工具在泌尿器科的图像引导手术中:系统性审查

Enrico Checcucci¹, Alberto Piana², Gabriele Volpi³

¹Department of Surgery, Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142, km 3,95, Candiolo, Turin, 10060, Italy. checcu.e@hotmail.it.

European journal of nuclear medicine and molecular imaging

|April 8, 2024

概括

扩展现实 (XR) 工具,包括增强现实 (AR),虚拟现实 (VR) 和混合现实 (MR),显示出对图像引导泌尿外科手术的希望. 需要进一步评估,以确认它们在瘤学和其他程序中的全部临床益处.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学
医疗成像医学成像
扩展现实 (XR)

背景情况:

图像引导手术对于提高泌尿器科手术的精度至关重要.
扩展现实 (XR) 技术,包括虚拟现实 (VR),增强现实 (AR) 和混合现实 (MR),为手术可视化提供了新的方法.
这些XR工具在泌尿外科手术中的临床实用性需要系统评估.

研究的目的:

系统地审查和评估使用各种扩展现实 (XR) 工具在泌尿外科手术中的图像指导的临床影响.
综合有关VR,AR和MR在不同泌尿外科手术,特别是瘤学中的应用的证据.

主要方法:

在2023年6月使用PICO标准对主要数据库 (Medline,Embase,Scopus,Web of Science) 进行了系统的文献搜索.
包括的研究是对泌尿外科手术中XR,MR,AR和VR的回顾性和前性比较和单臂研究.
质量评估使用了纽卡斯尔-太华尺度和贾达德尺度;证据水平遵循了牛津证据医学中心的指导方针.

主要成果:

在最初识别的1,803篇论文中,有40篇研究被纳入分析.
在前列腺癌 (11项研究),癌 (20项研究) 和各种泌尿外科手术 (9项研究) 中应用了XR工具.
在20项研究中探索VR,在15项研究中探索AR,在5项研究中探索MR;大多数研究是前性非随机化 (22),其次是RCT (7) 和回顾性 (11).

结论:

增强现实 (AR),虚拟现实 (VR) 和混合现实 (MR) 是图像导向泌尿外科手术的有效新兴工具,特别是在瘤学中.
这些技术通过增强的手术前和手术内可视化,促进了量身定制的手术方法.
这些XR创新的全部临床优势和长期影响仍在进行评估.

关键词:

三维模型是3D模型.增强现实是一种增强现实.扩展现实扩展现实脏癌症是什么? 脏癌症是什么混合现实是一种混合现实.前列腺癌是什么意思前列腺癌是什么意思虚拟现实虚拟现实就是虚拟现实.

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