心脏外科手术中的增强现实和混合现实:叙述性审查
Andreas Sarantopoulos1, Maria Marinakis2, Nikolaos Schizas3
1Naples Comprehensive Health-Rooney Heart Institute, Naples, FL 34102, USA.
Journal of clinical medicine
|February 13, 2026
概括
增强现实 (AR) 和混合现实 (MR) 在改善心脏手术可视化和工作流程方面显示出前景. 需要进一步的研究来完善注册,机器人集成和多中心试验,以提高临床效率和患者的结果.
科学领域:
- 心血管外科心血管外科
- 医疗成像医学成像
- 人与计算机的交互
背景情况:
- 增强现实 (AR) 和混合现实 (MR) 在心脏外科手术中为解剖学理解,空间定向和工作流效率提供了潜在的好处.
- 目前,AR/MR技术在该领域的临床应用是有限的,其转化途径尚不确定.
研究的目的:
- 审查和综合现有的关于心脏外科手术中AR和MR的外科和内科应用的文献.
- 确定关键的应用领域,评估这些技术的可行性和实用性,并强调未来发展的领域.
主要方法:
- 两个独立审查员进行了全面的PubMed搜索,涵盖了数据库开始至2025年7月.
- 选择了同行评审的英语文章,涉及心脏外科手术中的术前或术后AR/MR.
- 发现被质量综合到不同的应用领域.
主要成果:
- 包括14项研究,揭示了五个关键领域:手术前规划,手术内导航,生理指导,机器人集成和基于AR的康复.
- 在微创手术和门手术中,MR改善了空间定向;在临床前情况下,AR显示了约5毫米的重叠误差.
- 热学AR检测出缺血,AR引导的机器人手术显示出完全内镜CABG的可行性.
结论:
- 早期证据表明AR/MR是可行的,并且在心脏外科手术中可用于可视化和导向.
- 未来的优先事项包括开发可变形,运动补偿注册和与机器人平台的工程学集成.
- 多中心试验对于评估操作效率和患者结果至关重要.
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