Augmented Reality Integration in Skull Base Neurosurgery: A Systematic Review.
Emir BegagićHakija BečulićRagib PugonjaZlatan MemićSimon A BalogunAmina Džidić-KrivićElma MilanovićNaida SalkovićAdem NuhovićRasim SkomoracHaso SefoMirza PojskicPublished in: Medicina (Kaunas, Lithuania) (2024)
Background and Objectives: To investigate the role of augmented reality (AR) in skull base (SB) neurosurgery. Materials and Methods: Utilizing PRISMA methodology, PubMed and Scopus databases were explored to extract data related to AR integration in SB surgery. Results: The majority of 19 included studies (42.1%) were conducted in the United States, with a focus on the last five years (77.8%). Categorization included phantom skull models (31.2%, n = 6), human cadavers (15.8%, n = 3), or human patients (52.6%, n = 10). Microscopic surgery was the predominant modality in 10 studies (52.6%). Of the 19 studies, surgical modality was specified in 18, with microscopic surgery being predominant (52.6%). Most studies used only CT as the data source ( n = 9; 47.4%), and optical tracking was the prevalent tracking modality ( n = 9; 47.3%). The Target Registration Error (TRE) spanned from 0.55 to 10.62 mm. Conclusion: Despite variations in Target Registration Error (TRE) values, the studies highlighted successful outcomes and minimal complications. Challenges, such as device practicality and data security, were acknowledged, but the application of low-cost AR devices suggests broader feasibility.
Keyphrases
- minimally invasive
- case control
- coronary artery bypass
- endothelial cells
- electronic health record
- low cost
- big data
- end stage renal disease
- oxidative stress
- surgical site infection
- computed tomography
- chronic kidney disease
- ejection fraction
- type diabetes
- magnetic resonance imaging
- coronary artery disease
- systematic review
- acute coronary syndrome
- skeletal muscle
- dual energy
- machine learning
- prognostic factors
- percutaneous coronary intervention
- weight loss
- insulin resistance
- pet ct
- atrial fibrillation