Augmented Reality Implementation in Minimally Invasive Surgery for Future Application in Pulmonary Surgery: A Systematic Review.

IF 1.2 4区医学 Q3 SURGERY

Surgical Innovation Pub Date : 2024-12-01 Epub Date: 2024-10-07 DOI:10.1177/15533506241290412

Marie-Claire J Doornbos, Jette J Peek, Alexander P W M Maat, Jelle P Ruurda, Pieter De Backer, Bart M W Cornelissen, Edris A F Mahtab, Amir H Sadeghi, Jolanda Kluin

{"title":"Augmented Reality Implementation in Minimally Invasive Surgery for Future Application in Pulmonary Surgery: A Systematic Review.","authors":"Marie-Claire J Doornbos, Jette J Peek, Alexander P W M Maat, Jelle P Ruurda, Pieter De Backer, Bart M W Cornelissen, Edris A F Mahtab, Amir H Sadeghi, Jolanda Kluin","doi":"10.1177/15533506241290412","DOIUrl":null,"url":null,"abstract":"Objective: This systematic review investigates of Augmented Reality (AR) systems used in minimally invasive surgery of deformable organs, focusing on initial registration, dynamic tracking, and visualization. The objective is to acquire a comprehensive understanding of the current knowledge, applications, and challenges associated with current AR-techniques, aiming to leverage these insights for developing a dedicated AR pulmonary Video or Robotic Assisted Thoracic Surgery (VATS/RATS) workflow.Methods: A systematic search was conducted within Embase, Medline (Ovid) and Web of Science on April 16, 2024, following the Preferred Reporting items for Systematic Reviews and Meta-Analyses (PRISMA). The search focused on intraoperative AR applications and intraoperative navigational purposes for deformable organs. Quality assessment was performed and studies were categorized according to initial registration and dynamic tracking methods.Results: 33 articles were included, of which one involved pulmonary surgery. Studies used both manual and (semi-) automatic registration methods, established through anatomical landmark-based, fiducial-based, or surface-based techniques. Diverse outcome measures were considered, including surgical outcomes and registration accuracy. The majority of studies that reached an registration accuracy below 5 mm applied surface-based registration.Conclusions: AR can potentially aid surgeons with real-time navigation and decision making during anatomically complex minimally invasive procedures. Future research for pulmonary applications should focus on exploring surface-based registration methods, considering their non-invasive, marker-less nature, and promising accuracy. Additionally, vascular-labeling-based methods are worth exploring, given the importance and relative stability of broncho-vascular anatomy in pulmonary VATS/RATS. Assessing clinical feasibility of these approaches is crucial, particularly concerning registration accuracy and potential impact on surgical outcomes.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475712/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Innovation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/15533506241290412","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/7 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This systematic review investigates of Augmented Reality (AR) systems used in minimally invasive surgery of deformable organs, focusing on initial registration, dynamic tracking, and visualization. The objective is to acquire a comprehensive understanding of the current knowledge, applications, and challenges associated with current AR-techniques, aiming to leverage these insights for developing a dedicated AR pulmonary Video or Robotic Assisted Thoracic Surgery (VATS/RATS) workflow.

Methods: A systematic search was conducted within Embase, Medline (Ovid) and Web of Science on April 16, 2024, following the Preferred Reporting items for Systematic Reviews and Meta-Analyses (PRISMA). The search focused on intraoperative AR applications and intraoperative navigational purposes for deformable organs. Quality assessment was performed and studies were categorized according to initial registration and dynamic tracking methods.

Results: 33 articles were included, of which one involved pulmonary surgery. Studies used both manual and (semi-) automatic registration methods, established through anatomical landmark-based, fiducial-based, or surface-based techniques. Diverse outcome measures were considered, including surgical outcomes and registration accuracy. The majority of studies that reached an registration accuracy below 5 mm applied surface-based registration.

Conclusions: AR can potentially aid surgeons with real-time navigation and decision making during anatomically complex minimally invasive procedures. Future research for pulmonary applications should focus on exploring surface-based registration methods, considering their non-invasive, marker-less nature, and promising accuracy. Additionally, vascular-labeling-based methods are worth exploring, given the importance and relative stability of broncho-vascular anatomy in pulmonary VATS/RATS. Assessing clinical feasibility of these approaches is crucial, particularly concerning registration accuracy and potential impact on surgical outcomes.

查看原文本刊更多论文

微创手术中的增强现实技术未来在肺部手术中的应用：系统性综述。

目的：本系统综述调查了用于可变形器官微创手术的增强现实（AR）系统，重点关注初始注册、动态跟踪和可视化。目的是全面了解与当前 AR 技术相关的现有知识、应用和挑战，旨在利用这些见解开发专用的 AR 肺部视频或机器人辅助胸腔手术（VATS/RATS）工作流程：方法：2024 年 4 月 16 日，按照系统综述和荟萃分析首选报告项目（PRISMA），在 Embase、Medline (Ovid) 和 Web of Science 中进行了系统检索。搜索的重点是术中 AR 应用和可变形器官的术中导航目的。对研究进行了质量评估，并根据初始注册和动态跟踪方法对研究进行了分类：结果：共纳入 33 篇文章，其中一篇涉及肺部手术。研究采用了手动和（半）自动注册方法，通过解剖地标、靶标或表面技术建立。研究考虑了多种结果测量，包括手术结果和配准准确性。大多数研究的配准精度低于 5 毫米，采用的是基于表面的配准方法：AR有可能帮助外科医生在解剖复杂的微创手术中进行实时导航和决策。考虑到基于表面的配准方法的非侵入性、无标记性和有望达到的准确性，未来的肺部应用研究应重点探索基于表面的配准方法。此外，鉴于支气管血管解剖在肺部 VATS/RATS 中的重要性和相对稳定性，基于血管标记的方法也值得探索。评估这些方法的临床可行性至关重要，尤其是在登记准确性和对手术结果的潜在影响方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Surgical Innovation 医学-外科

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).