Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Hoth Intelligence Inc., Philadelphia, Pennsylvania, USA.
Neurosurgery. 2023 Feb 1;92(2):241-250. doi: 10.1227/neu.0000000000002199. Epub 2022 Nov 11.
Augmented reality (AR) technology is a new and promising option to advance and expand neurosurgical training because of recent advances in computer vision technology, improved AR software and hardware, and growing acceptance of this technology in clinical practice.
To analyze the current status of AR use cases with the goal of envisioning future uses of AR in neurosurgical education.
Articles applying to AR technology use in neurosurgical education were identified using PubMed, Google Scholar, and Web of Science databases following the Preferred Reporting Items of Systematic Reviews and Meta-Analyses guidelines. Articles were included for review based on applicable content related to neurosurgical or neuroanatomy training. Assessment of literature quality was completed using standardized MERSQI scoring.
The systematic search identified 2648 unique articles. Of these, 12 studies met inclusion criteria after extensive review. The average MERSQI score was 10.2 (SD: 1.7). The most common AR platform identified in this study was the Microsoft Hololens. The primary goals of the studies were to improve technical skills and approaches to surgical planning or improve understanding of neuroanatomy.
Augmented reality has emerged as a promising training tool in neurosurgery. This is demonstrated in the wide range of cases in technical training and anatomic education. It remains unclear how AR-based training compares directly with traditional training methods; however, AR shows great promise in the ability to further enhance and innovate neurosurgical education and training.
增强现实（AR）技术是一种新的、有前途的选择，可以推进和扩展神经外科培训，因为计算机视觉技术的最新进展、改进的 AR 软件和硬件，以及该技术在临床实践中越来越被接受。
分析 AR 用例的现状，以期设想 AR 在神经外科教育中的未来用途。
使用 PubMed、Google Scholar 和 Web of Science 数据库，根据系统评价和荟萃分析的首选报告项目指南，确定应用于神经外科教育的 AR 技术的文章。根据与神经外科或神经解剖培训相关的适用内容，对文章进行了回顾。使用标准化的 MERSQI 评分进行文献质量评估。
系统搜索确定了 2648 篇独特的文章。经过广泛审查，其中 12 项研究符合纳入标准。平均 MERSQI 得分为 10.2（SD：1.7）。在这项研究中，最常见的 AR 平台是 Microsoft Hololens。这些研究的主要目标是提高技术技能和手术规划方法，或提高对神经解剖学的理解。
增强现实已成为神经外科领域有前途的培训工具。这在技术培训和解剖教育中的广泛案例中得到了证明。基于 AR 的培训与传统培训方法相比如何直接比较尚不清楚；然而，AR 在进一步增强和创新神经外科教育和培训方面具有巨大的潜力。
