Department of Computer Science and Software Engineering, Concordia University, Montreal, Quebec, Canada.
Department of Computer Science and Software Engineering, Concordia University, Montreal, Quebec, Canada.
World Neurosurg. 2024 Sep;189:90-107. doi: 10.1016/j.wneu.2024.05.151. Epub 2024 May 31.
Ventriculostomy, one of the most common neurosurgical procedures, involves inserting a draining catheter into the brain's ventricular system to alleviate excessive cerebrospinal fluid accumulation. Traditionally, this procedure has relied on freehand techniques guided by anatomical landmarks, which have shown a high rate of misplacement. Recent advancements in virtual reality (VR) and augmented reality (AR) technologies have opened up new possibilities in the field. This comprehensive review aims to analyze the existing literature, examine the diverse applications of VR and AR in ventriculostomy procedures, address their limitations, and propose potential future directions.
A systematic search was conducted in Web of Science and PubMed databases to identify studies employing VR and AR technologies in ventriculostomy procedures. Review papers, non-English records, studies unrelated to VR/AR technologies in ventriculostomy, and supplementary documents were excluded. In total 29 papers were included in the review.
The development of various VR and AR systems aimed at enhancing the ventriculostomy procedure are categorized according to the Data, Visualization and View taxonomy. The study investigates the data utilized by these systems, the visualizations employed, and the virtual or augmented environments created. Furthermore, the surgical scenarios and applications of each method, as well as the validation and evaluation metrics used, are discussed.
The review delves into the fundamental challenges encountered in the implementation of VR and AR systems in ventriculostomy. Additionally, potential future directions and areas for improvement are proposed, addressing the identified limitations and paving the way for further advancements in the field.
脑室引流术是最常见的神经外科手术之一，它涉及将引流导管插入大脑的脑室系统，以减轻过多的脑脊液积聚。传统上，该手术依赖于基于解剖标志的徒手技术，但这些技术的放置位置准确率不高。虚拟现实（VR）和增强现实（AR）技术的最新进展为该领域开辟了新的可能性。本综述旨在分析现有文献，研究 VR 和 AR 在脑室引流术应用的多样性，探讨其局限性，并提出潜在的未来方向。
在 Web of Science 和 PubMed 数据库中进行系统搜索，以确定使用 VR 和 AR 技术进行脑室引流术的研究。排除综述论文、非英语记录、与 VR/AR 技术在脑室引流术无关的研究以及补充文件。共纳入 29 篇文献进行综述。
根据 Data、Visualization 和 View 分类法，对旨在增强脑室引流术的各种 VR 和 AR 系统的发展进行了分类。研究调查了这些系统使用的数据、采用的可视化方法以及创建的虚拟或增强环境。此外，还讨论了每种方法的手术场景和应用，以及使用的验证和评估指标。
本综述深入探讨了在脑室引流术中实施 VR 和 AR 系统所面临的基本挑战。此外，还提出了潜在的未来方向和改进领域，以解决已确定的局限性，并为该领域的进一步发展铺平道路。
