Department of Otolaryngology-Head & Neck Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Department of Otolaryngology-Head & Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
J Surg Oncol. 2024 Sep;130(3):405-418. doi: 10.1002/jso.27790. Epub 2024 Aug 19.
In the field of surgical oncology, there has been a desire for innovative techniques to improve tumor visualization, resection, and patient outcomes. Augmented reality (AR) technology superimposes digital content onto the real-world environment, enhancing the user's experience by blending digital and physical elements. A thorough examination of AR technology in surgical oncology has yet to be performed.
A scoping review of intraoperative AR in surgical oncology was conducted according to the guidelines and recommendations of The Preferred Reporting Items for Systematic Review and Meta-analyzes Extension for Scoping Reviews (PRISMA-ScR) framework. All original articles examining the use of intraoperative AR during surgical management of cancer were included. Exclusion criteria included virtual reality applications only, preoperative use only, fluorescence, AR not specific to surgical oncology, and study design (reviews, commentaries, abstracts).
A total of 2735 articles were identified of which 83 were included. Most studies (52) were performed on animals or phantom models, while the remaining included patients. A total of 1112 intraoperative AR surgical cases were performed across the studies. The most common anatomic site was brain (20 articles), followed by liver (16), renal (9), and head and neck (8). AR was most often used for intraoperative navigation or anatomic visualization of tumors or critical structures but was also used to identify osteotomy or craniotomy planes.
AR technology has been applied across the field of surgical oncology to aid in localization and resection of tumors.
在外科肿瘤学领域，人们一直渴望创新技术来提高肿瘤可视化、切除和患者预后。增强现实（AR）技术将数字内容叠加到真实环境中，通过混合数字和物理元素来增强用户体验。目前尚未对 AR 技术在外科肿瘤学中的应用进行全面评估。
根据系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR）框架的指南和建议，对术中 AR 在外科肿瘤学中的应用进行了范围综述。所有研究均纳入了检查术中 AR 在癌症手术管理中应用的原创文章。排除标准包括仅虚拟现实应用、仅术前使用、荧光、非特定于外科肿瘤学的 AR 以及研究设计（综述、评论、摘要）。
共确定了 2735 篇文章，其中 83 篇被纳入。大多数研究（52 项）是在动物或体模模型上进行的，其余的则包括患者。这些研究共进行了 1112 例术中 AR 手术。最常见的解剖部位是脑（20 篇文章），其次是肝（16 篇）、肾（9 篇）和头颈部（8 篇）。AR 主要用于术中导航或肿瘤或关键结构的解剖可视化，但也用于识别截骨或开颅平面。
AR 技术已在外科肿瘤学领域得到广泛应用，以辅助肿瘤的定位和切除。
