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Augmented reality in vascular and endovascular surgery: a scoping review

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JMIR AR In Vascular Surgery 27.6.22.docxAccepted version3.13 MBMicrosoft WordView/Open
Title: Augmented reality in vascular and endovascular surgery: a scoping review
Authors: Eves, J
Sudarsanam, A
Shalhoub, J
Amiras, D
Item Type: Journal Article
Abstract: Background: Technological advances have transformed vascular intervention over recent decades. In particular, improvements in imaging and data processing have allowed for the development of increasingly complex endovascular and hybrid interventions. Augmented reality (AR) is a subject of growing interest within surgery, with potential to improve clinicians’ understanding of 3D anatomy and aid the processing of real-time information. This paper hopes to elucidate the potential impact of AR technology in the rapidly evolving field of vascular and endovascular surgery. Objective: The aim of this review was to summarise the fundamental concepts of augmented reality technologies, and to conduct a scoping review of the impact of AR and mixed reality within vascular and endovascular surgery. Methods: A systematic search of MEDLINE, Scopus and Embase was performed in accordance with the Preferred Reporting Items on Systematic Reviews and Meta-analysis (PRISMA) guidelines. All studies written in English from inception until 8th of January 2021 were included in the search. Combinations of the following keywords were used in the systematic search string: (‘augmented reality’ OR ‘hololens’ OR ‘image overlay’ OR ‘daqri’ OR ‘magic leap’ OR ‘immersive reality’ OR ‘extended reality’ OR ‘mixed reality’ OR ‘head mounted display’) AND (‘vascular surgery’ OR ‘endovascular’). Studies were selected by a blinded process between two investigators and assessed with data quality tools. Results: AR technologies have had a number of applications across vascular and endovascular surgery. The majority of studies use 3D imaging of CT angiogram-derived images of vascular anatomy to augment the clinicians anatomical understanding during procedures. A wide range of AR technologies have been employed, with ‘heads up’ fusion imaging and AR head-mounted displays being the most commonly clinically applied. AR applications have included guiding open, robotic and endovascular surgery whilst minimising dissection, improving procedural times, and reducing radiation and contrast exposure. Conclusions: AR has shown promising developments in the field of vascular and endovascular surgery, with potential benefits to surgeons and patients alike. These include reductions in patient risk and operating times, as well as contrast and radiation exposure for radiological interventions. Further technological advances are required to overcome current limitations, including processing capacity and vascular deformation by instrumentation.
Date of Acceptance: 23-Jun-2022
URI: http://hdl.handle.net/10044/1/98014
DOI: 10.2196/34501
ISSN: 2291-9279
Publisher: JMIR Publications
Journal / Book Title: JMIR Serious Games
Copyright Statement: © The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.
Keywords: Surgery, Computer-Assisted
Vascular Diseases
Publication Status: Published online
Online Publication Date: 2022-06-23
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine

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