ArticlePloS one2020
Fusion of augmented reality imaging with the endoscopic view for endonasal skull base surgery; a novel application for surgical navigation based on intraoperative cone beam computed tomography and optical tracking.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- The Use of Augmented Reality for Navigation in Minimally Invasive Abdominal and Thoracic Soft-Tissue Surgery: A Systematic Review.Sensors (Basel, Switzerland) · 2026Pooled it
- Extended reality in skull base surgery: a systematic literature review.Frontiers in surgery · 2025Pooled it
- Accuracy of augmented reality-assisted pedicle screw placement: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Pooled it
- Augmented Reality Integration in Skull Base Neurosurgery: A Systematic Review.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Training models and simulators for endoscopic transsphenoidal surgery: a systematic review.Neurosurgical review · 2023Pooled it
- Extended Reality in Neurosurgical Education: A Systematic Review.Sensors (Basel, Switzerland) · 2022Pooled it
- Endoscopic Endonasal Approaches to Anterior Cranial Base Meningiomas: Indications, Limitations, and Surgical Decision-Making.Cancers · 2026Review
- [Skull base surgery-where do we stand?]HNO · 2025Review
- [The advances in the application of image-guided system in endoscopic skull base surgery].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025Review
- Envisioning the Future of the Neurosurgical Operating Room with the Concept of the Medical Metaverse.Journal of Korean Neurosurgical Society · 2025Article
- Augmented reality for endoscopic transsphenoidal surgery: evaluating design factors with neurosurgeons.International journal of computer assisted radiology and surgery · 2025Article
- Collaborative Human-Computer Vision Operative Video Analysis Algorithm for Analyzing Surgical Fluency and Surgical Interruptions in Endonasal Endoscopic Pituitary Surgery: Cohort Study.Journal of medical Internet research · 2024Article
- Single-Center Experience in Microsurgical Resection of Acoustic Neurinomas and the Benefit of Microscope-Based Augmented Reality.Medicina (Kaunas, Lithuania) · 2024Article
- Narrative review of patient-specific 3D visualization and reality technologies in skull base neurosurgery: enhancements in surgical training, planning, and navigation.Frontiers in surgery · 2024Review
- Evaluation Metrics for Augmented Reality in Neurosurgical Preoperative Planning, Surgical Navigation, and Surgical Treatment Guidance: A Systematic Review.Operative neurosurgery (Hagerstown, Md.) · 2023Article
- The Role of Augmented Reality Neuronavigation in Transsphenoidal Surgery: A Systematic Review.Brain sciences · 2023Review
- Vertical Hemispherotomy: Contribution of Advanced Three-Dimensional Modeling for Presurgical Planning and Training.Journal of clinical medicine · 2023Article
- Augmented Reality Surgical Navigation System Integrated with Deep Learning.Bioengineering (Basel, Switzerland) · 2023Article
- Skull-Base Surgery-A Narrative Review on Current Approaches and Future Developments in Surgical Navigation.Journal of clinical medicine · 2023Review
- Image-guidance in endoscopic pituitary surgery: an in-silico study of errors involved in tracker-based techniques.Frontiers in surgery · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveSurgical navigation is a well-established tool in endoscopic skull base surgery. However, navigational and endoscopic views are usually displayed on separate monitors, forcing the surgeon to focus on one or the other. Aiming to provide real-time integration of endoscopic and diagnostic imaging information, we present a new navigation technique based on augmented reality with fusion of intraoperative cone beam computed tomography (CBCT) on the endoscopic view. The aim of this study was to evaluate the accuracy of the method. MATERIAL AND
methodsAn augmented reality surgical navigation system (ARSN) with 3D CBCT capability was used. The navigation system incorporates an optical tracking system (OTS) with four video cameras embedded in the flat detector of the motorized C-arm. Intra-operative CBCT images were fused with the view of the surgical field obtained by the endoscope's camera. Accuracy of CBCT image co-registration was tested using a custom-made grid with incorporated 3D spheres.
resultsCo-registration of the CBCT image on the endoscopic view was performed. Accuracy of the overlay, measured as mean target registration error (TRE), was 0.55 mm with a standard deviation of 0.24 mm and with a median value of 0.51mm and interquartile range of 0.39--0.68 mm.
conclusionWe present a novel augmented reality surgical navigation system, with fusion of intraoperative CBCT on the endoscopic view. The system shows sub-millimeter accuracy.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.