Evidence map›Paper›PMID 33759794›Full record

ArticleJournal of medical Internet research2021

Immersive Virtual Reality and Ocular Tracking for Brain Mapping During Awake Surgery: Prospective Evaluation Study.

Morgane Casanova, Anne Clavreul, Gwénaëlle Soulard, Matthieu Delion, Ghislaine Aubin, Aram Ter Minassian, Renaud Seguier, Philippe Menei

Registry-linked trialAbstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03010943 (Chirurgie Eveillee du Cerveau Sous Realite Virtuelle Integree Aux Outils Bloc Operatoire), which is not on this map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT03010943 nacompletednot on this map

Chirurgie Eveillee du Cerveau Sous Realite Virtuelle Integree Aux Outils Bloc Operatoire : Etude de Tolerance

TypeinterventionalSponsorUniversity Hospital, AngersRan2017 to 2020Enrolled45ConditionsBrain Tumor, Virtual RealityArmsVirtual reality headset
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Morgane CasanovaÉquipe Facial Analysis Synthesis & Tracking Institue of Electronics and Digital Technologies, CentraleSupélec, Rennes, France.ORCID 0000-0001-6401-8339
Anne ClavreulDépartement de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France.ORCID 0000-0002-4477-8282
Gwénaëlle SoulardDépartement de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France.ORCID 0000-0002-7902-1992
Matthieu DelionDépartement de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France.ORCID 0000-0003-4009-1173
Ghislaine AubinDépartement de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France.ORCID 0000-0002-2232-8176
Aram Ter MinassianDépartement d'Anesthésie-Réanimation, Centre hospitalier universitaire d'Angers, Angers, France.ORCID 0000-0001-7386-0464
Renaud SeguierÉquipe Facial Analysis Synthesis & Tracking Institue of Electronics and Digital Technologies, CentraleSupélec, Rennes, France.ORCID 0000-0001-7199-7563
Philippe MeneiDépartement de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France.ORCID 0000-0002-2794-1316

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLanguage mapping during awake brain surgery is currently a standard procedure. However, mapping is rarely performed for other cognitive functions that are important for social interaction, such as visuospatial cognition and nonverbal language, including facial expressions and eye gaze. The main reason for this omission is the lack of tasks that are fully compatible with the restrictive environment of an operating room and awake brain surgery procedures.

objectiveThis study aims to evaluate the feasibility and safety of a virtual reality headset equipped with an eye-tracking device that is able to promote an immersive visuospatial and social virtual reality (VR) experience for patients undergoing awake craniotomy.

methodsWe recruited 15 patients with brain tumors near language and/or motor areas. Language mapping was performed with a naming task, DO 80, presented on a computer tablet and then in 2D and 3D via the VRH. Patients were also immersed in a visuospatial and social VR experience.

resultsNone of the patients experienced VR sickness, whereas 2 patients had an intraoperative focal seizure without consequence; there was no reason to attribute these seizures to virtual reality headset use. The patients were able to perform the VR tasks. Eye tracking was functional, enabling the medical team to analyze the patients' attention and exploration of the visual field of the virtual reality headset directly.

conclusionsWe found that it is possible and safe to immerse the patient in an interactive virtual environment during awake brain surgery, paving the way for new VR-based brain mapping procedures.

trial registrationClinicalTrials.gov NCT03010943; https://clinicaltrials.gov/ct2/show/NCT03010943.

Indexed as

Brain MappingBrain NeoplasmsVirtual RealityFemaleHumansMaleProspective StudiesWakefulnessawake surgerybrain mappingeye trackingmobile phonenonverbal languagevirtual realityvisuospatial cognition

Identifiers

PMID33759794
PMCPMC8074984

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.