Evidence map›Paper›PMID 35468090›Full record

ArticleJMIR serious games2022

Augmented Reality-Based Surgery on the Human Cadaver Using a New Generation of Optical Head-Mounted Displays: Development and Feasibility Study.

Behrus Puladi, Mark Ooms, Martin Bellgardt, Mark Cesov, Myriam Lipprandt, Stefan Raith, Florian Peters, Stephan Christian Möhlhenrich, Andreas Prescher, Frank Hölzle and 2 more

Open access · goldAbstract read
In one paragraph

Article in JMIR serious games, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 24 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Behrus PuladiDepartment of Oral and Maxillofacial Surgery, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0001-5909-6105
Mark OomsDepartment of Oral and Maxillofacial Surgery, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0002-9785-9502
Martin BellgardtVisual Computing Institute, RWTH Aachen University, Aachen, Germany.ORCID https://orcid.org/0000-0002-9067-4812
Mark CesovDepartment of Oral and Maxillofacial Surgery, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0002-6473-7162
Myriam LipprandtInstitute of Medical Informatics, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0001-9371-0551
Stefan RaithDepartment of Oral and Maxillofacial Surgery, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0001-8470-9145
Florian PetersDepartment of Oral and Maxillofacial Surgery, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0002-3850-4592
Stephan Christian MöhlhenrichDepartment of Oral and Maxillofacial Surgery, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0002-7023-991X
Andreas PrescherInstitute of Molecular and Cellular Anatomy, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0002-8241-5351
Frank HölzleDepartment of Oral and Maxillofacial Surgery, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0002-2298-3517
Torsten Wolfgang KuhlenVisual Computing Institute, RWTH Aachen University, Aachen, Germany.ORCID https://orcid.org/0000-0003-2144-4367
Ali ModabberDepartment of Oral and Maxillofacial Surgery, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0003-2160-4527
RWTH Aachen University · DEWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough nearly one-third of the world's disease burden requires surgical care, only a small proportion of digital health applications are directly used in the surgical field. In the coming decades, the application of augmented reality (AR) with a new generation of optical-see-through head-mounted displays (OST-HMDs) like the HoloLens (Microsoft Corp) has the potential to bring digital health into the surgical field. However, for the application to be performed on a living person, proof of performance must first be provided due to regulatory requirements. In this regard, cadaver studies could provide initial evidence.

objectiveThe goal of the research was to develop an open-source system for AR-based surgery on human cadavers using freely available technologies.

methodsWe tested our system using an easy-to-understand scenario in which fractured zygomatic arches of the face had to be repositioned with visual and auditory feedback to the investigators using a HoloLens. Results were verified with postoperative imaging and assessed in a blinded fashion by 2 investigators. The developed system and scenario were qualitatively evaluated by consensus interview and individual questionnaires.

resultsThe development and implementation of our system was feasible and could be realized in the course of a cadaver study. The AR system was found helpful by the investigators for spatial perception in addition to the combination of visual as well as auditory feedback. The surgical end point could be determined metrically as well as by assessment.

conclusionsThe development and application of an AR-based surgical system using freely available technologies to perform OST-HMD-guided surgical procedures in cadavers is feasible. Cadaver studies are suitable for OST-HMD-guided interventions to measure a surgical end point and provide an initial data foundation for future clinical trials. The availability of free systems for researchers could be helpful for a possible translation process from digital health to AR-based surgery using OST-HMDs in the operating theater via cadaver studies.

Indexed as

ARaugmented realitycadavercomputer-assisted surgerydigital health in surgeryhead-mounted displayHoloLensmedical regulationopen-sourceoptical see-through head-mounted displayserious gamesurgeonsurgerysurgical navigationsurgical techniquesurgical training

Identifiers

PMID35468090
PMCPMC9086879
OpenAlexW4224942271

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.