Evidence map›Paper›PMID 40632268›Full record

ArticleActa neurochirurgica. Supplement2025

Educational Impact of an Annotation System Integrated with an Exoscope for Cerebral Aneurysm Surgery: Case Description.

Yoji Tanaka, Motoki Inaji, Daisu Abe, Kazuhide Shimizu, Taketoshi Maehara

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Article in Acta neurochirurgica. Supplement, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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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

5 authors.

Yoji TanakaDepartment of Neurosurgery, Tokyo Medical and Dental University, Tokyo, Japan. tanaka.nsrg@tmd.ac.jp.ORCID https://orcid.org/0000-0002-2433-924X
Motoki InajiDepartment of Neurosurgery, Tokyo Medical and Dental University, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6759-5729
Daisu AbeDepartment of Neurosurgery, Tokyo Medical and Dental University, Tokyo, Japan.ORCID https://orcid.org/0000-0002-9313-2226
Kazuhide ShimizuDepartment of Neurosurgery, Tokyo Medical and Dental University, Tokyo, Japan.ORCID https://orcid.org/0000-0001-9056-2477
Taketoshi MaeharaDepartment of Neurosurgery, Tokyo Medical and Dental University, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6804-4665

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe three-dimensional (3D) exoscope has been reported to have better image quality, ergonomics, and educational outcomes than a microscope. However, whether the exoscope can improve communication between the main surgeon and the mentor remains unclear. This chapter introduces our experience with using an exoscope and an annotation system for surgical education during a left middle cerebral aneurysm surgery in a 63-year-old woman.

methodsWe used an annotation system integrated with a 3D exoscope during aneurysm surgery. The mentor provided instruction by using the annotation system to write information on the surgical monitor.

resultsThe aneurysmal neck was broad and required two clips to achieve complete clipping. On a monitor, the mentor drew instructions for inserting the clips. The surgeon successfully accomplished the clipping as instructed. Intraoperative indocyanine green angiography revealed the complete occlusion of the aneurysm. The patient had no postoperative neurological deficit.

conclusionA new system using an annotation system integrated with an exoscope for surgical education was introduced and applied to an aneurysm clipping surgery. This system is expected to improve communication between surgeons and mentors and improve surgical safety.

Indexed as

Intracranial AneurysmNeurosurgical ProceduresFemaleHumansImaging, Three-DimensionalMiddle AgedSurgical InstrumentsAnnotation systemCerebral aneurysmClippingExoscopeSurgical education

Identifiers

PMID40632268

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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.