Evidence map›Paper›PMID 41424825›Full record

ArticleFrontiers in surgery2025

Minimally invasive approaches using virtual reality planning in elective aneurysm surgery.

Ladina Greuter, Tabea Stoessel, Florian Ebel, Emilia Westarp, Attill Saemann, Jonathan Rychen, Philippe Cattin, Marek Zelechowski, Balasz Faludi, Jehuda Soleman and 1 more

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

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Ladina Greuter *Department of Neurosurgery, University Hospital Basel, Basel, Switzerland.
Tabea Stoessel *Department of Neurosurgery, University Hospital Basel, Basel, Switzerland.
Florian EbelDepartment of Neurosurgery, University Hospital Basel, Basel, Switzerland.
Emilia WestarpDepartment of Neurosurgery, University Hospital Basel, Basel, Switzerland.
Attill SaemannDepartment of Neurosurgery, University Hospital Basel, Basel, Switzerland.
Jonathan RychenDepartment of Neurosurgery, University Hospital Basel, Basel, Switzerland.
Philippe CattinCenter for Medical Image Analysis & Navigation (CIAN), University of Basel, Basel, Switzerland.
Marek ZelechowskiCenter for Medical Image Analysis & Navigation (CIAN), University of Basel, Basel, Switzerland.
Balasz FaludiCenter for Medical Image Analysis & Navigation (CIAN), University of Basel, Basel, Switzerland.
Jehuda Soleman *Department of Neurosurgery, University Hospital Basel, Basel, Switzerland.
Raphael Guzman *Department of Neurosurgery, University Hospital Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: While endovascular treatment has gained popularity for its minimally invasive approach, microsurgical clipping for unruptured intracranial aneurysms (UIAs) has also evolved using surgical adjuncts such as virtual reality (VR) and keyhole techniques to enhance patient outcomes. Immersive 3D VR images allow for the creation of an accurate 3D anatomical model, making it a valuable tool for surgical planning. This study investigated the impact of VR-based surgical planning on approach type and craniotomy size. Methods: This retrospective cohort study included all patients who underwent elective microsurgical clipping for UIAs from 1 January 2009 to 31 December 2024 at the University Hospital of Basel, Switzerland, and was approved by the local ethics board. Demographic, surgical, and outcome parameters were collected. SpectoMedical®, developed at the University of Basel, was the VR platform used. The primary outcome was craniotomy size (cm Results: We included a total of 163 aneurysms in 159 patients with a mean age of 58.52 (±10.23), and 114 (69.9%) were female. VR-based surgical planning resulted in a significantly smaller craniotomy size [no VR vs. VR, 20.31 (±19.21) cm Conclusion: VR-based surgical planning was associated with significantly smaller craniotomy sizes and shorter hospital stays. It results in an intraoperative déjà-vu effect for the surgeon, which supports its use as a valuable adjunct in preoperative planning.

Indexed as

aneurysm surgeryminimally invasive approachneurovascular surgerySpectoMedical®virtual reality

Identifiers

PMID41424825
PMCPMC12711783

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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.