Evidence map›Paper›PMID 41757261›Full record

ArticleHealthcare technology letters

A Comparative Study of MR-Guided Needle Insertion for Surgical Procedures: Insights From HoloLens 2, Magic Leap 2 and Apple Vision Pro.

Amaia Iribar-Zabala, Joseba Ruiz-Olalla-Del-Fresno, Inés Rubio-Pérez, Rafael Moreta-Martínez, Andoni Beristain-Iraola, Javier Pascau, Mónica García-Sevilla

Abstract read
In one paragraph

Article in Healthcare technology letters. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Amaia Iribar-ZabalaDigital Health and Biomedical Technologies Vicomtech Foundation Basque Research and Technology Alliance (BRTA) Donostia-San Sebastian Spain.ORCID https://orcid.org/0009-0000-4445-6622
Joseba Ruiz-Olalla-Del-FresnoDigital Media and Communications, Vicomtech Foundation Basque Research and Technology Alliance (BRTA) Donostia-San Sebastian Spain.
Inés Rubio-PérezServicio de Cirugía General Hospital Universitario La Paz Madrid Spain.
Rafael Moreta-MartínezResearch and Development Department Cella Medical Solutions Murcia Spain.
Andoni Beristain-IraolaDigital Health and Biomedical Technologies Vicomtech Foundation Basque Research and Technology Alliance (BRTA) Donostia-San Sebastian Spain.ORCID https://orcid.org/0000-0002-5452-2141
Javier PascauDepartamento de Bioingeniería Universidad Carlos III de Madrid Leganés Spain.
Mónica García-SevillaDepartamento de Bioingeniería Universidad Carlos III de Madrid Leganés Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Numerous minimally invasive procedures, including biopsies, ablations and neurostimulation, rely on the accurate placement of a needle under image guidance. Mixed reality (MR) head-mounted displays (HMDs) offer a promising solution to enhance the guidance of these procedures without radiation. While the performance of the established HoloLens 2, now discontinued, is well-documented, the clinical viability of its potential successors remains unproven. This study provides the first direct comparative benchmark of the HoloLens 2, Magic Leap 2 and Apple Vision Pro for a high-precision needle insertion task, using sacral nerve stimulation (SNS) as a validation scenario. We developed custom applications for each platform and evaluated the performance with 11 users, including nine clinicians without prior HMD experience, through a randomized protocol. Quantitative and qualitative analyses were conducted to assess procedural efficiency and user experience. Results identified the Magic Leap 2 as the most effective platform, demonstrating significantly higher success rates and superior usability scores, driven by its ergonomic design and stable tracking. In contrast, the Apple Vision Pro, despite offering superior visual fidelity, proved unsuitable for this navigation task. Its performance was critically hampered by unstable marker tracking, significant device weight, and a lack of accommodation for prescription glasses, which disrupted the clinical workflow. The HoloLens 2 performed as a reliable, albeit less usable, baseline. We conclude that, for this surgical navigation purpose, the optimal HMD is determined by a balanced combination of tracking reliability, user comfort, and practical workflow integration, over the technical specifications of the device. These findings emphasize the importance of device selection in enhancing procedural outcomes and clinical training.

Indexed as

augmented realitybiomedical imagingcomputer visionmedical computingneedlesneuromuscular stimulationobject trackingrendering (computer graphics)surgerytracking

Identifiers

PMID41757261
PMCPMC12934502

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.