@文章{信息:doi/10.2196/34501,作者=“Eves, Joshua和Sudarsanam, Abhilash和Shalhoub, Joseph和Amiras, Dimitri”,标题=“血管和血管内手术中的增强现实:范围审查”,期刊=“JMIR严肃游戏”,年=“2022”,月=“Sep”,日=“23”,卷=“10”,数字=“3”,页=“e34501”,关键词=“增强现实;手术;血管;血管内;头戴显示设备;背景:近几十年来,技术进步已经改变了血管介入治疗。特别是,成像和数据处理的改进使得越来越复杂的血管内和混合干预的发展成为可能。增强现实(AR)是外科手术中越来越受关注的一个主题,它有可能提高临床医生对3D解剖学的理解,并帮助处理实时信息。本研究希望阐明AR技术在快速发展的血管和血管内手术领域的潜在影响。目的:本综述的目的是总结AR技术的基本概念,并对AR和混合现实在血管和血管内手术中的影响进行范围综述。 Methods: A systematic search of MEDLINE, Scopus, and Embase was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. All studies written in English from inception until January 8, 2021, were included in the search. Combinations of the following keywords were used in the systematic search string: (``augmented reality'' OR ``hololens'' OR ``image overlay'' OR ``daqri'' OR ``magic leap'' OR ``immersive reality'' OR ``extended reality'' OR ``mixed reality'' OR ``head mounted display'') AND (``vascular surgery'' OR ``endovascular''). Studies were selected through a blinded process between 2 investigators (JE and AS) and assessed using data quality tools. Results: AR technologies have had a number of applications in vascular and endovascular surgery. Most studies (22/32, 69{\%}) used 3D imaging of computed tomography angiogram--derived images of vascular anatomy to augment clinicians' anatomical understanding during procedures. A wide range of AR technologies were used, with heads up fusion imaging and AR head-mounted displays being the most commonly applied clinically. AR applications included guiding open, robotic, and endovascular surgery while minimizing dissection, improving procedural times, and reducing radiation and contrast exposure. Conclusions: AR has shown promising developments in the field of vascular and endovascular surgery, with potential benefits to surgeons and patients alike. These include reductions in patient risk and operating times as well as in contrast and radiation exposure for radiological interventions. Further technological advances are required to overcome current limitations, including processing capacity and vascular deformation by instrumentation. ", issn="2291-9279", doi="10.2196/34501", url="https://games.www.mybigtv.com/2022/3/e34501", url="https://doi.org/10.2196/34501", url="http://www.ncbi.nlm.nih.gov/pubmed/36149736" }
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