%0杂志文章%@ 2291- 9279% I JMIR出版物%V 10卡塔尔世界杯8强波胆分析% N 3% P e34501 %T增强现实在血管和血管内手术:范围回顾%A Eves,Joshua %A Sudarsanam,Abhilash %A Shalhoub,Joseph %A Amiras,Dimitri %+帝国血管单位,帝国理工学院医疗保健NHS信托,圣玛丽医院,伦敦,W2 1NY,英国,44 7881389569,joshua.eves@nhs.net %K增强现实%K手术%K血管%K血管内%K头戴显示器%K手机%D 2022 %7 23.9.2022 %9回顾%J JMIR严肃游戏%G英语%X背景:近几十年来,技术进步已经改变了血管介入。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。方法:按照PRISMA (Preferred Reporting Items for systematic Reviews and Meta-Analyses)指南对MEDLINE、Scopus和Embase进行系统检索。从一开始到2021年1月8日,所有用英语撰写的研究都被包括在搜索中。系统搜索字符串中使用以下关键词的组合:(“增强现实”或“全息透镜”或“图像叠加”或“daqri”或“神奇飞跃”或“沉浸式现实”或“扩展现实”或“混合现实”或“头戴式显示器”)和(“血管手术”或“血管内”)。 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. %M 36149736 %R 10.2196/34501 %U https://games.www.mybigtv.com/2022/3/e34501 %U https://doi.org/10.2196/34501 %U http://www.ncbi.nlm.nih.gov/pubmed/36149736
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