arXivDaily arXiv每日学术速递 周一至周五更新
arXiv 2202.04141cs.HC
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光学透视盔装显示器在增强现实辅助手术中的应用:系统评价

Utility of Optical See-Through Head Mounted Displays in Augmented Reality-Assisted Surgery: A systematic review

Manuel Birlo, P. J. "Eddie'' Edwards, Matthew Clarkson, Danail Stoyanov

摘要:

本文对2013年至2020年期间光学透视盔装显示器(OST-HMD)在增强现实(AR)手术应用中的使用情况进行了系统综述。文章分类如下:OST-HMD器械、手术专业、手术应用背景、可视化内容、实验设计和评价、人机交互的准确性和人为因素。91篇文章符合所有纳入标准。出现了一些明显的趋势。微软的HoloLens在该领域越来越占主导地位,整形外科手术是最受欢迎的应用(28.6%)。到目前为止,最常见的手术环境是手术引导(n=58),分割的术前模型主导可视化(n = 40)。实验主要涉及幻影(n = 43)或系统设置(n = 21),与病人的案例研究排名第三(n = 19),反映了该领域的比较婴儿期。实验涵盖了从注册到感知的问题,具有非常不同的准确性结果。人为因素对OST-HMD实用性具有重要意义。提出的系统解决了一些因素,例如注意力从手术部位转移和2D图像到3D患者解剖结构的心理映射。其他持久的人为因素仍然存在或由OST-HMD解决方案引起,包括易用性,舒适性和空间感知问题。已发表文章的显著上升趋势是明确的,但此类器械尚未在手术室中确立,并且缺乏显示受益的临床研究。在实验室中集中精力解决技术注册和感知因素,再加上设计,结合人为因素的考虑,以解决明确的临床问题,应确保当前的重大研究工作将取得成功。

英文摘要:

This article presents a systematic review of optical see-through head mounted display (OST-HMD) usage in augmented reality (AR) surgery applications from 2013 to 2020. Articles were categorised by: OST-HMD device, surgical speciality, surgical application context, visualisation content, experimental design and evaluation, accuracy and human factors of human-computer interaction. 91 articles fulfilled all inclusion criteria. Some clear trends emerge. The Microsoft HoloLens increasingly dominates the field, with orthopaedic surgery being the most popular application (28.6\%). By far the most common surgical context is surgical guidance (n=58) and segmented preoperative models dominate visualisation (n = 40). Experiments mainly involve phantoms (n = 43) or system setup (n = 21), with patient case studies ranking third (n = 19), reflecting the comparative infancy of the field. Experiments cover issues from registration to perception with very different accuracy results. Human factors emerge as significant to OST-HMD utility. Some factors are addressed by the systems proposed, such as attention shift away from the surgical site and mental mapping of 2D images to 3D patient anatomy. Other persistent human factors remain or are caused by OST-HMD solutions, including ease of use, comfort and spatial perception issues. The significant upward trend in published articles is clear, but such devices are not yet established in the operating room and clinical studies showing benefit are lacking. A focused effort addressing technical registration and perceptual factors in the lab coupled with design that incorporates human factors considerations to solve clear clinical problems should ensure that the significant current research efforts will succeed.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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