Intraoperative Angle Measurement of Anatomical Structures: A Systematic Review

Ensuring precise angle measurement during surgical correction of orientation-related deformities is crucial for optimal postoperative outcomes, yet there is a lack of an ideal commercial solution. Current measurement sensors and instrumentation have limitations that make their use context-specific,...

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Main Authors: João Cruz, Sérgio B. Gonçalves, Manuel Cassiano Neves, Hugo Plácido Silva, Miguel Tavares Silva
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/24/5/1613
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author João Cruz
Sérgio B. Gonçalves
Manuel Cassiano Neves
Hugo Plácido Silva
Miguel Tavares Silva
author_facet João Cruz
Sérgio B. Gonçalves
Manuel Cassiano Neves
Hugo Plácido Silva
Miguel Tavares Silva
author_sort João Cruz
collection DOAJ
description Ensuring precise angle measurement during surgical correction of orientation-related deformities is crucial for optimal postoperative outcomes, yet there is a lack of an ideal commercial solution. Current measurement sensors and instrumentation have limitations that make their use context-specific, demanding a methodical evaluation of the field. A systematic review was carried out in March 2023. Studies reporting technologies and validation methods for intraoperative angular measurement of anatomical structures were analyzed. A total of 32 studies were included, 17 focused on image-based technologies (6 fluoroscopy, 4 camera-based tracking, and 7 CT-based), while 15 explored non-image-based technologies (6 manual instruments and 9 inertial sensor-based instruments). Image-based technologies offer better accuracy and 3D capabilities but pose challenges like additional equipment, increased radiation exposure, time, and cost. Non-image-based technologies are cost-effective but may be influenced by the surgeon’s perception and require careful calibration. Nevertheless, the choice of the proper technology should take into consideration the influence of the expected error in the surgery, surgery type, and radiation dose limit. This comprehensive review serves as a valuable guide for surgeons seeking precise angle measurements intraoperatively. It not only explores the performance and application of existing technologies but also aids in the future development of innovative solutions.
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spelling doaj.art-a32382d163ef4c26b0d97bd5f0c27ac02024-03-12T16:55:23ZengMDPI AGSensors1424-82202024-03-01245161310.3390/s24051613Intraoperative Angle Measurement of Anatomical Structures: A Systematic ReviewJoão Cruz0Sérgio B. Gonçalves1Manuel Cassiano Neves2Hugo Plácido Silva3Miguel Tavares Silva4IDMEC, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais 1, 1049-001 Lisboa, PortugalIDMEC, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais 1, 1049-001 Lisboa, PortugalHospital CUF Descobertas, R. Mário Botas, 1998-018 Lisboa, PortugalIT—Instituto de Telecomunicações, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais 1, 1049-001 Lisboa, PortugalIDMEC, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais 1, 1049-001 Lisboa, PortugalEnsuring precise angle measurement during surgical correction of orientation-related deformities is crucial for optimal postoperative outcomes, yet there is a lack of an ideal commercial solution. Current measurement sensors and instrumentation have limitations that make their use context-specific, demanding a methodical evaluation of the field. A systematic review was carried out in March 2023. Studies reporting technologies and validation methods for intraoperative angular measurement of anatomical structures were analyzed. A total of 32 studies were included, 17 focused on image-based technologies (6 fluoroscopy, 4 camera-based tracking, and 7 CT-based), while 15 explored non-image-based technologies (6 manual instruments and 9 inertial sensor-based instruments). Image-based technologies offer better accuracy and 3D capabilities but pose challenges like additional equipment, increased radiation exposure, time, and cost. Non-image-based technologies are cost-effective but may be influenced by the surgeon’s perception and require careful calibration. Nevertheless, the choice of the proper technology should take into consideration the influence of the expected error in the surgery, surgery type, and radiation dose limit. This comprehensive review serves as a valuable guide for surgeons seeking precise angle measurements intraoperatively. It not only explores the performance and application of existing technologies but also aids in the future development of innovative solutions.https://www.mdpi.com/1424-8220/24/5/1613angle measurementbiomedical sensorsintraoperativerotational deformitiesangular deformitiessurgery
spellingShingle João Cruz
Sérgio B. Gonçalves
Manuel Cassiano Neves
Hugo Plácido Silva
Miguel Tavares Silva
Intraoperative Angle Measurement of Anatomical Structures: A Systematic Review
Sensors
angle measurement
biomedical sensors
intraoperative
rotational deformities
angular deformities
surgery
title Intraoperative Angle Measurement of Anatomical Structures: A Systematic Review
title_full Intraoperative Angle Measurement of Anatomical Structures: A Systematic Review
title_fullStr Intraoperative Angle Measurement of Anatomical Structures: A Systematic Review
title_full_unstemmed Intraoperative Angle Measurement of Anatomical Structures: A Systematic Review
title_short Intraoperative Angle Measurement of Anatomical Structures: A Systematic Review
title_sort intraoperative angle measurement of anatomical structures a systematic review
topic angle measurement
biomedical sensors
intraoperative
rotational deformities
angular deformities
surgery
url https://www.mdpi.com/1424-8220/24/5/1613
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AT manuelcassianoneves intraoperativeanglemeasurementofanatomicalstructuresasystematicreview
AT hugoplacidosilva intraoperativeanglemeasurementofanatomicalstructuresasystematicreview
AT migueltavaressilva intraoperativeanglemeasurementofanatomicalstructuresasystematicreview