Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspects

This systematic review offers an overview on clinical and technical aspects of augmented reality (AR) applications in orthopedic and maxillofacial oncological surgery. The review also provides a summary of the included articles with objectives and major findings for both specialties. The search was...

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Main Authors: Naqash Nasir, Laura Cercenelli, Achille Tarsitano, Emanuela Marcelli
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2023.1276338/full
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author Naqash Nasir
Naqash Nasir
Laura Cercenelli
Achille Tarsitano
Achille Tarsitano
Emanuela Marcelli
author_facet Naqash Nasir
Naqash Nasir
Laura Cercenelli
Achille Tarsitano
Achille Tarsitano
Emanuela Marcelli
author_sort Naqash Nasir
collection DOAJ
description This systematic review offers an overview on clinical and technical aspects of augmented reality (AR) applications in orthopedic and maxillofacial oncological surgery. The review also provides a summary of the included articles with objectives and major findings for both specialties. The search was conducted on PubMed/Medline and Scopus databases and returned on 31 May 2023. All articles of the last 10 years found by keywords augmented reality, mixed reality, maxillofacial oncology and orthopedic oncology were considered in this study. For orthopedic oncology, a total of 93 articles were found and only 9 articles were selected following the defined inclusion criteria. These articles were subclassified further based on study type, AR display type, registration/tracking modality and involved anatomical region. Similarly, out of 958 articles on maxillofacial oncology, 27 articles were selected for this review and categorized further in the same manner. The main outcomes reported for both specialties are related to registration error (i.e., how the virtual objects displayed in AR appear in the wrong position relative to the real environment) and surgical accuracy (i.e., resection error) obtained under AR navigation. However, meta-analysis on these outcomes was not possible due to data heterogenicity. Despite having certain limitations related to the still immature technology, we believe that AR is a viable tool to be used in oncological surgeries of orthopedic and maxillofacial field, especially if it is integrated with an external navigation system to improve accuracy. It is emphasized further to conduct more research and pre-clinical testing before the wide adoption of AR in clinical settings.
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spelling doaj.art-d08464a0d78f4773bbd99c901a3d83f52023-11-23T15:16:54ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852023-11-011110.3389/fbioe.2023.12763381276338Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspectsNaqash Nasir0Naqash Nasir1Laura Cercenelli2Achille Tarsitano3Achille Tarsitano4Emanuela Marcelli5Oral and Maxillo-Facial Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyOrthopedics and Traumatology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyeDIMES Lab-Laboratory of Bioengineering, Department of Medical and Surgical Sciences, University of Bologna, Bologna, ItalyOral and Maxillo-Facial Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyMaxillofacial Surgery Unit, Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, ItalyeDIMES Lab-Laboratory of Bioengineering, Department of Medical and Surgical Sciences, University of Bologna, Bologna, ItalyThis systematic review offers an overview on clinical and technical aspects of augmented reality (AR) applications in orthopedic and maxillofacial oncological surgery. The review also provides a summary of the included articles with objectives and major findings for both specialties. The search was conducted on PubMed/Medline and Scopus databases and returned on 31 May 2023. All articles of the last 10 years found by keywords augmented reality, mixed reality, maxillofacial oncology and orthopedic oncology were considered in this study. For orthopedic oncology, a total of 93 articles were found and only 9 articles were selected following the defined inclusion criteria. These articles were subclassified further based on study type, AR display type, registration/tracking modality and involved anatomical region. Similarly, out of 958 articles on maxillofacial oncology, 27 articles were selected for this review and categorized further in the same manner. The main outcomes reported for both specialties are related to registration error (i.e., how the virtual objects displayed in AR appear in the wrong position relative to the real environment) and surgical accuracy (i.e., resection error) obtained under AR navigation. However, meta-analysis on these outcomes was not possible due to data heterogenicity. Despite having certain limitations related to the still immature technology, we believe that AR is a viable tool to be used in oncological surgeries of orthopedic and maxillofacial field, especially if it is integrated with an external navigation system to improve accuracy. It is emphasized further to conduct more research and pre-clinical testing before the wide adoption of AR in clinical settings.https://www.frontiersin.org/articles/10.3389/fbioe.2023.1276338/fullaugmented realitymixed realityorthopedics oncologymaxillofacial oncologysurgerytracking
spellingShingle Naqash Nasir
Naqash Nasir
Laura Cercenelli
Achille Tarsitano
Achille Tarsitano
Emanuela Marcelli
Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspects
Frontiers in Bioengineering and Biotechnology
augmented reality
mixed reality
orthopedics oncology
maxillofacial oncology
surgery
tracking
title Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspects
title_full Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspects
title_fullStr Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspects
title_full_unstemmed Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspects
title_short Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspects
title_sort augmented reality for orthopedic and maxillofacial oncological surgery a systematic review focusing on both clinical and technical aspects
topic augmented reality
mixed reality
orthopedics oncology
maxillofacial oncology
surgery
tracking
url https://www.frontiersin.org/articles/10.3389/fbioe.2023.1276338/full
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