PDF(Pubmed)
Abstract：
Mixed Reality is a technology that has gained attention due to its unique capabilities for accessing and visualizing information. When integrated with voice control mechanisms, gestures and even iris movement, it becomes a valuable tool for medicine. These features are particularly appealing for the operating room and surgical learning, where access to information and freedom of hand operation are fundamental. This study examines the most significant research on mixed reality in the operating room over the past five years, to identify the trends, use cases, its applications and limitations. A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to answer the research questions established using the PICO (Population, Intervention, Comparator and Outcome) framework. Although implementation of Mixed Reality applications in the operations room presents some challenges, when used appropriately, it can yield remarkable results. It can make learning easier, flatten the learning curve for several procedures, and facilitate various aspects of the surgical processes. The articles\' conclusions highlight the potential benefits of these innovations in surgical practice while acknowledging the challenges that must be addressed. Technical complexity, equipment costs, and steep learning curves present significant obstacles to the widespread adoption of Mixed Reality and computer-assisted evaluation. The need for more flexible approaches and comprehensive studies is underscored by the specificity of procedures and limited samples sizes. The integration of imaging modalities and innovative functionalities holds promise for clinical applications. However, it is important to consider issues related to usability, bias, and statistical analyses. Mixed Reality offers significant benefits, but there are still open challenges such as ergonomic issues, limited field of view, and battery autonomy that must be addressed to ensure widespread acceptance.
摘要：
混合现实是一种技术，由于其访问和可视化信息的独特功能而受到关注。当与语音控制机制集成时，手势甚至虹膜运动，它成为医学的宝贵工具。这些功能对手术室和外科学习特别有吸引力，在这里，获取信息和手部操作自由是至关重要的。本研究考察了过去五年来关于手术室混合现实的最重要的研究，为了识别趋势，用例，它的应用和局限性。根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行了系统评价，以回答使用PICO（人口，干预,比较器和结果)框架。尽管在手术室中实施混合现实应用程序存在一些挑战，如果使用得当，它可以产生显著的结果。它可以使学习更容易，扁平化几个程序的学习曲线，并促进外科手术的各个方面。文章的结论强调了这些创新在外科实践中的潜在好处，同时承认必须解决的挑战。技术复杂性,设备成本,陡峭的学习曲线对广泛采用混合现实和计算机辅助评估提出了重大障碍。程序的特殊性和有限的样本量强调了对更灵活的方法和全面研究的需求。成像模式和创新功能的集成为临床应用带来了希望。然而,重要的是要考虑与可用性有关的问题，偏见，和统计分析。混合现实提供了显著的好处，但是仍然存在一些开放的挑战，例如人体工程学问题，视野有限,和电池自主性，必须解决以确保广泛接受。
