Birlo, Manuel;
Edwards, PJ Eddie;
Clarkson, Matthew;
Stoyanov, Danail;
(2022)
Utility of optical see-through head mounted displays in augmented reality-assisted surgery: A systematic review.
Medical Image Analysis
, 77
, Article 102361. 10.1016/j.media.2022.102361.
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Abstract
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.
| Type: | Article |
|---|---|
| Title: | Utility of optical see-through head mounted displays in augmented reality-assisted surgery: A systematic review |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.media.2022.102361 |
| Publisher version: | https://doi.org/10.1016/j.media.2022.102361 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Augmented reality, Head-mounted displays, Optical see-through, Human factors |
| UCL classification: | UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng UCL > Provost and Vice Provost Offices > UCL BEAMS UCL UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10143487 |
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