Riccardo Bertolo1,2, Andrew Hung3, Francesco Porpiglia4, Pierluigi Bove5, Mary Schleicher6, Prokar Dasgupta7. 1. Glickman Urological and Kidney Institute, Cleveland Clinic, 2050 E 96th St, Q Building, Cleveland, OH, 44195, USA. riccardobertolo@hotmail.it. 2. Urology Department, "San Carlo di Nancy" Hospital, Rome, Italy. riccardobertolo@hotmail.it. 3. Center for Robotic Simulation and Education, Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA. 4. Division of Urology, Department of Oncology, University of Turin, San Luigi Hospital, Orbassano, Turin, Italy. 5. Urology Department, "San Carlo di Nancy" Hospital, Rome, Italy. 6. Floyd D. Loop Alumni Library, Cleveland Clinic, Cleveland, OH, USA. 7. King's College London, Guy's Hospital, London, UK.
Abstract
PURPOSE: To perform a systematic literature review on the clinical impact of augmented reality (AR) for urological interventions. METHODS: As of June 21, 2018, systematic literature review was performed via Medline, Embase and Cochrane databases in accordance with the PRISMA guidelines and registered at PROSPERO (CRD42018102194). Only full text articles in English were included, without time restrictions. Articles were considered if they reported on the use of AR during urological intervention and the impact on the surgical outcomes. The risk of bias and the quality of each study included were independently assessed using the standard Cochrane Collaboration risk of bias tool and the Risk Of Bias In Non-randomised Studies-of Interventions Tool (ROBINS-I). RESULTS: 131 articles were identified. 102 remained after duplicate removal and were critically reviewed for evidence synthesis. 20 studies reporting on the outcomes of the use of AR during urological interventions in a clinical setting were considered. Given the mostly non-comparative design of the studies identified, the evidence synthesis was performed in a descriptive and narrative manner. Only one comparative study was found, with the remaining 19 items being single-arm observational studies. Based on the existing evidence, we are unable to state that AR improves the outcomes of urological interventions. The major limitation of AR-assisted surgery is inaccuracy in registration, translating into a poor navigation precision. CONCLUSIONS: To date, there is limited evidence showing superior therapeutic benefits of AR-guided surgery when compared with the conventional surgical approach to the respective disease.
PURPOSE: To perform a systematic literature review on the clinical impact of augmented reality (AR) for urological interventions. METHODS: As of June 21, 2018, systematic literature review was performed via Medline, Embase and Cochrane databases in accordance with the PRISMA guidelines and registered at PROSPERO (CRD42018102194). Only full text articles in English were included, without time restrictions. Articles were considered if they reported on the use of AR during urological intervention and the impact on the surgical outcomes. The risk of bias and the quality of each study included were independently assessed using the standard Cochrane Collaboration risk of bias tool and the Risk Of Bias In Non-randomised Studies-of Interventions Tool (ROBINS-I). RESULTS: 131 articles were identified. 102 remained after duplicate removal and were critically reviewed for evidence synthesis. 20 studies reporting on the outcomes of the use of AR during urological interventions in a clinical setting were considered. Given the mostly non-comparative design of the studies identified, the evidence synthesis was performed in a descriptive and narrative manner. Only one comparative study was found, with the remaining 19 items being single-arm observational studies. Based on the existing evidence, we are unable to state that AR improves the outcomes of urological interventions. The major limitation of AR-assisted surgery is inaccuracy in registration, translating into a poor navigation precision. CONCLUSIONS: To date, there is limited evidence showing superior therapeutic benefits of AR-guided surgery when compared with the conventional surgical approach to the respective disease.
Authors: Clément Michiels; Zine-Eddine Khene; Thomas Prudhomme; Astrid Boulenger de Hauteclocque; François H Cornelis; Mélanie Percot; Hélène Simeon; Laure Dupitout; Henri Bensadoun; Grégoire Capon; Eric Alezra; Vincent Estrade; Franck Bladou; Grégoire Robert; Jean-Marie Ferriere; Nicolas Grenier; Nicolas Doumerc; Karim Bensalah; Jean-Christophe Bernhard Journal: World J Urol Date: 2021-04-02 Impact factor: 4.226
Authors: İlkan Tatar; Emre Huri; İlker Selçuk; Young Lee Moon; Alberto Paoluzzi; Andreas Skolarikos Journal: Turk J Med Sci Date: 2019-10-24 Impact factor: 0.973
Authors: P Sparwasser; M Haack; L Frey; K Boehm; C Boedecker; T Huber; K Stroh; M P Brandt; R Mager; T Höfner; I Tsaur; A Haferkamp; H Borgmann Journal: Front Surg Date: 2022-07-22