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Konovalov A.N.

Burdenko Neurosurgical Center;
Sechenov First Moscow State Medical University (Sechenov University)

Okishev D.N.

Burdenko Neurosurgical Center

Pilipenko Yu.V.

Burdenko Neurosurgical Center

Eliava Sh.Sh.

Burdenko Neurosurgical Center

Artemyev A.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Ivanov V.M.

Peter the Great St. Petersburg Polytechnic University

Smirnov A.Yu.

Peter the Great St. Petersburg Polytechnic University

Strelkov S.V.

Medgital LLC

Augmented reality as a method of neuronavigation in microsurgical treatment of cerebrovascular diseases: description of the method and clinical experience

Authors:

Konovalov A.N., Okishev D.N., Pilipenko Yu.V., Eliava Sh.Sh., Artemyev A.A., Ivanov V.M., Smirnov A.Yu., Strelkov S.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2025;89(1): 37‑45

DOI: 10.17116/neiro20258901137

Views: 791

Downloaded: 49

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Table of contents

AUGMENTED REALITY AS A METHOD OF NEURONAVIGATION IN MICROSURGICAL TREATMENT OF CEREBROVASCULAR DISEASES: DESCRIPTION OF THE METHOD AND CLINICAL EXPERIENCE
AUGMENTED REALITY AS A METHOD OF NEURONAVIGATION IN MICROSURGICAL TREATMENT OF CEREBROVASCULAR DISEASES: DESCRIPTION OF THE METHOD AND CLINICAL EXPERIENCE

To cite this article:

Konovalov AN, Okishev DN, Pilipenko YuV, et al. . Augmented reality as a method of neuronavigation in microsurgical treatment of cerebrovascular diseases: description of the method and clinical experience. Burdenko's Journal of Neurosurgery. 2025;89(1):37‑45. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20258901137

Подписка 2025-2 (Burdenko's Journal of Neurosurgery)
 
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Augmented reality (AR) is a promising area in microsurgical treatment of cerebrovascular pathologies that can significantly facilitate preoperative planning and intraoperative understanding of anatomy.

OBJECTIVE

To describe AR-assisted neuronavigation in microsurgical treatment of intracranial aneurysms, arteriovenous malformations and cavernomas; to evaluate accuracy and applicability of AR-assisted neuronavigation.

MATERIAL AND METHODS

The study involved 22 patients with cerebral aneurysms, arteriovenous and cavernous malformations. Microsoft Hololens 2 HMD glasses and «Medgital» software for AR navigation were used. Accuracy of registration (TRE and FRE) and time for preoperative preparation were evaluated.

RESULTS. MEAN

TRE when using QR code was 0.6±0.2 cm, when combining through craniometric points — 1.4±0.6 cm. Time for preoperative image processing was 24.7±5.1 minutes, application setup in the operating theatre — 1.6±0.2 minutes. Combination using QR code provided higher accuracy of registration compared to craniometric points. AR-assisted navigation improved visualization and planning of surgeries for aneurysms, arteriovenous malformations, microvascular anastomoses and cavernous angiomas.

CONCLUSION

AR-assisted navigation is an innovative method with specific advantages that can potentially improve microsurgical treatment of cerebrovascular diseases. Further research is needed to confirm these findings and develop AR technology in neurosurgery.

Keywords:

augmented reality
neuronavigation
vascular neurosurgery

Authors:

Konovalov A.N.

Burdenko Neurosurgical Center;
Sechenov First Moscow State Medical University (Sechenov University)

Okishev D.N.

Burdenko Neurosurgical Center

Pilipenko Yu.V.

Burdenko Neurosurgical Center

Eliava Sh.Sh.

Burdenko Neurosurgical Center

Artemyev A.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Ivanov V.M.

Peter the Great St. Petersburg Polytechnic University

Smirnov A.Yu.

Peter the Great St. Petersburg Polytechnic University

Strelkov S.V.

Medgital LLC

Received:

14.08.2024

Accepted:

21.11.2024

List of references:

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  2. Meola A, Cutolo F, Carbone M, Cagnazzo F, Ferrari M, Ferrari V. Augmented reality in neurosurgery: a systematic review. Neurosurgical Review. 2017;40(4):537-548.  https://doi.org/10.1007/s10143-016-0732-9
  3. Guha D, Alotaibi NM, Nguyen N, Gupta S, McFaul C, Yang VX. Augmented Reality in Neurosurgery: A Review of Current Concepts and Emerging Applications. Canadian Journal of Neurological Sciences. 2017;44(3):235-245.  https://doi.org/10.1017/cjn.2016.443
  4. Konovalov AN, Gabrielyan LR, Artemyev AA, Timofeeva EYu, Isagulyan ED, Fumin IA, Okishev DN, Pilipenko YuV, Eliava ShSh, Ivanov VM, Smirnov AYu, Strelkov SV. Augmented reality technologies in neurosurgery: applications and limitations. Literature review. Bulletin of Neurology. 2024;(6). (In Russ.). https://doi.org/10.33920/med-01-2406-11
  5. Inoue D, Cho B, Mori M, Kikkawa Y, Amano T, Nakamizo A, Yoshimoto K, Mizoguchi M, Tomikawa M, Hong J, Hashizume M, Sasaki T. Preliminary study on the clinical application of augmented reality neuronavigation. Journal of Neurological Surgery Part A: Central European Neurosurgery. 2013;74(2):71-76.  https://doi.org/10.1055/s-0032-1333415
  6. Kersten-Oertel M, Gerard I, Drouin S, Mok K, Sirhan D, Sinclair DS, Collins DL. Augmented reality in neurovascular surgery: feasibility and first uses in the operating room. International Journal of Computer Assisted Radiology and Surgery. 2015;10(11):1823-1836. https://doi.org/10.1007/s11548-015-1163-8
  7. Haidegger T. Probabilistic Method to Improve the Accuracy of Computer-Integrated Surgical Systems. Acta Polytechnica Hungarica. 2019;16(8):119-140.  https://doi.org/10.12700/APH.16.8.2019.8.8
  8. Cabrilo I, Bijlenga P, Schaller K. Augmented reality in the surgery of cerebral aneurysms: A technical report. Neurosurgery. 1982;10:252-261.  https://doi.org/10.1227/NEU.0000000000000328
  9. Eves J, Sudarsanam A, Shalhoub J, Amiras D. Augmented Reality in Vascular and Endovascular Surgery: Scoping Review. JMIR Serious Games. 2022;10(3). https://doi.org/10.2196/34501
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  11. Hey G, Guyot M, Carter A, Lucke-Wold B. Augmented Reality in Neurosurgery: A New Paradigm for Training. Medicina (Lithuania). 2023;59(10):1721. https://doi.org/10.3390/medicina59101721
  12. Sprenger L, Zegarek G, Schaller K, Tizi K, Bijlenga P. Augmented Reality in Vascular Neurosurgery. 2018 
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