Simulation tools in neuro-oncological surgery: a scoping review of perioperative and training applications.

IF 3.1 2区医学 Q2 CLINICAL NEUROLOGY Journal of Neuro-Oncology Pub Date : 2025-05-01 Epub Date: 2025-03-19 DOI:10.1007/s11060-025-04972-8

Grazia Menna, Dora Riva, Salvatore Marino, Jocelyn Garber, Jasper Kees Wim Gerritsen, Pier Paolo Mattogno, Jacob Stewart Young, Alessandro Olivi, Francesco Doglietto, Mitchel Stuart Berger, Giuseppe Maria Della Pepa

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Abstract

Background: Neuro-oncological surgery has lagged other neurosurgical subspecialties in integrating simulation technologies for training and surgical planning. This study provides a comprehensive scoping review of the current landscape of simulation tools in neuro-oncological surgery, mapping existing research, identifying technological advancements, and highlighting gaps in surgical training and perioperative planning.

Methods: We formulated the research question: "What is the effect of perioperative simulation and neuro-oncological training on surgical skill acquisition, patient outcomes, and safety among neurosurgeons, compared to traditional or no training methods?" A comprehensive search was conducted on PubMed, Scopus and ClinicalTrials.gov, with the final search completed in May 2024. The quality of training studies was assessed using the Medical Education Research Study Quality Instrument (MERSQI), and the Cochrane ROBINS-I tool was used to evaluate bias in simulation studies.

Results: The search yielded 5,518 records, with 51 studies meeting the inclusion criteria. These were categorized into six groups: (1) 3D Models in Presurgical Planning and Intraoperative Navigation: 5 articles; (2) Augmented Reality (AR) in Presurgical Planning and Intraoperative Navigation: 25 articles; (3) Mixed Reality (MR) in Presurgical Planning and Intraoperative Navigation: 6 articles; (4) Virtual Reality (VR) in Presurgical Planning and Intraoperative Navigation: 4 articles; (5) AR in Surgical Training: 5 articles; (6) VR in Surgical Training: 6 articles.

Conclusion: While the number of studies on simulation in neuro-oncological surgery is increasing, their analytical depth remains limited. Simulation holds promise for advancing the field, but a significant journey lies ahead before achieving universal academic validation.

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模拟工具在神经肿瘤手术：围手术期和培训应用的范围审查。

背景：神经肿瘤外科在整合模拟技术进行训练和手术计划方面落后于其他神经外科专科。本研究对神经肿瘤外科模拟工具的现状进行了全面的综述，绘制了现有的研究图，确定了技术进步，并强调了手术培训和围手术期计划方面的差距。方法：我们制定了研究问题：“与传统或不进行培训的方法相比，围手术期模拟和神经肿瘤学培训对神经外科医生的手术技能获得、患者预后和安全性的影响是什么？”在PubMed， Scopus和ClinicalTrials.gov上进行了全面的搜索，最终搜索于2024年5月完成。使用医学教育研究质量工具（MERSQI）评估培训研究的质量，并使用Cochrane ROBINS-I工具评估模拟研究的偏倚。结果：检索得到5518条记录，其中51项研究符合纳入标准。本文分为6类：(1)术前规划与术中导航中的3D模型：5篇；(2)增强现实（AR）在术前规划和术中导航中的应用：25篇；(3)混合现实（MR）在术前规划和术中导航中的应用：6篇；(4)虚拟现实（VR）在术前规划和术中导航中的应用：4篇；(5)外科培训中的AR: 5篇；(6)外科训练中的VR: 6篇。结论：神经肿瘤手术模拟的研究越来越多，但分析的深度有限。模拟有望推动该领域的发展，但在实现普遍的学术验证之前，还有一段重要的旅程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Neuro-Oncology 医学-临床神经学

CiteScore

6.60

自引率

7.70%

发文量

277

审稿时长

3.3 months

期刊介绍： The Journal of Neuro-Oncology is a multi-disciplinary journal encompassing basic, applied, and clinical investigations in all research areas as they relate to cancer and the central nervous system. It provides a single forum for communication among neurologists, neurosurgeons, radiotherapists, medical oncologists, neuropathologists, neurodiagnosticians, and laboratory-based oncologists conducting relevant research. The Journal of Neuro-Oncology does not seek to isolate the field, but rather to focus the efforts of many disciplines in one publication through a format which pulls together these diverse interests. More than any other field of oncology, cancer of the central nervous system requires multi-disciplinary approaches. To alleviate having to scan dozens of journals of cell biology, pathology, laboratory and clinical endeavours, JNO is a periodical in which current, high-quality, relevant research in all aspects of neuro-oncology may be found.