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5b - Augmented Reality in Neurosurgery

from Chapter 5 - The Computer as a Tool in Understanding and Managing Brain Disease

Published online by Cambridge University Press:  29 November 2025

Benjamin Hartley
Affiliation:
Weill Cornell Medical Center
Philip E. Stieg
Affiliation:
Weill Cornell Medical College
Rohan Ramakrishna
Affiliation:
Weill Cornell Medical College
Michael L. J. Apuzzo
Affiliation:
Adjunct of Yale Medical School and Weill Cornell Medical College
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Summary

Neurosurgery has always been at the forefront of adopting innovative technologies and this may easily be explained by the unique demands imposed on surgeons when operating in the brain and spine. Augmented reality (AR) has emerged as a promising technology in neurosurgery, aiming to link the digital and physical worlds to enhance clinical practice and education. This review explores the evolution of AR in neurosurgery, from a modest optical technology inception to a digitally enhanced plethora of mixed reality media, and how widespread adoption has been hindered by technical limitations. Various approaches to displaying AR as well as requirements for future-proof patient digital models are discussed. Challenges associated with updating models intra-operatively and the need for precise tracking of the physical environment are also reviewed. The chapter concludes with the authors’ vision for overcoming these technical hurdles, which will be essential for realizing the full potential of AR in neurosurgical practice.

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