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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2024; 43(04): e325-e336
DOI: 10.1055/s-0044-1795095
Review Article

Precision in Neuronavigation Systems: A Systematic Review and Meta-analysis

Precisão em sistemas de neuronavegação: Uma revisão sistemática e meta-análise
Evelen Rouse de Souza Santos
1   Department of Medicine, Tiradentes University, Aracaju, SE, Brazil
,
Fabiana Ramos Viana
1   Department of Medicine, Tiradentes University, Aracaju, SE, Brazil
,
Paulo Eduardo Gonçalves
2   Department of Medicine, Federal University of Sergipe, Aracaju, SE, Brazil
,
Maria Adriely Cunha Lima
1   Department of Medicine, Tiradentes University, Aracaju, SE, Brazil
,
Carlos Alberto Miranda Lyra
1   Department of Medicine, Tiradentes University, Aracaju, SE, Brazil
,
Bruno Fernandes de Oliveira Santos 
1   Department of Medicine, Tiradentes University, Aracaju, SE, Brazil
2   Department of Medicine, Federal University of Sergipe, Aracaju, SE, Brazil
3   Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, SE, Brazil
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Funding There is no funding source for this article.
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Abstract

Introduction To evaluate the accuracy of different neuronavigation systems and establish factors that influence their accuracy and their indications for use.

Methods This is a systematic review of the literature with meta-analysis based on the guiding question of the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA): What is the accuracy of neuronavigation systems and the factors that influence it? For that, a search was performed in PubMed, LILACS, SciELO, Embase, Web of Science, and SCOPUS databases using descriptors combined with two Boolean operators. The articles found were submitted to eligibility criteria, and the reading was partial and complete. A total of 51 studies were selected, and 11 were included in the meta-analysis.

Results In total, 5,316 procedures were evaluated using neuronavigation systems and different types of procedures performed on the skull and spine. After meta-analysis, it was possible to establish the accuracy of the optical (N = 297) and AR (N = 195), with SBT of 2.34 mm and 2.09 mm, respectively. However, studies were evaluated regarding the influence of different recording methods, the use of associated technologies, and their indications for use.

Conclusions The accuracy of the systems was established through the TRE of 2.34 mm for the optical and 2.09 mm for the augmented reality, while it was not possible to establish the electromagnetic one. Thus, the ARN is the system with the best accuracy value, in addition to presenting advantages during the surgical period when compared with the others.

Resumo

Introdução Avaliar a precisão de diferentes sistemas de neuronavegação e estabelecer fatores que influenciam sua precisão e suas indicações de uso.

Métodos Trata-se de uma revisão sistemática da literatura com meta-análise baseada na questão norteadora do Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA): Qual a precisão dos sistemas de neuronavegação e os fatores que a influenciam? Para tanto foi realizada uma busca nas bases de dados PubMed, LILACS, SciELO, Embase, Web of Science e SCOPUS utilizando descritores combinados com dois operadores booleanos. Os artigos encontrados foram submetidos aos critérios de elegibilidade e a leitura foi parcial e completa. Foram selecionados 51 estudos e 11 foram incluídos na meta-análise.

Resultados No total foram avaliados 5.316 procedimentos utilizando sistemas de neuronavegação e diferentes tipos de procedimentos realizados no crânio e na coluna vertebral. Após a meta-análise foi possível estabelecer a precisão da óptica (N = 297) e da RA (N = 195) com SBT de 2 34 mm e 2.09 mm, respectivamente. No entanto foram avaliados estudos quanto à influência de diferentes métodos de registro ao uso de tecnologias associadas e suas indicações de uso.

Conclusões A precisão dos sistemas foi estabelecida por meio do TRE de 2.34 mm para a óptica e 2.09 mm para a realidade aumentada enquanto não foi possível estabelecer o eletromagnético. Dessa forma a ARN é o sistema com melhor valor de precisão além de apresentar vantagens durante o período cirúrgico quando comparado aos demais.

Keywords

neuronavigation - accuracy - reliability - neurosurgery - neurosurgical procedures - image-guided surgery

Palavras-chave

neuronavegação - precisão - confiabilidade - neurocirurgia - procedimentos neurocirúrgicos - cirurgia guiada por imagem


Publication History

Received: 13 December 2023

Accepted: 18 October 2024

Article published online:
11 December 2024

© 2024. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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