Table 4 Open questions summarized

From: Accuracy and efficiency of drilling trajectories with augmented reality versus conventional navigation randomized crossover trial

Method

Positivea

Negativea

ARNS

• Easy to find the start point

• Easy to align/orient the instrument

• Drilling faster and safer

• Easy to learn/shorter learning curve

• Intuitive

• All information in one display

• Well-integrated guide functions

• Larger display field

• Smoother and more stable feedback

• Dependent on HMD

• Display of frames is sometimes interrupted

• Hard to algin instrument to the center of the ring

• The design of the functions is complex

• The blue frame occluded the view to see the drilling depth

• The color changing from yellow to green is ambiguous

• Hard to control depth

• Concentration on 3D hologram instead of patient

• Motion sickness

• Need of extra instruction

CNS

• No reliance on HMDs

• Direct and easy to use

• Multiple perspectives to observe and check while drilling

• Depth control is better with the depth slider

• More degrees of freedom in alignment

• Difficult to find the starting point

• Need to switch attention between four windows

• The display view changes along the tip of the instrument, which is annoying to the user

• Hand eye coordination problem, need to switch attention from patient to screen constantly

• Longer learning curve

  1. aPositive and negative feedback from surgeons (green rectangle), students (purple triangle), and engineers (gray diamond).