Comparing augmented reality-assisted and freehand external ventricular drain placement: a multicenter randomized controlled crossover phantom study - Takeaways - MDSpire

Comparing augmented reality-assisted and freehand external ventricular drain placement: a multicenter randomized controlled crossover phantom study

  • By

  • Jesse A. M. van Doormaal

  • Elisa Colombo

  • Jasper M. van der Zee

  • Wouter D. Maathuis

  • Maarten Bot

  • Patrick O’Donnell

  • Bachtiar Burhani

  • Luca Regli

  • Pierre A. J. T. Robe

  • Eelco W. Hoving

  • Tristan P. C. van Doormaal

  • December 24, 2025

  • 0 min

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  • 1

    External Ventricular Drain (EVD) placement is critical in neurosurgery, with misplacement rates between 26% and 28% leading to increased revision risks.

  • 2

    Augmented Reality (AR) technology can enhance EVD placement accuracy by providing 3-D imaging directly over the patient, improving visualization and reducing reliance on external monitors.

  • 3

    The study investigates the AR-HMD system 'Lumi', designed to assist EVD placement without external sensors, integrating with hospital digital infrastructure.

  • 4

    A multicenter randomized controlled trial was conducted to compare AR-assisted EVD placement with the conventional freehand technique using realistic phantoms.

  • 5

    The trial assessed clinical efficacy through blinded placement accuracy evaluations and procedural time measurements, alongside user experience questionnaires.

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