IDEAL Stage 0 Evaluation of the Use of Epson MOVERIO Augmented Reality Headset in Neuroendoscopic Procedural Training

INTRODUCTION: Augmented reality (AR) glasses may enhance neuroendoscopic training by improving visualisation and ergonomics, offering an innovative alternative to traditional fixed screen viewing systems used in neuroendoscopy. METHODS: This prospective, single-group, observational study at a UK neurosurgical centre involved participants from neurosurgery and Ear Nose and Throat (ENT) disciplines. Participants performed neuroendoscopic simulation exercises using Epson MOVERIO AR glasses and subsequently assessed the system using a modified usability scale questionnaire, focusing on learnability, confidence in use, visual quality, and impact on hand-eye coordination. RESULTS: Nine participants reported that the AR glasses allowed quick adaptability and provided sufficient visual quality. Feedback suggested a potential enhancement in surgical performance and a reduction in operative times. CONCLUSIONS: The feasibility and usability of AR glasses in neuroendoscopic training were highlighted, supporting their potential integration into surgical education. Positive initial responses warrant further investigation in live surgeries to comprehensively validate the technology's usability and safety.