Claims

AR guidance improves objective technical accuracy in surgical trainees, most strongly in tasks with high visuospatial demands

Claim · All claims
Evidence · 1 study (3 entries) · review r2–r3 · q2–q3
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims

Reading the evidence codes

q is the design tier, i the impact, n the sample, and the kind with its r the rigour judged within that kind: what each code means.

This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.

q3 i? AR-guided untrained medical students achieved lower mean target error in EVD placement than untrained freehand controls (11.9 mm vs 19.9 mm, P=.003), matching trained freehand performers. → El Ashry M 2026 q3 i? AR-guided mastoidectomy training produced superior Modified Welling Scale scores versus controls (median 19.5/25 vs 12/25, P=.001). → El Ashry M 2026 (2) q3 i? AR-assisted training reduced aneurysm localization deviation among neurosurgical residents from 8.1 mm to 2.7 mm (P<.001). → El Ashry M 2026 (3)

Evidence

El Ashry M 2026

El Ashry M, El Ashry A, Khalique H, Abdalle Y, Yeung T. (2026). Augmented Reality in Surgical Training: Systematic Review of Its Impact on Technical Performance in Surgical Trainees. JMIR Medical Education. https://doi.org/10.2196/71572

q3 · i? · review · r3

Parallel RCT (n=16 medical students, per Table 2) of HoloLens 1 AR guidance versus freehand technique for phantom EVD placement; the review reports "a mean target error of 11.9 mm, compared with 19.9 mm for the untrained freehand group (P=.003)".

"Van Gestel et al [6] demonstrated that untrained medical students using AR guidance for external ventricular drain (EVD) placement on a phantom model achieved a mean target error of 11.9 mm, compared with 19.9 mm for the untrained freehand group (P=.003)."

El Ashry M 2026 (2)

El Ashry M, El Ashry A, Khalique H, Abdalle Y, Yeung T. (2026). Augmented Reality in Surgical Training: Systematic Review of Its Impact on Technical Performance in Surgical Trainees. JMIR Medical Education. https://doi.org/10.2196/71572

q3 · i? · review · r3

Parallel RCT (n=21 medical students) of HoloLens 2 AR-guided mastoidectomy drilling on 3D-printed models versus anatomy review plus video and manual; the review reports the median score contrast with P=.001.

"Hadida Barzilai et al [8] reported significantly superior overall mastoidectomy performance in the AR group (median Modified Welling Scale 19.5/25) compared with controls (12/25; P=.001)"

El Ashry M 2026 (3)

El Ashry M, El Ashry A, Khalique H, Abdalle Y, Yeung T. (2026). Augmented Reality in Surgical Training: Systematic Review of Its Impact on Technical Performance in Surgical Trainees. JMIR Medical Education. https://doi.org/10.2196/71572

q2 · i? · review · r2

Prospective cohort study (n=8 neurosurgery residents) using Magic Leap One with Brainlab HUD; the review reports the within-group deviation reduction from 8.1 mm to 2.7 mm with P<.001.

"Liu et al [2] demonstrated that AR-assisted visuospatial training significantly reduced aneurysm localization deviation among neurosurgical residents, from 8.1 mm at AR Test 1 to 2.7 mm at AR Test 2 (P<.001)."

Discussion

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