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Search Results (1,912)

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Keywords = Augmented Reality (AR)

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29 pages, 7038 KiB  
Article
Developing a Practice-Based Guide to Terrestrial Laser Scanning (TLS) for Heritage Documentation
by Junshan Liu, Danielle Willkens and Russell Gentry
Heritage 2025, 8(8), 313; https://doi.org/10.3390/heritage8080313 (registering DOI) - 6 Aug 2025
Abstract
This research advances the integration of terrestrial laser scanning (TLS) in heritage documentation, targeting the development of holistic and practical guidance for practitioners to adopt the technology effectively. Acknowledging the pivotal role of TLS in capturing detailed and accurate representations of cultural heritage, [...] Read more.
This research advances the integration of terrestrial laser scanning (TLS) in heritage documentation, targeting the development of holistic and practical guidance for practitioners to adopt the technology effectively. Acknowledging the pivotal role of TLS in capturing detailed and accurate representations of cultural heritage, the study emerges against a backdrop of technological progression and the evolving needs of heritage conservation. Through a comprehensive literature review, critical case studies of heritage sites in the U.S., expert interviews, and the development of a TLS for Heritage Documentation Best Practice Guide (the guide), the paper addresses the existing gaps in streamlined practices in the domain of TLS’s applications in heritage documentation. While recognizing and building upon foundational efforts such as international guidelines developed over the past decades, this study contributes a practice-oriented perspective grounded in field experience and case-based analysis. The developed guide seeks to equip practitioners with structured methods and practical tools to optimize the use of TLS, ultimately enhancing the quality and accessibility of heritage documentation. It also sets a foundation for integrating TLS datasets with other technologies, such as Building Information Modeling (BIM), virtual reality (VR), and augmented reality (AR) for heritage preservation, tourism, education, and interpretation, ultimately enhancing access to and engagement with cultural heritage sites. The paper also critically situates this guidance within the evolving theoretical discourse on digital heritage practices, highlighting its alignment with and divergence from existing methodologies. Full article
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15 pages, 1726 KiB  
Systematic Review
Application of Augmented Reality in Reverse Total Shoulder Arthroplasty: A Systematic Review
by Jan Orlewski, Bettina Hochreiter, Karl Wieser and Philipp Kriechling
J. Clin. Med. 2025, 14(15), 5533; https://doi.org/10.3390/jcm14155533 - 6 Aug 2025
Abstract
Background: Reverse total shoulder arthroplasty (RTSA) is increasingly used for managing cuff tear arthropathy, osteoarthritis, complex fractures, and revision procedures. As the demand for surgical precision and reproducibility grows, immersive technologies such as virtual reality (VR), augmented reality (AR), and metaverse-based platforms are [...] Read more.
Background: Reverse total shoulder arthroplasty (RTSA) is increasingly used for managing cuff tear arthropathy, osteoarthritis, complex fractures, and revision procedures. As the demand for surgical precision and reproducibility grows, immersive technologies such as virtual reality (VR), augmented reality (AR), and metaverse-based platforms are being explored for surgical training, intraoperative guidance, and rehabilitation. While early data suggest potential benefits, a focused synthesis specific to RTSA is lacking. Methods: This systematic review was conducted in accordance with PRISMA 2020 guidelines. A comprehensive search of PubMed, Scopus, and Cochrane Library databases was performed through 30 May 2025. Eligible studies included those evaluating immersive technologies in the context of RTSA for skill acquisition or intraoperative guidance. Only peer-reviewed articles published in English were included. Data were synthesized narratively due to heterogeneity in study design and outcome metrics. Results: Out of 628 records screened, 21 studies met the inclusion criteria. Five studies evaluated immersive VR for surgical training: four randomized controlled trials and one retrospective case series. VR training improved procedural efficiency and showed non-inferiority to cadaveric training. Sixteen studies investigated intraoperative navigation or AR guidance. Clinical and cadaveric studies consistently reported improved accuracy in glenoid baseplate positioning with reduced angular and linear deviations in postoperative controls as compared to preoperative planning. Conclusions: Immersive technologies show promise in enhancing training, intraoperative accuracy, and procedural consistency in RTSA. VR and AR platforms may support standardized surgical education and precision-based practice, but their broad clinical impact remains limited by small sample sizes, heterogeneous methodologies, and limited long-term outcomes. Further multicenter trials with standardized endpoints and cost-effectiveness analyses are warranted. Postoperative rehabilitation using immersive technologies in RTSA remains underexplored and presents an opportunity for future research. Full article
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18 pages, 8252 KiB  
Article
Probing Augmented Intelligent Human–Robot Collaborative Assembly Methods Toward Industry 5.0
by Qingwei Nie, Yiping Shen, Ye Ma, Shuqi Zhang, Lujie Zong, Ze Zheng, Yunbo Zhangwa and Yu Chen
Electronics 2025, 14(15), 3125; https://doi.org/10.3390/electronics14153125 - 5 Aug 2025
Abstract
Facing the demands of Human–Robot Collaborative (HRC) assembly for complex products under Industry 5.0, this paper proposes an intelligent assembly method that integrates Large Language Model (LLM) reasoning with Augmented Reality (AR) interaction. To address issues such as poor visibility, difficulty in knowledge [...] Read more.
Facing the demands of Human–Robot Collaborative (HRC) assembly for complex products under Industry 5.0, this paper proposes an intelligent assembly method that integrates Large Language Model (LLM) reasoning with Augmented Reality (AR) interaction. To address issues such as poor visibility, difficulty in knowledge acquisition, and strong decision dependency in the assembly of complex aerospace products within confined spaces, an assembly task model and structured process information are constructed. Combined with a retrieval-augmented generation mechanism, the method realizes knowledge reasoning and optimization suggestion generation. An improved ORB-SLAM2 algorithm is applied to achieve virtual–real mapping and component tracking, further supporting the development of an enhanced visual interaction system. The proposed approach is validated through a typical aerospace electronic cabin assembly task, demonstrating significant improvements in assembly efficiency, quality, and human–robot interaction experience, thus providing effective support for intelligent HRC assembly. Full article
(This article belongs to the Special Issue Human–Robot Interaction and Communication Towards Industry 5.0)
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14 pages, 638 KiB  
Article
Implementation and Evaluation of a VR/AR-Based Assistive Technology for Dyslexic Learners: An Exploratory Case Study
by María Lozano-Álvarez, Sonia Rodríguez-Cano, Vanesa Delgado-Benito and Miguel Ángel García-Delgado
Societies 2025, 15(8), 215; https://doi.org/10.3390/soc15080215 - 4 Aug 2025
Abstract
This exploratory case study investigates the implementation and educational impact of a Virtual Reality (VR)- and Augmented Reality (AR)-based assistive technology developed to support learners with dyslexia. The intervention, delivered via mobile devices and VR headsets, incorporated gamified and interactive content aimed at [...] Read more.
This exploratory case study investigates the implementation and educational impact of a Virtual Reality (VR)- and Augmented Reality (AR)-based assistive technology developed to support learners with dyslexia. The intervention, delivered via mobile devices and VR headsets, incorporated gamified and interactive content aimed at enhancing cognitive skills such as attention, inhibition, narrative memory, and phonological awareness. Two in-depth case studies were conducted with primary school students formally diagnosed with dyslexia. Cognitive performance was assessed using the NEPSY-II neuropsychological battery, and user experience was evaluated using the Technology Acceptance Model (TAM). The results showed positive trends in executive function and language-related skills, as well as high motivation and satisfaction. While these findings suggest promising benefits of immersive educational technologies in dyslexia intervention, conclusions regarding efficacy cannot be drawn due to the limited sample size. Further research with larger and controlled designs is needed to validate these initial observations. Full article
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19 pages, 554 KiB  
Systematic Review
Education, Neuroscience, and Technology: A Review of Applied Models
by Elena Granado De la Cruz, Francisco Javier Gago-Valiente, Óscar Gavín-Chocano and Eufrasio Pérez-Navío
Information 2025, 16(8), 664; https://doi.org/10.3390/info16080664 - 4 Aug 2025
Viewed by 28
Abstract
Advances in neuroscience have improved the understanding of cognitive, emotional, and social processes involved in learning. Simultaneously, technologies such as artificial intelligence, augmented reality, and gamification are transforming educational practices. However, their integration into formal education remains limited and often misapplied. This study [...] Read more.
Advances in neuroscience have improved the understanding of cognitive, emotional, and social processes involved in learning. Simultaneously, technologies such as artificial intelligence, augmented reality, and gamification are transforming educational practices. However, their integration into formal education remains limited and often misapplied. This study aims to evaluate the impact of technology-supported neuroeducational models on student learning and well-being. A systematic review was conducted using PubMed, the Web of Science, ScienceDirect, and LILACS, including open-access studies published between 2020 and 2025. Selection and methodological assessment followed PRISMA 2020 guidelines. Out of 386 identified articles, 22 met the inclusion criteria. Most studies showed that neuroeducational interventions incorporating interactive and adaptive technologies enhanced academic performance, intrinsic motivation, emotional self-regulation, and psychological well-being in various educational contexts. Technology-supported neuroeducational models are effective in fostering both cognitive and emotional development. The findings support integrating neuroscience and educational technology into teaching practices and teacher training, promoting personalized, inclusive, and evidence-based education. Full article
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24 pages, 30837 KiB  
Article
A Transfer Learning Approach for Diverse Motion Augmentation Under Data Scarcity
by Junwon Yoon, Jeon-Seong Kang, Ha-Yoon Song, Beom-Joon Park, Kwang-Woo Jeon, Hyun-Joon Chung and Jang-Sik Park
Mathematics 2025, 13(15), 2506; https://doi.org/10.3390/math13152506 - 4 Aug 2025
Viewed by 37
Abstract
Motion-capture data provide high accuracy but are difficult to obtain, necessitating dataset augmentation. To our knowledge, no prior study has investigated few-shot generative models for motion-capture data that address both quality and diversity. We tackle the diversity loss that arises with extremely small [...] Read more.
Motion-capture data provide high accuracy but are difficult to obtain, necessitating dataset augmentation. To our knowledge, no prior study has investigated few-shot generative models for motion-capture data that address both quality and diversity. We tackle the diversity loss that arises with extremely small datasets (n ≤ 10) by applying transfer learning and continual learning to retain the rich variability of a larger pretraining corpus. To assess quality, we introduce MFMMD (Motion Feature-Based Maximum Mean Discrepancy)—a metric well-suited for small samples—and evaluate diversity with the multimodality metric. Our method embeds an Elastic Weight Consolidation (EWC)-based regularization term in the generator’s loss and then fine-tunes the limited motion-capture set. We analyze how the strength of this term influences diversity and uncovers motion-specific characteristics, revealing behavior that differs from that observed in image-generation tasks. The experiments indicate that the transfer learning pipeline improves generative performance in low-data scenarios. Increasing the weight of the regularization term yields higher diversity in the synthesized motions, demonstrating a marked uplift in motion diversity. These findings suggest that the proposed approach can effectively augment small motion-capture datasets with greater variety, a capability expected to benefit applications that rely on diverse human-motion data across modern robotics, animation, and virtual reality. Full article
(This article belongs to the Special Issue Deep Neural Networks: Theory, Algorithms and Applications)
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22 pages, 858 KiB  
Article
Dual-Pathway Effects of Product and Technological Attributes on Consumer Engagement in Augmented Reality Advertising
by Peng He and Jing Zhang
J. Theor. Appl. Electron. Commer. Res. 2025, 20(3), 196; https://doi.org/10.3390/jtaer20030196 - 4 Aug 2025
Viewed by 81
Abstract
As augmented reality (AR) advertising becomes increasingly prevalent across digital platforms, understanding how its unique features influence consumer responses is critical for both theory and practice. Based on the elaboration likelihood model (ELM), this study develops and validates a dual-dimension content–dual-route processing model [...] Read more.
As augmented reality (AR) advertising becomes increasingly prevalent across digital platforms, understanding how its unique features influence consumer responses is critical for both theory and practice. Based on the elaboration likelihood model (ELM), this study develops and validates a dual-dimension content–dual-route processing model to investigate how different features of AR advertising influence consumer engagement. Specifically, it examines how product-related attributes (attractiveness, informativeness) and technology-related attributes (interactivity, augmentation) shape attitudes toward the ad and purchase intentions through cognitive (information credibility) and affective (enjoyment) pathways. Using data from an online survey (N = 299), the study applies partial least squares structural equation modeling (PLS-SEM) to test the proposed model. The results show that informativeness and augmentation significantly enhance information credibility, while attractiveness primarily influences emotional responses. Interactivity and augmentation positively influence cognitive and affective responses. Mediation analysis confirms the simultaneous activation of central and peripheral processing routes, with flow experience emerging as a significant moderator in selected pathways. By introducing a structured framework for AR advertising content, this study extends the applicability of the ELM in immersive media contexts. It underscores the combined impact of rational evaluation and emotional engagement in shaping consumer behavior and offers practical insights for designing effective AR advertising strategies. Full article
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17 pages, 2828 KiB  
Article
Augmented Reality in Cardiovascular Education (HoloHeart): Assessment of Students’ and Lecturers’ Needs and Expectations at Heidelberg University Medical School
by Pascal Philipp Schlegel, Florian Kehrle, Till J. Bugaj, Eberhard Scholz, Alexander Kovacevic, Philippe Grieshaber, Ralph Nawrotzki, Joachim Kirsch, Markus Hecker, Anna L. Meyer, Katharina Seidensaal, Thuy D. Do, Jobst-Hendrik Schultz, Norbert Frey and Ann-Kathrin Rahm
Appl. Sci. 2025, 15(15), 8595; https://doi.org/10.3390/app15158595 (registering DOI) - 2 Aug 2025
Viewed by 149
Abstract
Background: A detailed understanding of cardiac anatomy and physiology is crucial in cardiovascular medicine. However, traditional learning methods often fall short in addressing this complexity. Augmented reality (AR) offers a promising tool to enhance comprehension. To assess its potential integration into the Heidelberger [...] Read more.
Background: A detailed understanding of cardiac anatomy and physiology is crucial in cardiovascular medicine. However, traditional learning methods often fall short in addressing this complexity. Augmented reality (AR) offers a promising tool to enhance comprehension. To assess its potential integration into the Heidelberger Curriculum Medicinale (HeiCuMed), we conducted a needs assessment among medical students and lecturers at Heidelberg University Medical School. Methods: Our survey aimed to evaluate the perceived benefits of AR-based learning compared to conventional methods and to gather expectations regarding an AR course in cardiovascular medicine. Using LimeSurvey, we developed a questionnaire to assess participants’ prior AR experience, preferred learning methods, and interest in a proposed AR-based, 2 × 90-min in-person course. Results: A total of 101 students and 27 lecturers participated. Support for AR in small-group teaching was strong: 96.3% of students and 90.9% of lecturers saw value in a dedicated AR course. Both groups favored its application in anatomy, cardiac surgery, and internal medicine. Students prioritized congenital heart defects, coronary anomalies, and arrhythmias, while lecturers also emphasized invasive valve interventions. Conclusions: There is significant interest in AR-based teaching in cardiovascular education, suggesting its potential to complement and improve traditional methods in medical curricula. Further studies are needed to assess the potential benefits regarding learning outcomes. Full article
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25 pages, 953 KiB  
Article
Command Redefined: Neural-Adaptive Leadership in the Age of Autonomous Intelligence
by Raul Ionuț Riti, Claudiu Ioan Abrudan, Laura Bacali and Nicolae Bâlc
AI 2025, 6(8), 176; https://doi.org/10.3390/ai6080176 - 1 Aug 2025
Viewed by 190
Abstract
Artificial intelligence has taken a seat at the executive table and is threatening the fact that human beings are the only ones who should be in a position of power. This article gives conjectures on the future of leadership in which managers will [...] Read more.
Artificial intelligence has taken a seat at the executive table and is threatening the fact that human beings are the only ones who should be in a position of power. This article gives conjectures on the future of leadership in which managers will collaborate with learning algorithms in the Neural Adaptive Artificial Intelligence Leadership Model, which is informed by the transformational literature on leadership and socio-technical systems, as well as the literature on algorithmic governance. We assessed the model with thirty in-depth interviews, system-level traces of behavior, and a verified survey, and we explored six hypotheses that relate to algorithmic delegation and ethical oversight, as well as human judgment versus machine insight in terms of agility and performance. We discovered that decisions are made quicker, change is more effective, and interaction is more vivid where agile practices and good digital understanding exist, and statistical tests propose that human flexibility and definite governance augment those benefits as well. It is single-industry research that contains self-reported measures, which causes research to be limited to other industries that contain more objective measures. Practitioners are provided with a practical playbook on how to make algorithmic jobs meaningful, introduce moral fail-safes, and build learning feedback to ensure people and machines are kept in line. Socially, the practice is capable of minimizing bias and establishing inclusion by visualizing accountability in the code and practice. Filling the gap between the theory of leadership and the reality of algorithms, the study provides a model of intelligent systems leading in organizations that can be reproduced. Full article
(This article belongs to the Section AI Systems: Theory and Applications)
24 pages, 756 KiB  
Article
Designs and Interactions for Near-Field Augmented Reality: A Scoping Review
by Jacob Hobbs and Christopher Bull
Informatics 2025, 12(3), 77; https://doi.org/10.3390/informatics12030077 - 1 Aug 2025
Viewed by 246
Abstract
Augmented reality (AR), which overlays digital content within the user’s view, is gaining traction across domains such as education, healthcare, manufacturing, and entertainment. The hardware constraints of commercially available HMDs are well acknowledged, but little work addresses what design or interactions techniques developers [...] Read more.
Augmented reality (AR), which overlays digital content within the user’s view, is gaining traction across domains such as education, healthcare, manufacturing, and entertainment. The hardware constraints of commercially available HMDs are well acknowledged, but little work addresses what design or interactions techniques developers can employ or build into experiences to work around these limitations. We conducted a scoping literature review, with the aim of mapping the current landscape of design principles and interaction techniques employed in near-field AR environments. We searched for literature published between 2016 and 2025 across major databases, including the ACM Digital Library and IEEE Xplore. Studies were included if they explicitly employed design or interaction techniques with a commercially available HMD for near-field AR experiences. A total of 780 articles were returned by the search, but just 7 articles met the inclusion criteria. Our review identifies key themes around how existing techniques are employed and the two competing goals of AR experiences, and we highlight the importance of embodiment in interaction efficacy. We present directions for future research based on and justified by our review. The findings offer a comprehensive overview for researchers, designers, and developers aiming to create more intuitive, effective, and context-aware near-field AR experiences. This review also provides a foundation for future research by outlining underexplored areas and recommending research directions for near-field AR interaction design. Full article
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34 pages, 41467 KiB  
Article
Evaluating Spatial Decision-Making and Player Experience in a Remote Multiplayer Augmented Reality Hide-and-Seek Game
by Yasas Sri Wickramasinghe, Heide Karen Lukosch, James Everett and Stephan Lukosch
Multimodal Technol. Interact. 2025, 9(8), 79; https://doi.org/10.3390/mti9080079 - 31 Jul 2025
Viewed by 247
Abstract
This study investigates how remote multiplayer gameplay, enabled through Augmented Reality (AR), transforms spatial decision-making and enhances player experience in a location-based augmented reality game (LBARG). A remote multiplayer handheld-based AR game was designed and evaluated on how it influences players’ spatial decision-making [...] Read more.
This study investigates how remote multiplayer gameplay, enabled through Augmented Reality (AR), transforms spatial decision-making and enhances player experience in a location-based augmented reality game (LBARG). A remote multiplayer handheld-based AR game was designed and evaluated on how it influences players’ spatial decision-making strategies, engagement, and gameplay experience. In a user study involving 60 participants, we compared remote gameplay in our AR game with traditional hide-and-seek. We found that AR significantly transforms traditional gameplay by introducing different spatial interactions, which enhanced spatial decision-making and collaboration. Our results also highlight the potential of AR to increase player engagement and social interaction, despite the challenges posed by the added navigation complexities. These findings contribute to the engaging design of future AR games and beyond. Full article
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19 pages, 3242 KiB  
Article
Augmented Reality Navigation for Acupuncture Procedures with Smart Glasses
by Shin-Yan Chiou, Hsiao-Hsiang Chang, Yu-Cheng Chen and Geng-Hao Liu
Electronics 2025, 14(15), 3025; https://doi.org/10.3390/electronics14153025 - 29 Jul 2025
Viewed by 178
Abstract
Traditional acupuncture relies on the precise selection of acupuncture points to adjust Qi flow along meridians. Traditionally, acupuncture points are localized using cun (or body-relative cun) as a proportional measurement. However, locating specific points can be challenging, even for experienced practitioners. This study [...] Read more.
Traditional acupuncture relies on the precise selection of acupuncture points to adjust Qi flow along meridians. Traditionally, acupuncture points are localized using cun (or body-relative cun) as a proportional measurement. However, locating specific points can be challenging, even for experienced practitioners. This study aims to enhance the accuracy and efficiency of acupuncture point localization by introducing an augmented reality (AR) navigation system utilizing AR glasses (Magic Leap One). The system employs a Six-Point Landmark-Based AR Registration method to overlay an acupuncture point model onto a patient’s head without the need for external markers. Methods included testing with traditional Chinese medicine students, measuring positional errors, and evaluating stability. Results demonstrated an average error of 5.01 ± 2.64 mm, which is well within the therapeutic range of 2 cun (about 5 cm), with minimal drift during stability tests. This AR system provides an accurate and intuitive tool for practitioners and learners, reducing variability in acupuncture point selection and offering promise for broader clinical applications. Full article
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27 pages, 4327 KiB  
Article
The Art Nouveau Path: Promoting Sustainability Competences Through a Mobile Augmented Reality Game
by João Ferreira-Santos and Lúcia Pombo
Multimodal Technol. Interact. 2025, 9(8), 77; https://doi.org/10.3390/mti9080077 - 29 Jul 2025
Viewed by 327
Abstract
This paper presents a qualitative case study on the design, implementation, and validation of the Art Nouveau Path, a mobile augmented reality game developed to foster sustainability competences through engagement with Aveiro’s Art Nouveau built heritage. Grounded in the GreenComp framework and [...] Read more.
This paper presents a qualitative case study on the design, implementation, and validation of the Art Nouveau Path, a mobile augmented reality game developed to foster sustainability competences through engagement with Aveiro’s Art Nouveau built heritage. Grounded in the GreenComp framework and developed through a Design-Based Research approach, the game integrates location-based interaction, narrative storytelling, and multimodal augmented reality and multimedia content to activate key competences such as systems thinking, futures literacy, and sustainability-oriented action. The game was validated with 33 in-service schoolteachers, both through a simulation-based training workshop and a curricular review of the game. A mixed-methods strategy was used, combining structured questionnaires, open-ended reflections, and curricular review. The findings revealed strong emotional and motivational engagement, interdisciplinary relevance, and alignment with formal education goals. Teachers emphasized the game’s capacity to connect local identity with global sustainability challenges through immersive and reflective experiences. Limitations pointed to the need for enhanced pedagogical scaffolding, clearer integration into STEAM subjects, and broader accessibility across technological contexts. This study demonstrates that these games, when grounded in competence-based frameworks and inclusive design, can meaningfully support multimodal, situated learning for sustainability and offer valuable contributions to pedagogical innovation in Education for Sustainable Development. Full article
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24 pages, 1008 KiB  
Article
Artificial Intelligence and Immersive Technologies: Virtual Assistants in AR/VR for Special Needs Learners
by Azza Mohamed, Rouhi Faisal, Ahmed Al-Gindy and Khaled Shaalan
Computers 2025, 14(8), 306; https://doi.org/10.3390/computers14080306 - 28 Jul 2025
Viewed by 324
Abstract
This article investigates the revolutionary potential of AI-powered virtual assistants in augmented reality (AR) and virtual reality (VR) environments, concentrating primarily on their impact on special needs schooling. We investigate the complex characteristics of these virtual assistants, the influential elements affecting their development [...] Read more.
This article investigates the revolutionary potential of AI-powered virtual assistants in augmented reality (AR) and virtual reality (VR) environments, concentrating primarily on their impact on special needs schooling. We investigate the complex characteristics of these virtual assistants, the influential elements affecting their development and implementation, and the joint efforts of educational institutions and technology developers, using a rigorous quantitative approach. Our research also looks at strategic initiatives aimed at effectively integrating AI into educational practices, addressing critical issues including infrastructure, teacher preparedness, equitable access, and ethical considerations. Our findings highlight the promise of AI technology, emphasizing the ability of AI-powered virtual assistants to provide individualized, immersive learning experiences adapted to the different needs of students with special needs. Furthermore, we find strong relationships between these virtual assistants’ features and deployment tactics and their subsequent impact on educational achievements. This study contributes to the increasing conversation on harnessing cutting-edge technology to improve educational results for all learners by synthesizing current research and employing a strong methodological framework. Our analysis not only highlights the promise of AI in increasing student engagement and comprehension but also emphasizes the importance of tackling ethical and infrastructure concerns to enable responsible and fair adoption. Full article
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19 pages, 3117 KiB  
Article
Feasibility and Accuracy of a Dual-Function AR-Guided System for PSI Positioning and Osteotomy Execution in Pelvic Tumour Surgery: A Cadaveric Study
by Tanya Fernández-Fernández, Javier Orozco-Martínez, Carla de Gregorio-Bermejo, Elena Aguilera-Jiménez, Amaia Iribar-Zabala, Lydia Mediavilla-Santos, Javier Pascau, Mónica García-Sevilla, Rubén Pérez-Mañanes and José Antonio Calvo-Haro
Bioengineering 2025, 12(8), 810; https://doi.org/10.3390/bioengineering12080810 - 28 Jul 2025
Viewed by 299
Abstract
Objectives: Pelvic tumor resections demand high surgical precision to ensure clear margins while preserving function. Although patient-specific instruments (PSIs) improve osteotomy accuracy, positioning errors remain a limitation. This study evaluates the feasibility, accuracy, and usability of a novel dual-function augmented reality (AR) [...] Read more.
Objectives: Pelvic tumor resections demand high surgical precision to ensure clear margins while preserving function. Although patient-specific instruments (PSIs) improve osteotomy accuracy, positioning errors remain a limitation. This study evaluates the feasibility, accuracy, and usability of a novel dual-function augmented reality (AR) system for intraoperative guidance in PSI positioning and osteotomy execution using a head-mounted display (HMD). The system provides dual-function support by assisting both PSI placement and osteotomy execution. Methods: Ten fresh-frozen cadaveric hemipelves underwent AR-assisted internal hemipelvectomy, using customized 3D-printed PSIs and a new in-house AR software integrated into an HMD. Angular and translational deviations between planned and executed osteotomies were measured using postoperative CT analysis. Absolute angular errors were computed from plane normals; translational deviation was assessed as maximum error at the osteotomy corner point in both sagittal (pitch) and coronal (roll) planes. A Wilcoxon signed-rank test and Bland–Altman plots were used to assess intra-workflow cumulative error. Results: The mean absolute angular deviation was 5.11 ± 1.43°, with 86.66% of osteotomies within acceptable thresholds. Maximum pitch and roll deviations were 4.53 ± 1.32 mm and 2.79 ± 0.72 mm, respectively, with 93.33% and 100% of osteotomies meeting translational accuracy criteria. Wilcoxon analysis showed significantly lower angular error when comparing final executed planes to intermediate AR-displayed planes (p < 0.05), supporting improved PSI positioning accuracy with AR guidance. Surgeons rated the system highly (mean satisfaction ≥ 4.0) for usability and clinical utility. Conclusions: This cadaveric study confirms the feasibility and precision of an HMD-based AR system for PSI-guided pelvic osteotomies. The system demonstrated strong accuracy and high surgeon acceptance, highlighting its potential for clinical adoption in complex oncologic procedures. Full article
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