Exploring technology acceptance of head-mounted device-based augmented reality surgical navigation in orthopaedic surgery

Anouk Verhellen; Shirley A Elprama; Thierry Scheerlinck; Fiene Van Aerschot; Johnny Duerinck; Frederick Van Gestel; Taylor Frantz; Bart Jansen; Jef Vandemeulebroucke; An Jacobs

doi:10.1002/rcs.2585

Exploring technology acceptance of head-mounted device-based augmented reality surgical navigation in orthopaedic surgery

Anouk Verhellen, Shirley A Elprama, Thierry Scheerlinck, Fiene Van Aerschot, Johnny Duerinck, Frederick Van Gestel, Taylor Frantz, Bart Jansen, Jef Vandemeulebroucke, An Jacobs

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

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Abstract

Background: This study used the Unified Theory of Acceptance and Use of Technology (UTAUT) to investigate the acceptance of HMD-based AR surgical navigation. Methods: An experiment was conducted in which participants drilled 12 predefined holes using freehand drilling, proprioceptive control, and AR assistance. Technology acceptance was assessed through a survey and non-participant observations. Results: Participants' intention to use AR correlated (p < 0.05) with social influence (Spearman's rho (rs) = 0.599), perceived performance improvement (rs = 0.592) and attitude towards AR (rs = 0.542). Conclusions: While most participants acknowledged the potential of AR, they also highlighted persistent barriers to adoption, such as issues related to user-friendliness, time efficiency and device discomfort. To overcome these challenges, future AR surgical navigation systems should focus on enhancing surgical performance while minimising disruptions to workflows and operating times. Engaging orthopaedic surgeons in the development process can facilitate the creation of tailored solutions and accelerate adoption.

Original language	English
Article number	e2585
Pages (from-to)	1-11
Number of pages	11
Journal	The International Journal of Medical Robotics and Computer Assisted Surgery
Volume	20
Issue number	1
DOIs	https://doi.org/10.1002/rcs.2585
Publication status	Published - 1 Feb 2024

Bibliographical note

Funding Information:
This research was part of the imec.ICON Surgical Augmented Reality Assistance (SARA) project, bringing together academic researchers (VUB BEFY‐ORTHO, VUB C4N‐NEUR, imec‐ETRO‐MIT‐VUB, imec‐SMIT, Vrije Universiteit Brussel) and industry partners (Orsi Academy, Materialise NV, LifeLike NV, Cronos Groep, eSaturnus). The SARA project was co‐financed by imec and received financial support from Flanders Innovation & Entrepreneurship Agency (Vlaams Agentschap Innoveren en Ondernemen (VLAIO) project nr. HBC. 2018.0203).

Publisher Copyright:
© 2023 John Wiley & Sons Ltd.

Keywords

Augmented Reality
orthopaedic surgery
technology acceptance
UTAUT

Access to Document

10.1002/rcs.2585

Revised_manuscript_AR_in_orthopedic_surgeryAccepted author manuscript, 1.33 MBLicence: Unspecified

Cite this

Verhellen, A., Elprama, S. A., Scheerlinck, T., Van Aerschot, F., Duerinck, J., Van Gestel, F., Frantz, T., Jansen, B., Vandemeulebroucke, J., & Jacobs, A. (2024). Exploring technology acceptance of head-mounted device-based augmented reality surgical navigation in orthopaedic surgery. The International Journal of Medical Robotics and Computer Assisted Surgery, 20(1), 1-11. [e2585]. https://doi.org/10.1002/rcs.2585

Verhellen, Anouk ; Elprama, Shirley A ; Scheerlinck, Thierry ; Van Aerschot, Fiene ; Duerinck, Johnny ; Van Gestel, Frederick ; Frantz, Taylor ; Jansen, Bart ; Vandemeulebroucke, Jef ; Jacobs, An. / Exploring technology acceptance of head-mounted device-based augmented reality surgical navigation in orthopaedic surgery. In: The International Journal of Medical Robotics and Computer Assisted Surgery. 2024 ; Vol. 20, No. 1. pp. 1-11.

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title = "Exploring technology acceptance of head-mounted device-based augmented reality surgical navigation in orthopaedic surgery",

abstract = "Background: This study used the Unified Theory of Acceptance and Use of Technology (UTAUT) to investigate the acceptance of HMD-based AR surgical navigation. Methods: An experiment was conducted in which participants drilled 12 predefined holes using freehand drilling, proprioceptive control, and AR assistance. Technology acceptance was assessed through a survey and non-participant observations. Results: Participants' intention to use AR correlated (p < 0.05) with social influence (Spearman's rho (rs) = 0.599), perceived performance improvement (rs = 0.592) and attitude towards AR (rs = 0.542). Conclusions: While most participants acknowledged the potential of AR, they also highlighted persistent barriers to adoption, such as issues related to user-friendliness, time efficiency and device discomfort. To overcome these challenges, future AR surgical navigation systems should focus on enhancing surgical performance while minimising disruptions to workflows and operating times. Engaging orthopaedic surgeons in the development process can facilitate the creation of tailored solutions and accelerate adoption.",

keywords = "Augmented Reality, orthopaedic surgery, technology acceptance, UTAUT",

author = "Anouk Verhellen and Elprama, {Shirley A} and Thierry Scheerlinck and {Van Aerschot}, Fiene and Johnny Duerinck and {Van Gestel}, Frederick and Taylor Frantz and Bart Jansen and Jef Vandemeulebroucke and An Jacobs",

note = "Funding Information: This research was part of the imec.ICON Surgical Augmented Reality Assistance (SARA) project, bringing together academic researchers (VUB BEFY‐ORTHO, VUB C4N‐NEUR, imec‐ETRO‐MIT‐VUB, imec‐SMIT, Vrije Universiteit Brussel) and industry partners (Orsi Academy, Materialise NV, LifeLike NV, Cronos Groep, eSaturnus). The SARA project was co‐financed by imec and received financial support from Flanders Innovation & Entrepreneurship Agency (Vlaams Agentschap Innoveren en Ondernemen (VLAIO) project nr. HBC. 2018.0203). Publisher Copyright: {\textcopyright} 2023 John Wiley & Sons Ltd.",

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Verhellen, A , Elprama, SA , Scheerlinck, T, Van Aerschot, F, Duerinck, J , Van Gestel, F , Frantz, T , Jansen, B , Vandemeulebroucke, J & Jacobs, A 2024, 'Exploring technology acceptance of head-mounted device-based augmented reality surgical navigation in orthopaedic surgery', The International Journal of Medical Robotics and Computer Assisted Surgery, vol. 20, no. 1, e2585, pp. 1-11. https://doi.org/10.1002/rcs.2585

Exploring technology acceptance of head-mounted device-based augmented reality surgical navigation in orthopaedic surgery. / Verhellen, Anouk ; Elprama, Shirley A ; Scheerlinck, Thierry; Van Aerschot, Fiene; Duerinck, Johnny ; Van Gestel, Frederick ; Frantz, Taylor ; Jansen, Bart ; Vandemeulebroucke, Jef ; Jacobs, An.

In: The International Journal of Medical Robotics and Computer Assisted Surgery, Vol. 20, No. 1, e2585, 01.02.2024, p. 1-11.

Research output: Contribution to journal › Article › peer-review

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AU - Verhellen, Anouk

AU - Elprama, Shirley A

AU - Scheerlinck, Thierry

AU - Van Aerschot, Fiene

AU - Duerinck, Johnny

AU - Van Gestel, Frederick

AU - Frantz, Taylor

AU - Jansen, Bart

AU - Vandemeulebroucke, Jef

AU - Jacobs, An

N1 - Funding Information: This research was part of the imec.ICON Surgical Augmented Reality Assistance (SARA) project, bringing together academic researchers (VUB BEFY‐ORTHO, VUB C4N‐NEUR, imec‐ETRO‐MIT‐VUB, imec‐SMIT, Vrije Universiteit Brussel) and industry partners (Orsi Academy, Materialise NV, LifeLike NV, Cronos Groep, eSaturnus). The SARA project was co‐financed by imec and received financial support from Flanders Innovation & Entrepreneurship Agency (Vlaams Agentschap Innoveren en Ondernemen (VLAIO) project nr. HBC. 2018.0203). Publisher Copyright: © 2023 John Wiley & Sons Ltd.

PY - 2024/2/1

Y1 - 2024/2/1

N2 - Background: This study used the Unified Theory of Acceptance and Use of Technology (UTAUT) to investigate the acceptance of HMD-based AR surgical navigation. Methods: An experiment was conducted in which participants drilled 12 predefined holes using freehand drilling, proprioceptive control, and AR assistance. Technology acceptance was assessed through a survey and non-participant observations. Results: Participants' intention to use AR correlated (p < 0.05) with social influence (Spearman's rho (rs) = 0.599), perceived performance improvement (rs = 0.592) and attitude towards AR (rs = 0.542). Conclusions: While most participants acknowledged the potential of AR, they also highlighted persistent barriers to adoption, such as issues related to user-friendliness, time efficiency and device discomfort. To overcome these challenges, future AR surgical navigation systems should focus on enhancing surgical performance while minimising disruptions to workflows and operating times. Engaging orthopaedic surgeons in the development process can facilitate the creation of tailored solutions and accelerate adoption.

AB - Background: This study used the Unified Theory of Acceptance and Use of Technology (UTAUT) to investigate the acceptance of HMD-based AR surgical navigation. Methods: An experiment was conducted in which participants drilled 12 predefined holes using freehand drilling, proprioceptive control, and AR assistance. Technology acceptance was assessed through a survey and non-participant observations. Results: Participants' intention to use AR correlated (p < 0.05) with social influence (Spearman's rho (rs) = 0.599), perceived performance improvement (rs = 0.592) and attitude towards AR (rs = 0.542). Conclusions: While most participants acknowledged the potential of AR, they also highlighted persistent barriers to adoption, such as issues related to user-friendliness, time efficiency and device discomfort. To overcome these challenges, future AR surgical navigation systems should focus on enhancing surgical performance while minimising disruptions to workflows and operating times. Engaging orthopaedic surgeons in the development process can facilitate the creation of tailored solutions and accelerate adoption.

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KW - orthopaedic surgery

KW - technology acceptance

KW - UTAUT

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JO - The International Journal of Medical Robotics and Computer Assisted Surgery

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SN - 1478-5951

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Exploring technology acceptance of head-mounted device-based augmented reality surgical navigation in orthopaedic surgery

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