A Comprehensive Survey on Surgical Digital Twin

Fuente: arXiv
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Autores principales: Khan, Afsah Sharaf, Fan, Falong, Kim, Doohwan DH, Alshareef, Abdurrahman, Chen, Dong, Kim, Justin, Carter, Ernest, Liu, Bo, Rozenblit, Jerzy W., Zeigler, Bernard
Formato: Preprint
Publicado: 2025
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author Khan, Afsah Sharaf
Fan, Falong
Kim, Doohwan DH
Alshareef, Abdurrahman
Chen, Dong
Kim, Justin
Carter, Ernest
Liu, Bo
Rozenblit, Jerzy W.
Zeigler, Bernard
author_facet Khan, Afsah Sharaf
Fan, Falong
Kim, Doohwan DH
Alshareef, Abdurrahman
Chen, Dong
Kim, Justin
Carter, Ernest
Liu, Bo
Rozenblit, Jerzy W.
Zeigler, Bernard
contents With the accelerating availability of multimodal surgical data and real-time computation, Surgical Digital Twins (SDTs) have emerged as virtual counterparts that mirror, predict, and inform decisions across pre-, intra-, and postoperative care. Despite promising demonstrations, SDTs face persistent challenges: fusing heterogeneous imaging, kinematics, and physiology under strict latency budgets; balancing model fidelity with computational efficiency; ensuring robustness, interpretability, and calibrated uncertainty; and achieving interoperability, privacy, and regulatory compliance in clinical environments. This survey offers a critical, structured review of SDTs. We clarify terminology and scope, propose a taxonomy by purpose, model fidelity, and data sources, and synthesize state-of-the-art achievements in deformable registration and tracking, real-time simulation and co-simulation, AR/VR guidance, edge-cloud orchestration, and AI for scene understanding and prediction. We contrast non-robotic twins with robot-in-the-loop architectures for shared control and autonomy, and identify open problems in validation and benchmarking, safety assurance and human factors, lifecycle "digital thread" integration, and scalable data governance. We conclude with a research agenda toward trustworthy, standards-aligned SDTs that deliver measurable clinical benefit. By unifying vocabulary, organizing capabilities, and highlighting gaps, this work aims to guide SDT design and deployment and catalyze translation from laboratory prototypes to routine surgical care.
format Preprint
id arxiv_https___arxiv_org_abs_2512_00019
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Comprehensive Survey on Surgical Digital Twin
Khan, Afsah Sharaf
Fan, Falong
Kim, Doohwan DH
Alshareef, Abdurrahman
Chen, Dong
Kim, Justin
Carter, Ernest
Liu, Bo
Rozenblit, Jerzy W.
Zeigler, Bernard
Robotics
Artificial Intelligence
Computer Vision and Pattern Recognition
With the accelerating availability of multimodal surgical data and real-time computation, Surgical Digital Twins (SDTs) have emerged as virtual counterparts that mirror, predict, and inform decisions across pre-, intra-, and postoperative care. Despite promising demonstrations, SDTs face persistent challenges: fusing heterogeneous imaging, kinematics, and physiology under strict latency budgets; balancing model fidelity with computational efficiency; ensuring robustness, interpretability, and calibrated uncertainty; and achieving interoperability, privacy, and regulatory compliance in clinical environments. This survey offers a critical, structured review of SDTs. We clarify terminology and scope, propose a taxonomy by purpose, model fidelity, and data sources, and synthesize state-of-the-art achievements in deformable registration and tracking, real-time simulation and co-simulation, AR/VR guidance, edge-cloud orchestration, and AI for scene understanding and prediction. We contrast non-robotic twins with robot-in-the-loop architectures for shared control and autonomy, and identify open problems in validation and benchmarking, safety assurance and human factors, lifecycle "digital thread" integration, and scalable data governance. We conclude with a research agenda toward trustworthy, standards-aligned SDTs that deliver measurable clinical benefit. By unifying vocabulary, organizing capabilities, and highlighting gaps, this work aims to guide SDT design and deployment and catalyze translation from laboratory prototypes to routine surgical care.
title A Comprehensive Survey on Surgical Digital Twin
topic Robotics
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2512.00019