• Jose L Porras, Syed Khalid, Brandon K Root, Imad S Khan, and Robert J Singer.
• J.B. Marshall Laboratory for Neurovascular Therapeutics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA; Dartmouth Geisel School of Medicine, Lebanon, NH, USA.
• Front Surg. 2016 Jan 1; 3: 57.

IntroductionThe ability to record and stream neurosurgery is an unprecedented opportunity to further research, medical education, and quality improvement. Here, we appraise the ease of implementation of existing point-of-view devices when capturing and sharing procedures from the neurosurgical operating room and detail their potential utility in this context.MethodsOur neurosurgical team tested and critically evaluated features of the Google Glass and Panasonic HX-A500 cameras, including ergonomics, media quality, and media sharing in both the operating theater and the angiography suite.ResultsExisting devices boast several features that facilitate live recording and streaming of neurosurgical procedures. Given that their primary application is not intended for the surgical environment, we identified a number of concrete, yet improvable, limitations.ConclusionThe present study suggests that neurosurgical video capture and live streaming represents an opportunity to contribute to research, education, and quality improvement. Despite this promise, shortcomings render existing devices impractical for serious consideration. We describe the features that future recording platforms should possess to improve upon existing technology.

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