A novel virtual reality simulation training system with haptic feedback for improving lateral ventricle puncture skill

Lin, Wei; Zhu, Zhaoju; He, Bingwei; Liu, Yuqing; Wu, Hong; Liao, Zhengjian

doi:10.1007/s10055-021-00578-3

Cited by 8 publications

(11 citation statements)

References 26 publications

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“…Five articles studied UP in ventriculostomy placement. Four of these (80%) used objective metrics specific to the simulated procedure, including length of the procedure, accuracy measures, e.g., distance from the catheter tip to the target and depth of the catheter, and success measures, e.g., number of first-attempt successes [19,51,60,65]. These metrics were typically computed automatically by the software utilized, except for one study where experts were assigned the task of estimating the UP to create an individual score [60].…”

Section: User Performance (Up)mentioning

confidence: 99%

“…Four of these (80%) used objective metrics specific to the simulated procedure, including length of the procedure, accuracy measures, e.g., distance from the catheter tip to the target and depth of the catheter, and success measures, e.g., number of first-attempt successes [19,51,60,65]. These metrics were typically computed automatically by the software utilized, except for one study where experts were assigned the task of estimating the UP to create an individual score [60]. On the other hand, a single study focusing on UP in ventriculostomy placement adopted a more subjective approach instead of using objective performance metrics, by allowing participants to fill in a survey assessing memory retention with procedure-specific questions [64].…”

Section: User Performance (Up)mentioning

confidence: 99%

“…The first and last categories-usefulness and realism-appear to be the most popular categories of UX questionnaire items (Table 4). In the nine studies reporting results on perceived usefulness of the proposed application [19,46,47,56,57,60,62,63,67], the vast majority of test subjects gave positive ratings to this specific aspect. Three studies (33%) [46,56,62] report differences between subject groups, with less experienced participants having overall more positive opinions towards the technology than more experienced ones.…”

Section: User Experience (Ux)mentioning

confidence: 99%

“…For tumor resections (n = 4, 36%), items address task difficulty [47,57], metrics appropriateness [57], and consistency with real practices [67], while one study [53] reported questions that were not relevant to the surgical aspect. For ventriculostomy (n = 3, 24%), items address consistency with real practices [52], task difficulty [52], anatomical structure identification [19,60], and preoperative preparation and planning [19,60], as well as anatomical structure identification [60]. For bipolar homeostasis (n = 1, 9%), the only study [56] reported no surgery-specific questions.…”

Section: User Experience (Ux)mentioning

confidence: 99%

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Extended Reality in Neurosurgical Education: A Systematic Review

Iop

El-Hajj

Gharios

et al. 2022

Sensors

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Surgical simulation practices have witnessed a rapid expansion as an invaluable approach to resident training in recent years. One emerging way of implementing simulation is the adoption of extended reality (XR) technologies, which enable trainees to hone their skills by allowing interaction with virtual 3D objects placed in either real-world imagery or virtual environments. The goal of the present systematic review is to survey and broach the topic of XR in neurosurgery, with a focus on education. Five databases were investigated, leading to the inclusion of 31 studies after a thorough reviewing process. Focusing on user performance (UP) and user experience (UX), the body of evidence provided by these 31 studies showed that this technology has, in fact, the potential of enhancing neurosurgical education through the use of a wide array of both objective and subjective metrics. Recent research on the topic has so far produced solid results, particularly showing improvements in young residents, compared to other groups and over time. In conclusion, this review not only aids to a better understanding of the use of XR in neurosurgical education, but also highlights the areas where further research is entailed while also providing valuable insight into future applications.

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Section: User Performance (Up)mentioning

confidence: 99%

Section: User Performance (Up)mentioning

confidence: 99%

Section: User Experience (Ux)mentioning

confidence: 99%

Section: User Experience (Ux)mentioning

confidence: 99%

See 2 more Smart Citations

Extended Reality in Neurosurgical Education: A Systematic Review

Iop

El-Hajj

Gharios

et al. 2022

Sensors

View full text Add to dashboard Cite

show abstract

“…The use of virtual imagery in surgery (Yeung et al 2021;Al Janabi et al 2020;Lam et al 2014) through immersive engagement in systems, like virtual reality (VR) platforms for planning, has been shown to be effective in surgical operations involving ortho-organic, traumatic, and microsurgery of the craniofacial skeleton (Efanov et al 2018;Neumann et al 1999;Lin et al 2022). The current use of virtual imagery also provides opportunities for surgical technique iteration and examination in various clinical scenario settings as the surgical scene can be reused (Efanov et al 2018).…”

Section: Introductionmentioning

confidence: 99%

A mixed reality system combining augmented reality, 3D bio-printed physical environments and inertial measurement unit sensors for task planning

Kabuye

LeDuc²,

Cagan³

2023

Virtual Reality

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Successful surgical operations are characterized by preplanning routines to be executed during actual surgical operations. To achieve this, surgeons rely on the experience acquired from the use of cadavers, enabling technologies like virtual reality (VR) and clinical years of practice. However, cadavers, having no dynamism and realism as they lack blood, can exhibit limited tissue degradation and shrinkage, while current VR systems do not provide amplified haptic feedback. This can impact surgical training increasing the likelihood of medical errors. This work proposes a novel Mixed Reality Combination System (MRCS) that pairs Augmented Reality (AR) technology and an inertial measurement unit (IMU) sensor with 3D printed, collagen-based specimens that can enhance task performance like planning and execution. To achieve this, the MRCS charts out a path prior to a user task execution based on a visual, physical, and dynamic environment on the state of a target object by utilizing surgeon-created virtual imagery that, when projected onto a 3D printed biospecimen as AR, reacts visually to user input on its actual physical state. This allows a real-time user reaction of the MRCS by displaying new multi-sensory virtual states of an object prior to performing on the actual physical state of that same object enabling effective task planning. Tracked user actions using an integrated 9-Degree of Freedom IMU demonstrate task execution This demonstrates that a user, with limited knowledge of specific anatomy, can, under guidance, execute a preplanned task. In addition, to surgical planning, this system can be generally applied in areas such as construction, maintenance, and education.

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On Extended Reality Objective Performance Metrics for Neurosurgical Training

Iop,

Viberg,

Elmi-Terander

et al. 2023

Lecture Notes in Computer Science

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The adoption of Extended Reality (XR) technologies for supporting learning processes is an increasingly popular research topic for a wide variety of domains, including medical education. Currently, within this community, the metrics applied to quantify the potential impact these technologies have on procedural knowledge acquisition are inconsistent. This paper proposes a practical definition of standard metrics for the learning goals in the application of XR to surgical training. Their value in the context of previous research in neurosurgical training is also discussed. Objective metrics of performance include: spatial accuracy and precision, time-to-task completion, number of attempts. The objective definition of what the learner’s aims are enables the creation of comparable XR systems that track progress during training. The first impact is to provide a community-wide metric of progress that allows for consistent measurements. Furthermore, a measurable target opens the possibility for automated performance assessments with constructive feedback.

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A novel virtual reality simulation training system with haptic feedback for improving lateral ventricle puncture skill

Cited by 8 publications

References 26 publications

Extended Reality in Neurosurgical Education: A Systematic Review

Extended Reality in Neurosurgical Education: A Systematic Review

A mixed reality system combining augmented reality, 3D bio-printed physical environments and inertial measurement unit sensors for task planning

On Extended Reality Objective Performance Metrics for Neurosurgical Training

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