Practice on an Augmented Reality/Haptic Simulator and Library of Virtual Brains Improves Residents’ Ability to Perform a Ventriculostomy

Yudkowsky, Rachel; Luciano, Cristián; Banerjee, Prashant; Schwartz, Alan; Alaraj, Ali; Lemole, Gerald M.; Charbel, Fady T.; Smith, Kelly M.; Rizzi, Silvio; Byrne, Richard W.; Bendok, Bernard R.; Frim, David M.

doi:10.1097/sih.0b013e3182662c69

Cited by 108 publications

(100 citation statements)

References 8 publications

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“…1,33,62 In the original design, the user holds a haptic stylus beneath a high-resolution stereoscopic display. The haptic feedback combined with the linked motion between the user's hand and corresponding on-screen objects creates a highly realistic surgical simulation.…”

Section: 41mentioning

confidence: 99%

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Madhavan¹,

Kolcun²,

Chieng³

et al. 2017

Neurosurgical Focus

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Surgical robots have captured the interest—if not the widespread acceptance—of spinal neurosurgeons. But successful innovation, scientific or commercial, requires the majority to adopt a new practice. “Faster, better, cheaper” products should in theory conquer the market, but often fail. The psychology of change is complex, and the “follow the leader” mentality, common in the field today, lends little trust to the process of disseminating new technology. Beyond product quality, timing has proven to be a key factor in the inception, design, and execution of new technologies. Although the first robotic surgery was performed in 1985, scant progress was seen until the era of minimally invasive surgery. This movement increased neurosurgeons’ dependence on navigation and fluoroscopy, intensifying the drive for enhanced precision. Outside the field of medicine, various technology companies have made great progress in popularizing co-robots (“cobots”), augmented reality, and processor chips. This has helped to ease practicing surgeons into familiarity with and acceptance of these technologies. The adoption among neurosurgeons in training is a “follow the leader” phenomenon, wherein new surgeons tend to adopt the technology used during residency. In neurosurgery today, robots are limited to computers functioning between the surgeon and patient. Their functions are confined to establishing a trajectory for navigation, with task execution solely in the surgeon’s hands. In this review, the authors discuss significant untapped technologies waiting to be used for more meaningful applications. They explore the history and current manifestations of various modern technologies, and project what innovations may lie ahead.

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Section: 41mentioning

confidence: 99%

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Madhavan¹,

Kolcun²,

Chieng³

et al. 2017

Neurosurgical Focus

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“…Other tracing systems such as hybrid optical tracker and Wi-Fi signal each could be found one included paper. A paper said using a head-and-hand tracking system but we cannot find the detail technology (Yudkowsky et al, 2012a). One did not use tracking devices because they projected the virtual picture to the manikin.…”

Section: Investigated User Acceptance (2)mentioning

confidence: 99%

“…**The number is the included papers which use this computer system. 3 Papers did not describe computer system (Karthikeyan, Mani, Balasubramaniyan, & Selvam, 2012b;Sakellariou et al, 2009;Yudkowsky et al, 2012a) Three papers did not mention which computing system they used to process the virtual information. Most of included papers (50%) employed laptop as a mobile computing system.…”

Section: Investigated User Acceptance (2)mentioning

confidence: 99%

Augmented reality in healthcare education: an integrative review

Zhu

Hadadgar

Masiello

et al. 2014

Preprint

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Background. The effective development of healthcare competencies poses great educational challenges. A possible approach to provide learning opportunities is the use of augmented reality (AR) where virtual learning experiences can be embedded in a real physical context. The aim of this study was to provide a comprehensive overview of the current state of the art in terms of user acceptance, the AR applications developed and the effect of AR on the development of competencies in healthcare. Methods. We conducted an integrative review. Integrative reviews are the broadest type of research review methods allowing for the inclusion of various research designs to more fully understand a phenomenon of concern. Our review included multi-disciplinary research publications in English reported until 2012. Results. 2529 research papers were found from ERIC, CINAHL, Medline, PubMed, Web of Science and Springer-link. Three qualitative, 20 quantitative and 2 mixed studies were included. Using a thematic analysis, we've described three aspects related to the research, technology and education. This study showed that AR was applied in a wide range of topics in healthcare education. Furthermore acceptance for AR as a learning technology was reported among the learners and its potential for improving different types of competencies. Discussion. AR is still considered as a novelty in the literature. Most of the studies reported early prototypes. Also the designed AR applications lacked an explicit pedagogical theoretical framework. Finally the learning strategies adopted were of the traditional style 'see one, do one and teach one' and do not integrate clinical competencies to ensure patients' safety.PeerJ PrePrints | http://dx.doi.org/10.7287/peerj.preprints.335v1 | CC-BY 4.0

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“…AR has been shown to be an effective tool for gaining laparoscopic suturing skills [24]. Yudkowsky et al [8] reported an AR simulator, which incorporates tomographic images of real patients, to train residents in performing ventriculostomy. HoST takes this technology further by incorporating real surgical experience into teaching more of a true hands-on experience in a safe environment.…”

Section: Skill Typementioning

confidence: 99%

“…Although VR training devices have been shown to be valid and effective for training, their ability remains limited in terms of their representation of a realistic procedure-specific environment [7]. Augmented reality (AR) is an effective alternative that enhances the face validity of training modules [8][9][10]. AR offers a real view of an operating environment in which the events on the field are enhanced and supplemented [11].…”

Section: Introductionmentioning

confidence: 99%

Augmented‐reality‐based skills training for robot‐assisted urethrovesical anastomosis: a multi‐institutional randomised controlled trial

et al. 2014

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ObjectiveTo validate robot‐assisted surgery skills acquisition using an augmented reality (AR)‐based module for urethrovesical anastomosis (UVA).MethodsParticipants at three institutions were randomised to a Hands‐on Surgical Training (HoST) technology group or a control group. The HoST group was given procedure‐based training for UVA within the haptic‐enabled AR‐based HoST environment. The control group did not receive any training. After completing the task, the control group was offered to cross over to the HoST group (cross‐over group). A questionnaire administered after HoST determined the feasibility and acceptability of the technology. Performance of UVA using an inanimate model on the daVinci Surgical System (Intuitive Surgical Inc., Sunnyvale, CA, USA) was assessed using a UVA evaluation score and a Global Evaluative Assessment of Robotic Skills (GEARS) score. Participants completed the National Aeronautics and Space Administration Task Load Index (NASA TLX) questionnaire for cognitive assessment, as outcome measures. A Wilcoxon rank‐sum test was used to compare outcomes among the groups (HoST group vs control group and control group vs cross‐over group).ResultsA total of 52 individuals participated in the study. UVA evaluation scores showed significant differences in needle driving (3.0 vs 2.3; P = 0.042), needle positioning (3.0 vs 2.4; P = 0.033) and suture placement (3.4 vs 2.6; P = 0.014) in the HoST vs the control group. The HoST group obtained significantly higher scores (14.4 vs 11.9; P 0.012) on the GEARS. The NASA TLX indicated lower temporal demand and effort in the HoST group (5.9 vs 9.3; P = 0.001 and 5.8 vs 11.9; P = 0.035, respectively). In all, 70% of participants found that HoST was similar to the real surgical procedure, and 75% believed that HoST could improve confidence for carrying out the real intervention.ConclusionTraining in UVA in an AR environment improves technical skill acquisition with minimal cognitive demand.

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Practice on an Augmented Reality/Haptic Simulator and Library of Virtual Brains Improves Residents’ Ability to Perform a Ventriculostomy

Abstract: Simulator practice with a library of virtual brains representing a range of anatomies and difficulty levels may improve performance, potentially decreasing complications due to inexpert technique.

Cited by 108 publications

References 8 publications

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Augmented reality in healthcare education: an integrative review

Augmented‐reality‐based skills training for robot‐assisted urethrovesical anastomosis: a multi‐institutional randomised controlled trial

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