SimSpine: A Cost-Effective Spinal Endoscopy Training Prototype for Neurosurgical Residents Skills Training

Bedi, Manbachan Singh; Raheja, Amol; Katiyar, Varidh; Mishra, Shashwat; Garg, Kanwaljeet; Narwal, Priya; Ganeshkumar, Akshay; Sharma, Ravi; Tandon, Vivek; Milani, Davide; Sarvadei, Franco; Suri, Ashish; Kale, Shashank Sharad

doi:10.1016/j.wneu.2023.02.133

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…9 Simulation-based training overcomes many of these hurdles and has been shown to be a good learning adjunct that can potentially help bridge the gap in global neurosurgery. [10][11][12][13][14] Such simulator-based training has been utilized for teaching control of bleeding or CSF leaks, dynamic events that cannot be efficiently simulated in cadavers. 15 VR 16 and especially AR as modalities of preoperative planning and intraoperative image guidance have evolved from being tested in cadavers 17,18 to being viable in vivo.…”

Section: Discussionmentioning

confidence: 99%

Innovations in craniovertebral junction training: harnessing the power of mixed reality and head-mounted displays

Ganeshkumar,

Katiyar,

Singh

et al. 2024

Neurosurgical Focus

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OBJECTIVE The objective of this study was to analyze the potential and convenience of using mixed reality as a teaching tool for craniovertebral junction (CVJ) anomaly pathoanatomy. METHODS CT and CT angiography images of 2 patients with CVJ anomalies were used to construct mixed reality models in the HoloMedicine application on the HoloLens 2 headset, resulting in four viewing stations. Twenty-two participants were randomly allocated into two groups, with each participant rotating through all stations for 90 seconds, each in a different order based on their group. At every station, objective questions evaluating the understanding of CVJ pathoanatomy were answered. At the end, subjective opinion on the user experience of mixed reality was provided using a 5-point Likert scale. The objective performance of the two viewing modes was compared, and a correlation between performance and participant experience was sought. Subjective feedback was compiled and correlated with experience. RESULTS In both groups, there was a significant improvement in median (interquartile range [IQR]) objective performance with mixed reality compared with DICOM: 1) group A: case 1, median 6 (IQR 6–7) versus 5 (IQR 3–6), p = 0.009; case 2, median 6 (IQR 6–7) versus 5 (IQR 3–6), p = 0.02; 2) group B: case 1, median 6 (IQR 5–7) versus 4 (IQR 2–5), p = 0.04; case 2, median 6 (IQR 6–7) versus 5 (IQR 3–7), p = 0.03. There was significantly higher improvement in less experienced participants in both groups for both cases: 1) group A: case 1, r = −0.8665, p = 0.0005; case 2, r = −0.8002, p = 0.03; 2) group B: case 1, r = −0.6977, p = 0.01; case 2, r = −0.7417, p = 0.009. Subjectively, mixed reality was easy to use, with less disorientation due to the visible background, and it was believed to be a useful teaching tool. CONCLUSIONS Mixed reality is an effective teaching tool for CVJ pathoanatomy, particularly for young neurosurgeons and trainees. The versatility of mixed reality and the intuitiveness of the user experience offer many potential applications, including training, intraoperative guidance, patient counseling, and individualized medicine; consequently, mixed reality has the potential to transform neurosurgery.

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Section: Discussionmentioning

confidence: 99%

Innovations in craniovertebral junction training: harnessing the power of mixed reality and head-mounted displays

Ganeshkumar,

Katiyar,

Singh

et al. 2024

Neurosurgical Focus

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Beyond Traditional Training: Exploring the Benefits of Virtual Reality Simulator in Lumbar Pedicle Screw Insertion - A Randomized Controlled Trial

Alam,

Garg,

Kumar

et al. 2024

World Neurosurgery

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Indian Neurosurgeons at the Forefront: A Comprehensive Exploration of their Pioneering Contributions to Neuroendoscopy

Kodeeswaran,

Bajaj,

Priyadharshan

et al. 2024

Neurology India

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This article delves into the profound impact of Indian neurosurgeons on the expansive canvas of neuroendoscopy. By scrutinizing their trailblazing research, innovations, new surgical techniques, and relentless dedication to education and training, we aim to unravel the intricacies of their influence on a global scale. The review, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, conducts a comprehensive analysis of the literature related to neuroendoscopy contributed by Indian neurosurgeons. The exploration covers a spectrum of achievements, ranging from pioneering research and innovations to complication avoidance, neuroendoscopic training, and global recognition. Despite challenges, Indian neurosurgeons continue to lead the way in shaping the future of neuroendoscopy, ensuring better patient outcomes and improved quality of life. Many Indian neurosurgeons have contributed significantly to the development of neuroendoscopy in India. Prof. YR Yadav’s contributions stand significant in the form of research articles and publications on almost all subjects on neuroendoscopy, the textbook on neuroendoscopy, popularizing neuroendoscopy by starting the first university-certified neuroendoscopy fellowship training program in India, describing many innovative techniques/first report of endoscopic techniques and conducting regular endoscopic workshops in his institutions and other major cities of India.

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SimSpine: A Cost-Effective Spinal Endoscopy Training Prototype for Neurosurgical Residents Skills Training

Cited by 4 publications

References 7 publications

Innovations in craniovertebral junction training: harnessing the power of mixed reality and head-mounted displays

Innovations in craniovertebral junction training: harnessing the power of mixed reality and head-mounted displays

Beyond Traditional Training: Exploring the Benefits of Virtual Reality Simulator in Lumbar Pedicle Screw Insertion - A Randomized Controlled Trial

Indian Neurosurgeons at the Forefront: A Comprehensive Exploration of their Pioneering Contributions to Neuroendoscopy

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