Virtual Simulation of Brain Sylvian Fissure Exploration and Aneurysm Clipping with Haptic Feedback for Neurosurgical Training

Vite, Sergio Teodoro; Velasco, César Domínguez; Valencia, Aldo Francisco Hernández; Lomelí, Juan Salvador Pérez; Castañeda, M.

doi:10.1007/978-3-319-95282-6_17

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…Training VS X X X X [96] Training PA X [65] Surgery PA X X [45] Training/Planning VS X X [99] Training VS X X X [78] Training PA X X [79] Training PA X X [102] Training VS X X X X [81] Training VS X X X [91] Training VS X X X [70] Training VS X X X [63] Training PA X X [67] Training VS X X [82] Training VS X [106] Training VS X [105] Training VS X X [108] Training VS X X…”

Section: Cluster Number Article Purpose Type Cs Ff Sm Ds Ai G a Ementioning

confidence: 99%

“…The third cluster includes the papers in References [45,51,63,65,67,70,74,78,79,81,82,87,[91][92][93]96,99,100,102,[104][105][106]108]. In this cluster, most of the simulators mainly use haptic devices for force feedback, and these works are also used to assess students' performance.…”

Section: Cluster Number Article Purpose Type Cs Ff Sm Ds Ai G a Ementioning

confidence: 99%

“…Another work in the area of neurology is conducted by Vite et al [106]. They designed a neurosurgical training application for repairing cerebral aneurysms in the Sylvian fissure region.…”

Section: Neurosurgerymentioning

confidence: 99%

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A Review of Training and Guidance Systems in Medical Surgery

et al. 2020

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In this paper, a map of the state of the art of recent medical simulators that provide evaluation and guidance for surgical procedures is performed. The systems are reviewed and compared from the viewpoint of the used technology, force feedback, learning evaluation, didactic and visual aid, guidance, data collection and storage, and type of solution (commercial or non-commercial). The works’ assessment was made to identify if—(1) current applications can provide assistance and track performance in training, and (2) virtual environments are more suitable for practicing than physical applications. Automatic analysis of the papers was performed to minimize subjective bias. It was found that some works limit themselves to recording the session data to evaluate them internally, while others assess it and provide immediate user feedback. However, it was found that few works are currently implementing guidance, aid during sessions, and assessment. Current trends suggest that the evaluation process’s automation could reduce the workload of experts and let them focus on improving the curriculum covered in medical education. Lastly, this paper also draws several conclusions, observations per area, and suggestions for future work.

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Section: Cluster Number Article Purpose Type Cs Ff Sm Ds Ai G a Ementioning

confidence: 99%

Section: Cluster Number Article Purpose Type Cs Ff Sm Ds Ai G a Ementioning

confidence: 99%

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A Review of Training and Guidance Systems in Medical Surgery

et al. 2020

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“…A vascular microsurgery aneurysm repair consists of isolating the aneurysm from the arterial blood circulation without its rupture or damaging the surrounding tissues 2,3 . During the procedure, a surgeon explores the brain Sylvian fissure (SF) 4 region to locate the aneurysm by dissecting the dura mater membranes and gently retracting the brain tissue to open an access pathway to the aneurysm neck. Then, it places a titanium clip across the neck of the malformation, while avoiding the aneurysm dome because of the high risk of rupture 5,6 .…”

mentioning

confidence: 99%

A High-Fidelity Hybrid Virtual Reality Simulator of Aneurysm Clipping Repair With Brain Sylvian Fissure Exploration for Vascular Neurosurgery Training

et al. 2020

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Introduction: Microsurgery clipping is one of the most challenging surgical interventions in neurosurgery. The opportunities to train residents are scarce, but the need for accumulating practice is mandatory. New simulating tools are needed for skill learning. Methods: The design, implementation, and assessment of a new hybrid aneurysm clipping simulator are presented. It consists of an ergonomic workstation with a patient head mannequin and a physics-based virtual reality simulation with bimanual haptic feedback. The simulator recreates scenarios of microsurgery from the patient fixation and the exploration of the brain lobes through Sylvian fissure and vascular structures to the aneurysm clipping. Skill metrics were introduced, including monitoring of gestures movements, exerted forces, tissue displacements, and precision in clipping. Results: Two experimental conditions were tested: (1) simple clipping without brain tissue exploration and (2) clipping the aneurysm with brain Sylvian fissure exploration. Differences in the bimanual gestures were observed between both conditions. The quantitative measurements of tissue displacement of the brain lobes exhibited more tissue retrieval for the surgical gestures of neurosurgeons. Appraisal with questionnaires showed positive scores by neurosurgeons in all items evaluating the usability and realism of the simulator. Conclusions: The simulator was well accepted and feasible for training purposes. The analysis of the interactions with virtual tissues offers information to establish differential and common patterns between tested groups and thus useful metrics for skill evaluation of practitioners. Future work can lead to other tasks during the intervention and the inclusion of more clinical cases.

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A Brief General Industrial Virtual Reality Applications Overview Including a Simple Factory VR Simulation

Yurci

Durakbasa

2020

Lecture Notes in Mechanical Engineering

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Virtual Simulation of Brain Sylvian Fissure Exploration and Aneurysm Clipping with Haptic Feedback for Neurosurgical Training

Cited by 6 publications

References 9 publications

A Review of Training and Guidance Systems in Medical Surgery

A Review of Training and Guidance Systems in Medical Surgery

A High-Fidelity Hybrid Virtual Reality Simulator of Aneurysm Clipping Repair With Brain Sylvian Fissure Exploration for Vascular Neurosurgery Training

A Brief General Industrial Virtual Reality Applications Overview Including a Simple Factory VR Simulation

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