Augmented reality assisted surgery: a urologic training tool.

Augmented reality assisted surgery: a urologic training tool.
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DOI:
10.4103/1008-682x.166436
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发表时间:
2016-09
影响因子:
2.9
通讯作者:
Hakky TS
Hakky TS
中科院分区:
医学2区
文献类型:
--
作者:
Dickey RM;Srikishen N;Lipshultz LI;Spiess PE;Carrion RE;Hakky TS

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增强现实广泛应用于航空领域,是外科领域的一个发展中概念。在这项试点研究中,我们开发了一个在Google Glass®光学头戴式显示器上使用的应用程序,以培训泌尿科住院医师如何放置充气阴茎假体。我们使用增强现实辅助手术这个短语来描述增强现实在手术环境中的这种新应用。该应用程序演示了可膨胀阴茎假体放置的外科手术步骤。它还包含软件,允许使用光学头戴式显示器的摄像头馈送检测兴趣点,以使教师能够在阴茎假体放置期间与居民互动。自愿参加这项研究的泌尿外科实习生和教师有时间在手术或围手术期环境中体验这项技术,并被要求完成反馈调查。在使用10分量表的30名参与者中,教育有用性评分为8.6,导航易用性评分为7.6,使用可能性评分为7.4,手术室分心评分为4.9。当将学员和教师分层时,学员发现这项技术在教育上更有用,而且更少分散注意力。总体而言,81%的参与者希望在他们的住院医师计划中使用这项技术,93%的参与者认为这项技术将来会出现在手术室中。在全面发布之前,这项技术的进一步发展是有必要的,并且有必要进行进一步的研究,以更好地描述增强现实辅助手术在泌尿外科手术培训中的有效性。
Augmented reality is widely used in aeronautics and is a developing concept within surgery. In this pilot study, we developed an application for use on Google Glass® optical head-mounted display to train urology residents in how to place an inflatable penile prosthesis. We use the phrase Augmented Reality Assisted Surgery to describe this novel application of augmented reality in the setting of surgery. The application demonstrates the steps of the surgical procedure of inflatable penile prosthesis placement. It also contains software that allows for detection of interest points using a camera feed from the optical head-mounted display to enable faculty to interact with residents during placement of the penile prosthesis. Urology trainees and faculty who volunteered to take part in the study were given time to experience the technology in the operative or perioperative setting and asked to complete a feedback survey. From 30 total participants using a 10-point scale, educational usefulness was rated 8.6, ease of navigation was rated 7.6, likelihood to use was rated 7.4, and distraction in operating room was rated 4.9. When stratified between trainees and faculty, trainees found the technology more educationally useful, and less distracting. Overall, 81% of the participants want this technology in their residency program, and 93% see this technology in the operating room in the future. Further development of this technology is warranted before full release, and further studies are necessary to better characterize the effectiveness of Augmented Reality Assisted Surgery in urologic surgical training.