Role of cranial and spinal virtual and augmented reality simulation using immersive touch modules in neurosurgical training.
Role of cranial and spinal virtual and augmented reality simulation using immersive touch modules in neurosurgical training.
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DOI：
10.1227/neu.0b013e3182753093
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发表时间：
2013-01
期刊：
影响因子：
4.8
通讯作者：
Roitberg B
中科院分区：
文献类型：
--
作者：
Alaraj A;Charbel FT;Birk D;Tobin M;Luciano C;Banerjee PP;Rizzi S;Sorenson J;Foley K;Slavin K;Roitberg B
最近的研究表明，基于心理脚本的排练和基于模拟的培训可以改善不同医学学科中外科技能的转移。尽管在过去的几十年里，神经外科手术的技术和术中技术有了很大的进步，但神经外科手术的外科技能培训仍然存在严重的发病率或死亡率的巨大风险。潜在的可避免的技术错误被认为是导致手术结果不佳的原因。外科教育正在发生巨大的变化，工作时间减少，当前的趋势是关注患者的安全，并将补偿与临床结果联系起来，需要辅助手段进行神经外科培训；这是模拟技术的最新进展。ImmersiveTouch(IT)是一种集成了触觉设备和高分辨率立体显示器的增强现实(AR)系统。这个模拟平台利用多种感官模式，再现了在实际操作过程中经历的许多环境线索。可用的模块包括脑室造口术、骨钻孔、经皮三叉神经根切断术，以及模拟脊柱模块，如椎弓根螺钉放置、椎体成形术和腰椎穿刺术。我们介绍了我们开发这种AR神经外科模块的经验和神经外科住院医生的反馈。
Recent studies have shown that mental script-based rehearsal and simulation-based training improves the transfer of surgical skills in various medical disciplines. Despite significant advances in technology and intraoperative techniques over the last several decades, surgical skills training on neurosurgical operations still carries significant risk of serious morbidity or mortality. Potentially avoidable technical errors are well recognized as contributing to poor surgical outcome. Surgical education is undergoing overwhelming change, with reduction of working hours and current trends to focus on patient’s safety and linking reimbursement with clinical outcomes, and there is a need for adjunctive means for neurosurgical training;this has been recent advancement in simulation technology. ImmersiveTouch (IT) is an augmented reality (AR) system that integrates a haptic device and a high-resolution stereoscopic display. This simulation platform utilizes multiple sensory modalities, recreating many of the environmental cues experienced during an actual procedure. Modules available include ventriculostomy, bone drilling, percutaneous trigeminal rhizotomy, in addition to simulated spinal modules such as pedicle screw placement, vertebroplasty, and lumbar puncture. We present our experience with development of such AR neurosurgical modules and the feedback from neurosurgical residents.