Cerebral Aneurysm Clipping Training Simulator using Virtual Reality and Haptics

使用虚拟现实和触觉的脑动脉瘤夹闭训练模拟器

• 批准号: 8410568
• 负责人: P. PAT BANERJEE
• 金额: $ 45.24万
• 依托单位: IMMERSIVETOUCH, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8410568
• 关键词: Algorithms; Aneurysm; Arteries; Blood Vessels; Blood flow; Brain; Brain Aneurysms; Businesses; Cerebral Aneurysm; Chicago; Clinical; Clip; Collaborations; Craniotomy; Data; Dissection; Distant; Dura Mater; Educational process of instructing; Electrocoagulation; Engineering; Ensure; Evaluation; Feedback; Gamma Cameras; Goals; Hand; Head; Hour; Illinois; Internal carotid artery structure; Intracranial Aneurysm; Learning; Left; Legal patent; Licensing; Measures; Membrane; Metric; Modeling; Morbidity - disease rate; Neoplasms; Neurosurgeon; Neurosurgical Procedures; Operating Rooms; Operative Surgical Procedures; Parents; Patients; Performance; Phase; Positioning Attribute; Principal Investigator; Research; Residencies; Review Committee; Risk; Rupture; Ruptured Aneurysm; Simulate; Small Business Technology Transfer Research; Software Engineering; Suction; Surface; Surgical Flaps; Sylvius fissure; System; Technology; Testing; Time; Training; Trauma; Universities; Validation; Ventriculostomy; Work; base; bone; haptics; innovation; instrument; malformation; middle cerebral artery; mortality; neurosurgery; pressure; professor; programs; research and development; response; simulation; skills; virtual; virtual reality

DESCRIPTION (provided by applicant): IMMERSIVETOUCH(R) VIRTUAL REALITY-HAPTIC NEUROSURGERY SIMULATOR: CRANIOTOMY AND ANEURYSM CLIPPING Founded by principal investigator Dr. Pat Banerjee, ImmersiveTouch,(R) Inc. (Westmont, Illinois) is a small business that develops fully immersive, visio-haptic virtual reality software engineered into a hardware workstation for the training of surgical residents. The Company's simulator provides residents with repeated, collocated virtual reality-haptic practice needed to accelerate learning and impart skills for the operating room without risk to patients. Brain (intracranial) aneurysm rupture is common and is associated with high mortality and morbidity. The surgical treatment of aneurysms is challenging, requiring a long training period. Such training is mandated. The ACGME Residency Review Committee for Neurological Surgery stipulates that resident case load "should include craniotomies for trauma, neoplasms, aneurysms, and vascular malformations". Since the ImmersiveTouch simulator has already been educationally validated for ventriculostomy, we propose here to validate it for aneurysm clipping at the MCA (middle cerebral artery) bifurcation. There is increasing pressure on resident training in classic microneurosurgery by open craniotomy and aneurysm clipping. This is due to a reduction in resident work hours and a decreasing case load in aneurysm clipping, with more than half of simpler aneurysms treated with endovascular means. Additional means of training neurosurgeons to become competent at aneurysm clipping is now necessary. At University of Illinois at Chicago, which is a project partner along with University of Chicago, more than 90 percent of aneurysms requiring clipping form on arteries that arise from the internal carotid artery, including the MCA at the M1-M2 branch? This surgery is performed through a pterional craniotomy followed by dissection along the Sylvian fissure (where the MCA, its branches, and the aneurysm are located). The simulation will teach a pterional craniotomy, dural opening, navigation along a pre-dissected Sylvian fissure, clipping of the aneurysm and blood flow testing to ensure adequate clipping and patency of the adjacent vessels. Phase I converted patient CT voxel data into a 3D virtual reality-haptic model of an MCA bifurcation aneurysm and the Sylvian fissure, etc. We also modeled aneurysm clips in 3D. Phase II focuses on programming the simulator for craniotomy, dural opening, and aneurysm clipping, and on validation.

由首席研究员Pat Banerjee博士创立的IMMERSIVETOUCH(R) Inc. （Westmont, Illinois）是一家小型企业，开发完全沉浸式的视觉触觉虚拟现实软件，用于培训外科住院医生的硬件工作站。该公司的模拟器为住院医生提供重复的虚拟现实触觉练习，以加速学习和传授手术室的技能，而不会给患者带来风险。脑（颅内）动脉瘤破裂是常见的，并与高死亡率和发病率相关。动脉瘤的手术治疗具有挑战性，需要长时间的训练。这种培训是强制性的。ACGME神经外科住院医师审查委员会规定住院医师的病例负荷“应包括创伤、肿瘤、动脉瘤和血管畸形的开颅手术”。由于ImmersiveTouch模拟器已经在脑室造口术中得到了验证，我们建议在这里验证它在大脑中动脉分叉处的动脉瘤夹闭。传统的显微神经外科手术包括开颅手术和动脉瘤夹闭手术，住院医师培训的压力越来越大。这是由于住院医师工作时间的减少和动脉瘤夹闭的病例量的减少，超过一半的简单动脉瘤采用血管内治疗方法。现在有必要对神经外科医生进行额外的培训，使其能够胜任动脉瘤修剪工作。伊利诺伊大学芝加哥分校是芝加哥大学的一个项目合作伙伴，超过90%的动脉瘤需要在源自颈内动脉的动脉上进行夹闭，包括MCA的M1-M2分支。该手术通过翼点开颅进行，然后沿着侧裂（MCA及其分支和动脉瘤所在的地方）进行剥离。模拟将教授翼点开颅术、硬脑膜打开、沿着预解剖的Sylvian裂缝导航、动脉瘤夹闭和血流测试，以确保足够的夹闭和邻近血管通畅。第一阶段将患者CT体素数据转换为MCA分叉动脉瘤和Sylvian裂隙等的三维虚拟现实触觉模型。我们还对动脉瘤夹进行了3D建模。第二阶段的重点是编程模拟器开颅，硬脑膜打开，动脉瘤夹，并验证。

项目成果

Evaluation of Sensory and Motor Skills in Neurosurgery Applicants Using a Virtual Reality Neurosurgical Simulator: The Sensory-Motor Quotient.

使用虚拟现实神经外科模拟器评估神经外科申请人的感觉和运动技能：感觉运动商数。

• DOI: 10.1016/j.jsurg.2015.04.030
• 发表时间: 2015
• 期刊: Journal of surgical education
• 影响因子: 2.9
• 作者: Roitberg,BenZ;Kania,Patrick;Luciano,Cristian;Dharmavaram,Naga;Banerjee,Pat
• 通讯作者: Banerjee,Pat

Sensory and motor skill testing in neurosurgery applicants: a pilot study using a virtual reality haptic neurosurgical simulator.

神经外科申请者的感觉和运动技能测试：使用虚拟现实触觉神经外科模拟器的试点研究。

• DOI: 10.1227/neu.0000000000000089
• 发表时间: 2013
• 期刊: Neurosurgery
• 影响因子: 4.8
• 作者: Roitberg,Ben;Banerjee,Pat;Luciano,Cristian;Matulyauskas,Martin;Rizzi,Silvio;Kania,Patrick;Gasco,Jaime
• 通讯作者: Gasco,Jaime

Neurosurgical tactile discrimination training with haptic-based virtual reality simulation.

通过基于触觉的虚拟现实模拟进行神经外科触觉辨别训练。

• DOI: 10.1179/1743132814y.0000000405
• 发表时间: 2014
• 期刊: Neurological research
• 影响因子: 1.9
• 作者: Patel,Achal;Koshy,Nick;Ortega-Barnett,Juan;Chan,HoiC;Kuo,Yong-Fan;Luciano,Cristian;Rizzi,Silvio;Matulyauskas,Martin;Kania,Patrick;Banerjee,Pat;Gasco,Jaime
• 通讯作者: Gasco,Jaime

A Semi-automated Approach to Improve the Efficiency of Medical Imaging Segmentation for Haptic Rendering.

提高触觉渲染医学成像分割效率的半自动化方法。

• DOI: 10.1007/s10278-017-9985-2
• 发表时间: 2017
• 期刊: Journal of digital imaging
• 影响因子: 4.4
• 作者: Banerjee,Pat;Hu,Mengqi;Kannan,Rahul;Krishnaswamy,Srinivasan
• 通讯作者: Krishnaswamy,Srinivasan