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Preserving a Hands-on-Knowledge Base of Essential but Rare Surgical Procedures

保留基本但罕见的外科手术的实践知识库

基本信息

批准号：
7440293
负责人：
JORG PETERS
金额：
$ 17.31万
依托单位：
UNIVERSITY OF FLORIDA
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-07-01 至 2010-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7440293
关键词：
3-Dimensional Academia Address Adipose tissue Adrenal Glands Adrenalectomy Anatomy Appendix Atlases Breathing Clinical Clip Collaborations Communication Communication Tools Communities Complement Complex Computer software Computers Consult Continuing Education Cues Development Devices Disease Educational process of instructing Environment Equipment Evaluation Excision Family Feedback Florida Future General Practices Generations Goals Hand Healthcare Hemorrhage Hour Image Industry Invasive Judgment Knowledge Learning Libraries Lifting Ligation Light Literature Mails Marketing Measures Medical Metric Mind Modeling Motion Multimedia Numbers Operative Surgical Procedures Organ Output Patients Peer Review Performance Play Procedures Process Public Domains Publishing Range Reaction Records Reporting Research Infrastructure Residencies Robotics Scanning Scientist Secondary to Simulate Specialist Specialized Center Staging Stretching Surgeon Surgical sutures System Tactile Techniques Testing Text Time TimeLine Tissues Training Universities Validation Variant Veins Video Recording Vision Visual Voice Word Processing Work animation artist base concept coping cost day experience haptics improved innovation interest knowledge base laptop member repository simulation size skills soft tissue tool trend virtual visual media

项目摘要

DESCRIPTION (provided by applicant): To efficiently communicate key points of a surgical procedure to less experienced surgeons and senior residents, we propose to create a low-cost, computer-based multimedia-authoring system (environment), called TIPS (Toolkit for Illustration of Procedures in Surgery). The expert surgeon-author can upload and modify anatomical organs and vessels, place soft tissues and move through the 3D anatomy with tactile force feedback via a haptic stylus interface. Additionally, the surgeon can embed information in the 3D scene ranging from scanned images to video-clips of the real procedure. TIPS documents can be shared by e-mail or download to facilitate collaborative authoring. Ease of use is a primary focus since the aim is to place the expert surgeon at the center of the creative process. For the proof of concept our team member (experienced surgeon) will create a laparoscopic adrenalectomy illustration that will provide convenient, repeatable, validated interactive learning for senior residents and practicing surgeons exposing them, for example, to the key points and anatomic variations of safe removal of the adrenal gland. The first learning stage will guide the learner's hand(s) along paths in a 3- dimensional, sparse but richly annotated virtual anatomy that the author has created. The second stage records and evaluates the learner's motion and force when replicating the specialist's procedure. The TIPS modules will be validated by specialist surgeons at the Department of Surgery University of Florida. Modules and their associated metrics will undergo peer review and also will be validated by a metric-driven validation of residents. TIPS documents open a completely new channel of communication between surgeons that addresses the pressing need for convenient, effective continued education for practicing surgeons. The improved training may reduce the number of referral cases, reducing paperwork, medical costs and delays. The TIPS environment differs from surgery training tools teaching basic techniques to novices in that the specialist surgeon is the author and practicing surgeons are the audience. This makes authoring more highlevel and removes a level of indirection (the computer programmer) that easily leads to wrong emphasis in illustrating complex procedures. Our long-range goal and vision beyond this proposal is to create record and preserve procedures whose practice is declining due to infrequency of the disease and a decreasing number of specialists that have performed such cases. The infrastructure will be placed in the public domain to maximize the dissemination and trigger further collaboration of computer and surgical specialists to develop libraries and shared repositories and create an unprecedented body of knowledge.

描述（由申请人提供）：为了向经验不足的外科医生和高级住院医师有效地传达外科手术的关键点，我们建议创建一个低成本的基于计算机的多媒体创作系统（环境），称为TIPS（手术程序说明工具包）。专家外科医生-作者可以上传和修改解剖器官和血管，放置软组织，并通过触针界面通过触觉力反馈在3D解剖结构中移动。此外，外科医生可以在3D场景中嵌入信息，范围从扫描图像到真实的手术的视频剪辑。TIPS文档可以通过电子邮件共享或下载，以促进协作创作。易用性是一个主要的焦点，因为我们的目标是把专家外科医生在创造性的过程中的中心。为了验证概念，我们的团队成员（经验丰富的外科医生）将创建一个腹腔镜肾上腺切除术的插图，这将为高级住院医师和执业外科医生提供方便，可重复，有效的互动学习，例如，安全切除肾上腺的关键点和解剖变异。第一个学习阶段将引导学习者的手沿着作者创建的三维、稀疏但注释丰富的虚拟解剖结构中的路径。第二阶段记录和评估学习者的动作和力量时，复制专家的程序。 TIPS模块将由佛罗里达大学外科系的外科专家进行验证。模块及其相关指标将接受同行评审，并通过居民的指标驱动验证进行验证。 TIPS文件打开了外科医生之间全新的沟通渠道，解决了执业外科医生便捷、有效继续教育的迫切需求。改进培训可能会减少转诊病例的数量，减少文书工作、医疗费用和延误。TIPS环境与向新手教授基本技术的手术培训工具不同，因为专科外科医生是作者，执业外科医生是观众。这使得创作更高层次，并消除了间接的水平（计算机程序员），很容易导致错误的重点说明复杂的过程。我们的长期目标和愿景超出了这一建议，是创造记录和保存程序的做法是下降，由于罕见的疾病和越来越少的专家已经执行了这样的情况。基础设施将置于公共领域，以最大限度地传播和触发计算机和外科专家的进一步合作，以开发图书馆和共享知识库，并创造前所未有的知识体系。