Enhancing robotic head and neck surgical skills using stimulated simulation
使用刺激模拟增强机器人头颈手术技能
基本信息
- 批准号:10586874
- 负责人:
- 金额:$ 61.86万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-06-05 至 2027-05-31
- 项目状态:未结题
- 来源:
- 关键词:3-DimensionalAccelerationActive LearningAddressAdoptionAnatomyAuditoryAutomobile DrivingAviationBenchmarkingBenignCerebral cortexClinicalCognitiveComplexComputer ModelsComputersConfined SpacesControl GroupsConventional SurgeryCuesDepth PerceptionDevelopmentDevicesDissectionEducational CurriculumElectrocoagulationEnvironmentExcisionExposure toFDA approvedFeedbackFellowshipFistulaFutureGoalsHead and Neck SurgeonHead and Neck SurgeryHourImpaired healingInterdisciplinary StudyIntuitionJawLaryngeal neoplasmLarynxLearningLearning SkillLesionMalignant - descriptorMalignant neoplasm of pharynxMedicalMethodologyMusicObstructive Sleep ApneaOperative Surgical ProceduresOralOral cavityOropharyngealOsteoradionecrosisOtolaryngologyParticipantPatient-Focused OutcomesPatientsPerformancePharyngeal structurePhysicsPhysiologicalProceduresRecoveryResearchResearch PersonnelResearch Project GrantsResectedResidenciesResolutionRiskRoboticsScalp structureSpeedSportsStandardizationStructureSurgeonTask PerformancesTechniquesTechnologyTimeTissuesTractionTrainingTreatment CostVariantVisionVisualWorkWristbody cavityclinical trainingcognitive skillcostdesignexperienceexperimental studyfunctional disabilityfunctional outcomeshead mounted displayimprovedinstrumentlensmalignant oropharynx neoplasmminimally invasivenoninvasive brain stimulationnovelopen sourcepatient safetyplatform-independentsimulationsimulation environmentsimulation softwareskill acquisitionskillsskills trainingsuccesstask analysistongue roottooltranscranial direct current stimulationtransfer learningtumorvirtualvirtual realityvirtual reality simulatorwearable devicewound
项目摘要
Enhancing robotic head and neck surgical skills using stimulated simulation
Abstract
We propose stimulated simulation as the next paradigm for accelerating simulator-based training of
transoral robotic surgery (TORS) using noninvasive brain stimulation. TORS is a minimally invasive
technology that is seeing rapid adoption in the field of otolaryngology - head and neck surgery to resect
benign and malignant tumors of the pharynx and larynx as well as treat obstructive sleep apnea. As a relatively
novel and complex procedure, surgeons are learning to perform TORS after their residency, mostly during a
fellowship year. However, TORS has a steep learning curve, with a minimum of 20-35 cases needed to
achieve basic proficiency. Without a structured curriculum or effective simulation platform, most novice
surgeons currently reach the 20-35 case benchmark while operating on live patients. Consequently, positive
margin (i.e., the tumor is not entirely removed) rates for oropharyngeal cancers in low-volume centers are
twice that in high-volume facilities. Commercially available task trainers and virtual reality simulators for robotic
surgery have four major deficiencies: (i) they do not prepare trainees to operate in the confined space of the
oropharynx and do not provide the procedure-specific skills necessary for TORS, such as tissue manipulation,
retraction, or dissection using electrocautery; (ii) they are platform-dependent – training basic robotic skills for
the da Vinci platform (Intuitive Surgical, Sunnyvale, CA), though two platforms are currently FDA approved for
TORS, and a third one is waiting for approval, (iii) they are costly, limiting their use to the most affluent centers
and (iv) they offer no mechanism to accelerate skill acquisition beyond brute-force repeated practice.
To address these limitations, we will design, develop, and validate the first Virtual Transoral Robotic
Surgical (VTORS) simulator for training TORS procedures and use transcranial direct current
stimulation (tDCS), a safe and effective, well-established, commercially available, wearable noninvasive brain
stimulation technique that uses very low direct current (<4mA) applied to the scalp to modulate cortical
excitability, to accelerate the surgical skill acquisition. We have assembled a highly interdisciplinary team of
researchers to accomplish the two aims of the project: (SA1) Design, develop and validate a high-resolution,
ultra-low-cost, versatile, and platform-independent Virtual Transoral Robotic Surgical (VTORS) simulator for
TORS tongue base resection; and (SA2) Demonstrate the training efficiency with transcranial direct current
stimulation (tDCS) (i.e., stimulated simulation) compared with sham stimulation.
Based on the latest developments in off-the-shelf virtual reality (VR) and tDCS technology and open-
source simulation software, stimulated simulation has the potential to become the preferred training
paradigm – simultaneously improving skills and accelerating skill acquisition - for complex psychomotor skills,
including surgery, aviation, driving, sports, and music.
利用刺激模拟提高机器人头颈部手术技能
项目成果
期刊论文数量(0)
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科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('Suvranu De', 18)}}的其他基金
Development and Validation of a Virtual Bariatric Endoscopic (ViBE) simulator
虚拟减肥内窥镜 (ViBE) 模拟器的开发和验证
- 批准号:
10709569 - 财政年份:2022
- 资助金额:
$ 61.86万 - 项目类别:
Simulation based surgical training for high risk low resourced procedures using a novel simulator with smart mentoring
使用带有智能指导的新型模拟器,针对高风险、低资源手术进行基于模拟的手术培训
- 批准号:
10644160 - 财政年份:2022
- 资助金额:
$ 61.86万 - 项目类别:
Development and Validation of a Virtual Bariatric Endoscopic (ViBE) Simulator
虚拟减肥内窥镜 (ViBE) 模拟器的开发和验证
- 批准号:
10007968 - 财政年份:2019
- 资助金额:
$ 61.86万 - 项目类别:
Development and validation of a Virtual Colorectal Surgical Trainer (VCoST)
虚拟结直肠手术训练器 (VCoST) 的开发和验证
- 批准号:
9750767 - 财政年份:2018
- 资助金额:
$ 61.86万 - 项目类别:
Development and validation of a Virtual Colorectal Surgical Trainer (VCoST)
虚拟结直肠手术训练器 (VCoST) 的开发和验证
- 批准号:
9930080 - 财政年份:2018
- 资助金额:
$ 61.86万 - 项目类别:
Development and validation of a Virtual Colorectal Surgical Trainer (VCoST)
虚拟结直肠手术训练器 (VCoST) 的开发和验证
- 批准号:
10470083 - 财政年份:2018
- 资助金额:
$ 61.86万 - 项目类别:
Development and Validation of a Virtual Endoluminal Surgical Simulator (VESS) for Treatment of Colorectal Cancer
用于治疗结直肠癌的虚拟腔内手术模拟器 (VESS) 的开发和验证
- 批准号:
9535243 - 财政年份:2016
- 资助金额:
$ 61.86万 - 项目类别:
Development and validation of a virtual airway skill trainer (VAST)
虚拟气道技能训练器 (VAST) 的开发和验证
- 批准号:
8694203 - 财政年份:2014
- 资助金额:
$ 61.86万 - 项目类别:
Development and validation of a virtual airway skill trainer (VAST)
虚拟气道技能训练器 (VAST) 的开发和验证
- 批准号:
8825529 - 财政年份:2014
- 资助金额:
$ 61.86万 - 项目类别:
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