Hands-On Virtual Reality Technology for Clinical Education and Training

描述(由申请人提供)：实践培训是一种被广泛接受的方法，特别是对于学习临床程序来说，因为它们可能是复杂和难以掌握的。基于虚拟现实(VR)的培训系统在培训操作员方面可以非常成功，因为它们可以作为进修员随时随地访问，而不需要人类专家，可以模拟各种场景，可以客观地监控受训者的表现并提供反馈。Yantric，Inc.建议为临床教育和培训开发一个全面的动手虚拟现实系统，以提高培训效果和患者安全。在这项由三个医疗中心的医疗专家参与的合作中，我们将开发一个基于虚拟现实的具有集成触摸反馈的中心线放置训练器。扬特在开发医学模拟系统方面拥有丰富的经验，我们将充分利用我们现有的硬件和软件架构来设计和开发该系统。在本项目结束时，该系统将由以下关键组件组成。(1)一种定制的培训系统，包含一个触觉界面，允许用户在接收触摸反馈的同时插入真实的仪器，如针和导管。(2)基于三维解剖观察仪和超声引导的锁骨下中线手术医学模拟训练系统。(3)通用的用户界面和教学内容呈现，基于互联网浏览器，使用Html/CSS开发，能够记录和评估用户的表现。(4)一种基于虚拟现实的医学培训师，通过专家和住院医师的内容验证和培训效果验证。在商业潜力方面，对基于虚拟现实的医疗训练器的需求很大，用于一般的针和导管插入过程，特别是区域麻醉过程。麻醉医生、重症医生、心脏病医生、外科医生和介入放射科医生正在进行越来越多的中线放置程序，每个程序都足够复杂，因此对良好的训练模拟器有强烈的需求。一旦我们的培训系统开发完成，它就可以安装在教育机构、医疗机构、医院、紧急护理或保健中心、诊所、实验室和放射中心。 公共卫生相关性：拟议的基于实践虚拟现实的医学培训系统预计将从根本上改变医学实习生在执行锁骨下中央线放置程序以及一般复杂的针头和导管程序方面获得专业知识的方式。这反过来将减少手术室的并发症数量，并增加成功病例的数量，从而实现更好的患者护理。

DESCRIPTION (provided by applicant): Hands-on training is a widely accepted methodology, especially for learning clinical procedures as they can be complicated and difficult to master. Virtual Reality (VR) based training systems can be highly successful in training operators because they can be accessed anytime anywhere as a refresher without the need for a human expert, can simulate various scenarios, can objectively monitor a trainee's performance and provide feedback. Yantric, Inc proposes to develop a comprehensive hands-on virtual reality based system for clinical education and training in order to improve training effectiveness and patient safety. In this collaborative effort involving medical experts in three medical centers, we will develop a virtual reality based central line placement trainer with integrated touch feedback. Yantric has vast experience in developing medical simulation systems and we will take full advantage of our existing hardware and software architecture for the design and development of this system. At the end of this project, the system will consist of the following key components. (1) A customized training system containing a haptic interface that allows the user to insert real instruments, such as needles and catheters while receiving touch feedback. (2) A medical simulation and training system for the infraclavicular central line procedure with 3D Anatomical Viewer and ultrasound guidance. (3) General user interface and didactic content presentation that is internet browser based, developed with HTML/CSS and capable of user's performance recording and evaluation. (4) A virtual reality based medical trainer that is verified in terms of content and validated for training effectiveness with experts and medical residents. In terms of commercial potential, there is a large demand for virtual reality based medical trainers for needle and catheter insertion procedures in general and regional anesthesia procedures in particular. An increasing number of central line placement procedures are being performed by anesthesiologists, intensivists, cardiologists, surgeons and interventional radiologists and each procedure is complex enough that there is a strong demand for a good training simulator. Once our training system is developed, it can be installed at educational facilities, medical institutions, hospitals, urgent care or health care centers, clinics, laboratories, and radiology centers. PUBLIC HEALTH RELEVANCE: The proposed hands-on virtual reality based medical training system is expected to radically transform how medical trainees gain expertise in performing infraclavicular central line placement procedure in particular and complex needle and catheter procedures in general. This in turn will decrease the number of complications in the operating room and increase the number of successful cases leading to better patient care.