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Interventional radiology virtual simulator for liver biopsy

Identifieur interne : 001367 ( Main/Exploration ); précédent : 001366; suivant : 001368

Interventional radiology virtual simulator for liver biopsy

Auteurs : Pierre-Frédéric Villard [France] ; Franck P. Vidal [Royaume-Uni] ; Llyr Ap Cenydd [Royaume-Uni] ; Richard Holbrey [Royaume-Uni] ; S. Pisharody [Royaume-Uni] ; Sheena Johnson [Royaume-Uni] ; Andy Bulpitt [Royaume-Uni] ; Nigel W. John [Royaume-Uni] ; Fernando Bello [Royaume-Uni] ; Derek A. Gould [Royaume-Uni]

Source :

RBID : Hal:hal-00849184

Descripteurs français

English descriptors

Abstract

Purpose Training in Interventional Radiology currently uses the apprenticeship model, where clinical and technical skills of invasive procedures are learnt during practice in patients. This apprenticeship training method is increasingly limited by regulatory restrictions on working hours, concerns over patient risk through trainees' inexperience and the variable exposure to case mix and emergencies during training. To address this, we have developed a computer-based simulation of visceral needle puncture procedures. Methods A real-time framework has been built that includes: segmentation, physically based modelling, haptics rendering, pseudo-ultrasound generation and the concept of a physical mannequin. It is the result of a close collaboration between different universities, involving computer scientists, clinicians, clinical engineers and occupational psychologists. Results The technical implementation of the framework is a robust and real-time simulation environment combining a physical platform and an immersive computerized virtual environment. The face, content and construct validation have been previously assessed, showing the reliability and effectiveness of this framework, as well as its potential for teaching visceral needle puncture. Conclusion A simulator for ultrasound-guided liver biopsy has been developed. It includes functionalities and metrics extracted from cognitive task analysis. This framework can be useful during training, particularly given the known difficulties in gaining significant practice of core skills in patients.

Url:
DOI: 10.1007/s11548-013-0929-0


Affiliations:


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<name sortKey="Bello, Fernando" sort="Bello, Fernando" uniqKey="Bello F" first="Fernando" last="Bello">Fernando Bello</name>
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<name sortKey="Gould, Derek A" sort="Gould, Derek A" uniqKey="Gould D" first="Derek A." last="Gould">Derek A. Gould</name>
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<orgName>Royal Liverpool University Hospital</orgName>
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<addrLine>Prescot Street ; Liverpool ; L7 8XP</addrLine>
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</analytic>
<idno type="DOI">10.1007/s11548-013-0929-0</idno>
<series>
<title level="j">International Journal of Computer Assisted Radiology and Surgery</title>
<idno type="ISSN">1861-6410</idno>
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<date type="datePub">2013</date>
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<keywords scheme="mix" xml:lang="en">
<term>Biomedical computing</term>
<term>Image segmentation</term>
<term>Simulation</term>
<term>Virtual reality</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Simulation</term>
<term>Réalité virtuelle</term>
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<front>
<div type="abstract" xml:lang="en">Purpose Training in Interventional Radiology currently uses the apprenticeship model, where clinical and technical skills of invasive procedures are learnt during practice in patients. This apprenticeship training method is increasingly limited by regulatory restrictions on working hours, concerns over patient risk through trainees' inexperience and the variable exposure to case mix and emergencies during training. To address this, we have developed a computer-based simulation of visceral needle puncture procedures. Methods A real-time framework has been built that includes: segmentation, physically based modelling, haptics rendering, pseudo-ultrasound generation and the concept of a physical mannequin. It is the result of a close collaboration between different universities, involving computer scientists, clinicians, clinical engineers and occupational psychologists. Results The technical implementation of the framework is a robust and real-time simulation environment combining a physical platform and an immersive computerized virtual environment. The face, content and construct validation have been previously assessed, showing the reliability and effectiveness of this framework, as well as its potential for teaching visceral needle puncture. Conclusion A simulator for ultrasound-guided liver biopsy has been developed. It includes functionalities and metrics extracted from cognitive task analysis. This framework can be useful during training, particularly given the known difficulties in gaining significant practice of core skills in patients.</div>
</front>
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<li>France</li>
<li>Royaume-Uni</li>
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<li>Angleterre</li>
<li>Grand Est</li>
<li>Lorraine (région)</li>
<li>Yorkshire-et-Humber</li>
</region>
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<li>Leeds</li>
<li>Nancy</li>
</settlement>
<orgName>
<li>Institut national polytechnique de Lorraine</li>
<li>Université Nancy 2</li>
<li>Université de Leeds</li>
<li>Université de Lorraine</li>
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<region name="Grand Est">
<name sortKey="Villard, Pierre Frederic" sort="Villard, Pierre Frederic" uniqKey="Villard P" first="Pierre-Frédéric" last="Villard">Pierre-Frédéric Villard</name>
</region>
</country>
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<name sortKey="Bello, Fernando" sort="Bello, Fernando" uniqKey="Bello F" first="Fernando" last="Bello">Fernando Bello</name>
<name sortKey="Bulpitt, Andy" sort="Bulpitt, Andy" uniqKey="Bulpitt A" first="Andy" last="Bulpitt">Andy Bulpitt</name>
<name sortKey="Gould, Derek A" sort="Gould, Derek A" uniqKey="Gould D" first="Derek A." last="Gould">Derek A. Gould</name>
<name sortKey="Holbrey, Richard" sort="Holbrey, Richard" uniqKey="Holbrey R" first="Richard" last="Holbrey">Richard Holbrey</name>
<name sortKey="John, Nigel W" sort="John, Nigel W" uniqKey="John N" first="Nigel W." last="John">Nigel W. John</name>
<name sortKey="Johnson, Sheena" sort="Johnson, Sheena" uniqKey="Johnson S" first="Sheena" last="Johnson">Sheena Johnson</name>
<name sortKey="Pisharody, S" sort="Pisharody, S" uniqKey="Pisharody S" first="S." last="Pisharody">S. Pisharody</name>
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