Development and validation of a surgical training simulator with haptic feedback for learning bone-sawing skill.
Identifieur interne : 000684 ( PubMed/Checkpoint ); précédent : 000683; suivant : 000685Development and validation of a surgical training simulator with haptic feedback for learning bone-sawing skill.
Auteurs : Yanping Lin [République populaire de Chine] ; Xudong Wang [République populaire de Chine] ; Fule Wu [République populaire de Chine] ; Xiaojun Chen [République populaire de Chine] ; Chengtao Wang [République populaire de Chine] ; Guofang Shen [République populaire de Chine]Source :
- Journal of biomedical informatics [ 1532-0480 ] ; 2014.
English descriptors
- KwdEn :
- Adult, Bone and Bones (surgery), Computer Graphics, Computer Simulation, Feedback, Female, Humans, Imaging, Three-Dimensional, Learning, Male, Middle Aged, Orthopedics (education), Orthopedics (methods), Reproducibility of Results, Software, Tomography, X-Ray Computed, User-Computer Interface, Young Adult.
- MESH :
- education : Orthopedics.
- methods : Orthopedics.
- surgery : Bone and Bones.
- Adult, Computer Graphics, Computer Simulation, Feedback, Female, Humans, Imaging, Three-Dimensional, Learning, Male, Middle Aged, Reproducibility of Results, Software, Tomography, X-Ray Computed, User-Computer Interface, Young Adult.
Abstract
Bone sawing or cutting is widely used for bone removal processes in bone surgery. It is an essential skill that surgeons should execute with a high level of experience and sensitive force perception. Surgical training simulators, with virtual and haptic feedback functions, can offer a safe, repeatable and cost-effective alternative to traditional surgeries. In this research, we developed a surgical training simulator with virtual and haptic force feedback for maxillofacial surgery, and we validated the effects on the learning of bone-sawing skills through empirical evaluation.
DOI: 10.1016/j.jbi.2013.12.010
PubMed: 24380817
Affiliations:
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Electronic address: xudongwang70@hotmail.com.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai 200011</wicri:regionArea><wicri:noRegion>Shanghai 200011</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Fule" sort="Wu, Fule" uniqKey="Wu F" first="Fule" last="Wu">Fule Wu</name><affiliation wicri:level="1"><nlm:affiliation>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240</wicri:regionArea><wicri:noRegion>Shanghai 200240</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Xiaojun" sort="Chen, Xiaojun" uniqKey="Chen X" first="Xiaojun" last="Chen">Xiaojun Chen</name><affiliation wicri:level="1"><nlm:affiliation>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240</wicri:regionArea><wicri:noRegion>Shanghai 200240</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Chengtao" sort="Wang, Chengtao" uniqKey="Wang C" first="Chengtao" last="Wang">Chengtao Wang</name><affiliation wicri:level="1"><nlm:affiliation>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240</wicri:regionArea><wicri:noRegion>Shanghai 200240</wicri:noRegion></affiliation></author><author><name sortKey="Shen, Guofang" sort="Shen, Guofang" uniqKey="Shen G" first="Guofang" last="Shen">Guofang Shen</name><affiliation wicri:level="1"><nlm:affiliation>Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai 200011, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai 200011</wicri:regionArea><wicri:noRegion>Shanghai 200011</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of biomedical informatics</title><idno type="eISSN">1532-0480</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Bone and Bones (surgery)</term><term>Computer Graphics</term><term>Computer Simulation</term><term>Feedback</term><term>Female</term><term>Humans</term><term>Imaging, Three-Dimensional</term><term>Learning</term><term>Male</term><term>Middle Aged</term><term>Orthopedics (education)</term><term>Orthopedics (methods)</term><term>Reproducibility of Results</term><term>Software</term><term>Tomography, X-Ray Computed</term><term>User-Computer Interface</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Orthopedics</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Orthopedics</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Bone and Bones</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Computer Graphics</term><term>Computer Simulation</term><term>Feedback</term><term>Female</term><term>Humans</term><term>Imaging, Three-Dimensional</term><term>Learning</term><term>Male</term><term>Middle Aged</term><term>Reproducibility of Results</term><term>Software</term><term>Tomography, X-Ray Computed</term><term>User-Computer Interface</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Bone sawing or cutting is widely used for bone removal processes in bone surgery. It is an essential skill that surgeons should execute with a high level of experience and sensitive force perception. Surgical training simulators, with virtual and haptic feedback functions, can offer a safe, repeatable and cost-effective alternative to traditional surgeries. In this research, we developed a surgical training simulator with virtual and haptic force feedback for maxillofacial surgery, and we validated the effects on the learning of bone-sawing skills through empirical evaluation.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24380817</PMID><DateCreated><Year>2014</Year><Month>04</Month><Day>28</Day></DateCreated><DateCompleted><Year>2014</Year><Month>12</Month><Day>17</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-0480</ISSN><JournalIssue CitedMedium="Internet"><Volume>48</Volume><PubDate><Year>2014</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Journal of biomedical informatics</Title><ISOAbbreviation>J Biomed Inform</ISOAbbreviation></Journal><ArticleTitle>Development and validation of a surgical training simulator with haptic feedback for learning bone-sawing skill.</ArticleTitle><Pagination><MedlinePgn>122-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jbi.2013.12.010</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1532-0464(13)00201-3</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Bone sawing or cutting is widely used for bone removal processes in bone surgery. It is an essential skill that surgeons should execute with a high level of experience and sensitive force perception. Surgical training simulators, with virtual and haptic feedback functions, can offer a safe, repeatable and cost-effective alternative to traditional surgeries. In this research, we developed a surgical training simulator with virtual and haptic force feedback for maxillofacial surgery, and we validated the effects on the learning of bone-sawing skills through empirical evaluation.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Omega.6 from Force Dimension was employed as the haptic device, and Display300 from SenseGraphices was used as the 3D stereo display. The voxel-based model was constructed using computed tomography (CT) images, and the virtual tools were built through reverse engineering. The multi-point collision detection method was applied for haptic rendering to test the 3D relationship between the virtual tool and the bone voxels. Bone-sawing procedures in maxillofacial surgery were simulated with a virtual environment and real-time haptic feedback. A total of 25 participants (16 novices and 9 experienced surgeons) were included in 2 groups to perform the bone-sawing simulation for assessing the construct validity. Each of the participants completed the same bone-sawing procedure at the predefined maxillary region six times. For each trial, the sawing operative time, the maximal acceleration, and the percentage of the haptic force exceeding the threshold were recorded and analysed to evaluate the validity. After six trials, all of the participants scored the simulator in terms of safe force learning, stable hand control and overall performance to confirm the face validity. Moreover, 10 novices in 2 groups indentified the transfer validity on rapid prototype skull models by comparing the operative time and the maximal acceleration.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The analysed results of construct validity showed that the two groups significantly reduced their sawing operative times after six trials. Regarding maximal acceleration, the curve significantly descended and reached a plateau after the fifth repetition (novices) or third repetition (surgeons). Regarding safe haptic force, the novices obviously reduced the percentage of the haptic force exceeding the threshold, with statistical significance after four trials, but the surgeons did not show a significant difference. Moreover, the subjectively scored results demonstrated that the proposed simulator was more helpful for the novices than for the experienced surgeons, with scores of 8.31 and 7.22, respectively, for their overall performance. The experimental results on skill transference showed that the experimental group performed bone-sawing operation in lower maximal acceleration than control group with a significant difference (p<0.05). These findings suggested that the simulator training had positive effects on real sawing.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The evaluation results proved the construct validity, face validity and the transfer validity of the simulator. These results indicated that this simulator was able to produce the effect of learning bone-sawing skill, and it could provide a training alternative for novices.</AbstractText><CopyrightInformation>Copyright © 2013 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Yanping</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Xudong</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai 200011, China. Electronic address: xudongwang70@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Fule</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Xiaojun</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Chengtao</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>School of Mechanical Engineering, State Key Laboratory of Mechanical System and Vibration, Institute of Biomedical Manufacturing and Life Quality Engineering, Shanghai 200240, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shen</LastName><ForeName>Guofang</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai 200011, China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D023361">Validation Studies</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>12</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Biomed Inform</MedlineTA><NlmUniqueID>100970413</NlmUniqueID><ISSNLinking>1532-0464</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001842">Bone and Bones</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003196">Computer Graphics</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003198">Computer Simulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005246">Feedback</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D021621">Imaging, Three-Dimensional</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007858">Learning</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009985">Orthopedics</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000193">education</QualifierName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015203">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012984">Software</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014057">Tomography, X-Ray Computed</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014584">User-Computer Interface</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D055815">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Bone sawing</Keyword><Keyword MajorTopicYN="N">Haptic</Keyword><Keyword MajorTopicYN="N">Simulator validation</Keyword><Keyword MajorTopicYN="N">Skill learning</Keyword><Keyword MajorTopicYN="N">Surgical training simulator</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>7</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>12</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>12</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2013</Year><Month>12</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>1</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>12</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24380817</ArticleId><ArticleId IdType="pii">S1532-0464(13)00201-3</ArticleId><ArticleId IdType="doi">10.1016/j.jbi.2013.12.010</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Lin, Yanping" sort="Lin, Yanping" uniqKey="Lin Y" first="Yanping" last="Lin">Yanping Lin</name></noRegion><name sortKey="Chen, Xiaojun" sort="Chen, Xiaojun" uniqKey="Chen X" first="Xiaojun" last="Chen">Xiaojun Chen</name><name sortKey="Shen, Guofang" sort="Shen, Guofang" uniqKey="Shen G" first="Guofang" last="Shen">Guofang Shen</name><name sortKey="Wang, Chengtao" sort="Wang, Chengtao" uniqKey="Wang C" first="Chengtao" last="Wang">Chengtao Wang</name><name sortKey="Wang, Xudong" sort="Wang, Xudong" uniqKey="Wang X" first="Xudong" last="Wang">Xudong Wang</name><name sortKey="Wu, Fule" sort="Wu, Fule" uniqKey="Wu F" first="Fule" last="Wu">Fule Wu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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