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Sensory and motor skill testing in neurosurgery applicants: a pilot study using a virtual reality haptic neurosurgical simulator.

Identifieur interne : 002955 ( Ncbi/Merge ); précédent : 002954; suivant : 002956

Sensory and motor skill testing in neurosurgery applicants: a pilot study using a virtual reality haptic neurosurgical simulator.

Auteurs : Ben Roitberg [États-Unis] ; Pat Banerjee ; Cristian Luciano ; Martin Matulyauskas ; Silvio Rizzi ; Patrick Kania ; Jaime Gasco

Source :

RBID : pubmed:24051874

English descriptors

Abstract

Manual skill is important for surgeons, but current methods to evaluate sensory-motor skills in applicants to a surgical residency are limited.

DOI: 10.1227/NEU.0000000000000089
PubMed: 24051874

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pubmed:24051874

Le document en format XML

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<title xml:lang="en">Sensory and motor skill testing in neurosurgery applicants: a pilot study using a virtual reality haptic neurosurgical simulator.</title>
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<name sortKey="Roitberg, Ben" sort="Roitberg, Ben" uniqKey="Roitberg B" first="Ben" last="Roitberg">Ben Roitberg</name>
<affiliation wicri:level="2">
<nlm:affiliation>*University of Chicago Section of Neurosurgery, Chicago, Illinois; ‡University of Illinois at Chicago, Department of Mechanical and Industrial Engineering, Chicago, Illinois; §ImmersiveTouch Inc, Westmont, Illinois; ¶University of Texas Medical Branch at Galveston, Department of Neurosurgery, Galveston, Texas.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Texas</region>
</placeName>
<wicri:cityArea>*University of Chicago Section of Neurosurgery, Chicago, Illinois; ‡University of Illinois at Chicago, Department of Mechanical and Industrial Engineering, Chicago, Illinois; §ImmersiveTouch Inc, Westmont, Illinois; ¶University of Texas Medical Branch at Galveston, Department of Neurosurgery, Galveston</wicri:cityArea>
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<name sortKey="Banerjee, Pat" sort="Banerjee, Pat" uniqKey="Banerjee P" first="Pat" last="Banerjee">Pat Banerjee</name>
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<author>
<name sortKey="Luciano, Cristian" sort="Luciano, Cristian" uniqKey="Luciano C" first="Cristian" last="Luciano">Cristian Luciano</name>
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<name sortKey="Matulyauskas, Martin" sort="Matulyauskas, Martin" uniqKey="Matulyauskas M" first="Martin" last="Matulyauskas">Martin Matulyauskas</name>
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<author>
<name sortKey="Rizzi, Silvio" sort="Rizzi, Silvio" uniqKey="Rizzi S" first="Silvio" last="Rizzi">Silvio Rizzi</name>
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<author>
<name sortKey="Kania, Patrick" sort="Kania, Patrick" uniqKey="Kania P" first="Patrick" last="Kania">Patrick Kania</name>
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<name sortKey="Gasco, Jaime" sort="Gasco, Jaime" uniqKey="Gasco J" first="Jaime" last="Gasco">Jaime Gasco</name>
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<title xml:lang="en">Sensory and motor skill testing in neurosurgery applicants: a pilot study using a virtual reality haptic neurosurgical simulator.</title>
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<name sortKey="Roitberg, Ben" sort="Roitberg, Ben" uniqKey="Roitberg B" first="Ben" last="Roitberg">Ben Roitberg</name>
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<nlm:affiliation>*University of Chicago Section of Neurosurgery, Chicago, Illinois; ‡University of Illinois at Chicago, Department of Mechanical and Industrial Engineering, Chicago, Illinois; §ImmersiveTouch Inc, Westmont, Illinois; ¶University of Texas Medical Branch at Galveston, Department of Neurosurgery, Galveston, Texas.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Texas</region>
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<wicri:cityArea>*University of Chicago Section of Neurosurgery, Chicago, Illinois; ‡University of Illinois at Chicago, Department of Mechanical and Industrial Engineering, Chicago, Illinois; §ImmersiveTouch Inc, Westmont, Illinois; ¶University of Texas Medical Branch at Galveston, Department of Neurosurgery, Galveston</wicri:cityArea>
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<name sortKey="Banerjee, Pat" sort="Banerjee, Pat" uniqKey="Banerjee P" first="Pat" last="Banerjee">Pat Banerjee</name>
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<name sortKey="Luciano, Cristian" sort="Luciano, Cristian" uniqKey="Luciano C" first="Cristian" last="Luciano">Cristian Luciano</name>
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<name sortKey="Matulyauskas, Martin" sort="Matulyauskas, Martin" uniqKey="Matulyauskas M" first="Martin" last="Matulyauskas">Martin Matulyauskas</name>
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<name sortKey="Rizzi, Silvio" sort="Rizzi, Silvio" uniqKey="Rizzi S" first="Silvio" last="Rizzi">Silvio Rizzi</name>
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<name sortKey="Kania, Patrick" sort="Kania, Patrick" uniqKey="Kania P" first="Patrick" last="Kania">Patrick Kania</name>
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<name sortKey="Gasco, Jaime" sort="Gasco, Jaime" uniqKey="Gasco J" first="Jaime" last="Gasco">Jaime Gasco</name>
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<series>
<title level="j">Neurosurgery</title>
<idno type="eISSN">1524-4040</idno>
<imprint>
<date when="2013" type="published">2013</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aptitude Tests</term>
<term>Bone Screws</term>
<term>Brain (surgery)</term>
<term>Clinical Competence</term>
<term>Computer Graphics</term>
<term>Computer Simulation</term>
<term>Data Interpretation, Statistical</term>
<term>Female</term>
<term>Hemostasis</term>
<term>Humans</term>
<term>Internship and Residency (organization & administration)</term>
<term>Male</term>
<term>Motor Skills (physiology)</term>
<term>Neurosurgery (methods)</term>
<term>Pilot Projects</term>
<term>Psychomotor Performance</term>
<term>School Admission Criteria</term>
<term>Spine (anatomy & histology)</term>
<term>User-Computer Interface</term>
<term>Visual Perception (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en">
<term>Spine</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Neurosurgery</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en">
<term>Internship and Residency</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Motor Skills</term>
<term>Visual Perception</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Brain</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aptitude Tests</term>
<term>Bone Screws</term>
<term>Clinical Competence</term>
<term>Computer Graphics</term>
<term>Computer Simulation</term>
<term>Data Interpretation, Statistical</term>
<term>Female</term>
<term>Hemostasis</term>
<term>Humans</term>
<term>Male</term>
<term>Pilot Projects</term>
<term>Psychomotor Performance</term>
<term>School Admission Criteria</term>
<term>User-Computer Interface</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">Manual skill is important for surgeons, but current methods to evaluate sensory-motor skills in applicants to a surgical residency are limited.</div>
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<pubmed>
<MedlineCitation Owner="NLM" Status="MEDLINE">
<PMID Version="1">24051874</PMID>
<DateCreated>
<Year>2013</Year>
<Month>09</Month>
<Day>20</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>04</Month>
<Day>22</Day>
</DateCompleted>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1524-4040</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>73 Suppl 1</Volume>
<PubDate>
<Year>2013</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Neurosurgery</Title>
<ISOAbbreviation>Neurosurgery</ISOAbbreviation>
</Journal>
<ArticleTitle>Sensory and motor skill testing in neurosurgery applicants: a pilot study using a virtual reality haptic neurosurgical simulator.</ArticleTitle>
<Pagination>
<MedlinePgn>116-21</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1227/NEU.0000000000000089</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Manual skill is important for surgeons, but current methods to evaluate sensory-motor skills in applicants to a surgical residency are limited.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To develop a method of testing sensory-motor skill using objective and reproducible virtual reality simulation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We designed a set of tests on a 3-dimensional surgical simulator with head and arm tracking, colocalization, and haptic feedback: (1) "trajectory planning in a simulated vertebra," ie, 3-dimensional memory and orientation; "hemostasis in the brain," ie, motor planning, sequence, timing, and precision; and "choose the softest object," ie, haptic perception. We also derived a weighted combined score for all tasks.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 55 consecutive applicants to a neurosurgery residency approached, 46 performed at least 1 task, and 36 performed all tasks. For the trajectory planning task, the distance from target ranged from 3 to 30 mm, with 25 of 36 in the 6- to 18-mm range. In the motor planning test, the duration between cauterization attempts ranged between 5 and 22.5 seconds, peaking at 10 to 12.5 seconds in 15 of 36 participants. In the haptic perception test, linear regression demonstrated increased variability in performance with increasing difficulty of task (R = 0.6281). In all tests, performance followed a roughly bell-shaped curve. The combined weighted score of all tests demonstrated a better bell curve distribution, with scores ranging from 0.275 to 0.71 (mean, 0.47; median, 0.4775; SD, 0.1174).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our study represents a first step in the direction of an objective, standard, computer-scored test of motor and haptic ability.</AbstractText>
</Abstract>
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<LastName>Roitberg</LastName>
<ForeName>Ben</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>*University of Chicago Section of Neurosurgery, Chicago, Illinois; ‡University of Illinois at Chicago, Department of Mechanical and Industrial Engineering, Chicago, Illinois; §ImmersiveTouch Inc, Westmont, Illinois; ¶University of Texas Medical Branch at Galveston, Department of Neurosurgery, Galveston, Texas.</Affiliation>
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<LastName>Banerjee</LastName>
<ForeName>Pat</ForeName>
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<LastName>Luciano</LastName>
<ForeName>Cristian</ForeName>
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<LastName>Matulyauskas</LastName>
<ForeName>Martin</ForeName>
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<Language>eng</Language>
<GrantList CompleteYN="Y">
<Grant>
<GrantID>2R44NS066557</GrantID>
<Acronym>NS</Acronym>
<Agency>NINDS NIH HHS</Agency>
<Country>United States</Country>
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<Country>United States</Country>
<MedlineTA>Neurosurgery</MedlineTA>
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<ISSNLinking>0148-396X</ISSNLinking>
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</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D013131">Spine</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014584">User-Computer Interface</DescriptorName>
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<name sortKey="Banerjee, Pat" sort="Banerjee, Pat" uniqKey="Banerjee P" first="Pat" last="Banerjee">Pat Banerjee</name>
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<name sortKey="Kania, Patrick" sort="Kania, Patrick" uniqKey="Kania P" first="Patrick" last="Kania">Patrick Kania</name>
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