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Virtual reality surgery: Neurosurgery and the contemporary landscape. Commentary

Identifieur interne : 000E06 ( PascalFrancis/Checkpoint ); précédent : 000E05; suivant : 000E07

Virtual reality surgery: Neurosurgery and the contemporary landscape. Commentary

Auteurs : Mark A. Spicer [États-Unis] ; Michael L. J. Apuzzo [États-Unis] ; Patrick J. Kelly ; Edward C. Benzel ; John R. Jr Adler

Source :

RBID : Pascal:03-0194658

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English descriptors

Abstract

OBJECTIVE: Virtual reality-simulated environments have been used for the training of personnel, most notably for military applications, for more than 35 years. The advantages conterred by being able to train novice personnel in a low to no-risk simulated environment have long been appreciated by the medical community. The recent avaifability of affordable gigahertz-cange microprocessors (once the exclusive domain of the Cray supercomputer) has made photorealista graphical rendering and manip. ulation of virtual surgical substrates a reality. Concomitant advances in artificial intelligerice systems and the portability of patient-specific magnetic resonance imag. ing computed tomographic scanning, and angiographic image data presage the emergence of the surgical simulator as a modern surgical training adjunct. An over. view of the status of surgical simulation with regard to its adaptability to current sugical training regimens is presented. METHODS: Extensive MEDLINE. Internet, and other database searches spanning the years 1960 to 2002 were conducted in an effort to delineate the status of simulated surgical environments. RESULTS: As would be expected, most articles addressing surgical simuiation as their primary focus have been published in the past decade. A review of this literature demonstrates the broadest application in the field of endoscopic (and laparoscopic) procedures, most likely as a result of the rduced engineering burden with respect to incorporation of a haptic intertace. CONCLUSION: The realization of etgonomically acceptable haptic interraces remains elusive. Improvements in graphical rendering and the incorporation of artificial intelligence functions signal the certain emergence of surgical simufators as a viable supplentent to the halstedian method of surgical training.


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Pascal:03-0194658

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