Virtual Temporal Bone Dissection System: Development and Testing
Identifieur interne : 001A09 ( Pmc/Curation ); précédent : 001A08; suivant : 001A10Virtual Temporal Bone Dissection System: Development and Testing
Auteurs : Gregory J. Wiet ; Don Stredney ; Thomas Kerwin ; Bradley Hittle ; Soledad A. Fernandez ; D. Bradley WellingSource :
- The Laryngoscope [ 0023-852X ] ; 2012.
Abstract
The objective of this project was to develop a virtual temporal bone dissection system that would provide an enhanced educational experience for the training of otologic surgeons.
A randomized, controlled, multi-institutional single blinded validation study.
The project encompassed 4 areas of emphasis: structural data acquisition, integration of the system, dissemination of the system, and validation.
Structural acquisition was performed on multiple imaging platforms. Integration achieved a cost effective system. Dissemination was achieved on different levels including casual interest, downloading of software, and full involvement in development and validation studies. A validation study was performed at 8 different training institutions across the country using a two arm, randomized trial where study subjects were randomized to a two-week practice session using either the virtual temporal bone or standard cadaveric temporal bones. Eighty subjects were enrolled and randomized to one of the two treatment arms, 65 completed the study. There was no difference between the two groups using a blinded rating tool to assess performance after training.
1. A virtual temporal bone dissection system has been developed and compared to cadaveric temporal bones for practice using a multi-center trial. 2. There is no statistical difference seen between practice on the current simulator when compared to practice on human cadaveric temporal bones. 3. Further refinements in structural acquisition and interface design have been identified which can be implemented prior to full incorporation into training programs and use for objective skills assessment.
Url:
DOI: 10.1002/lary.22499
PubMed: 22294268
PubMed Central: 3530401
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Gregory J. Wiet<affiliation><nlm:aff id="A1">The Ohio State University Department of Otolaryngology, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Biomedical Informatics, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A4">Nationwide Children’s Hospital, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Biomedical Informatics, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A4">Nationwide Children’s Hospital, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A4">Nationwide Children’s Hospital, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1">The Ohio State University Department of Otolaryngology, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Biomedical Informatics, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A5">Ohio Supercomputer Center, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Biomedical Informatics, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A5">Ohio Supercomputer Center, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A5">Ohio Supercomputer Center, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A5">Ohio Supercomputer Center, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A5">Ohio Supercomputer Center, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A3">Center for Biostatistics, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1">The Ohio State University Department of Otolaryngology, Columbus, Ohio USA</nlm:aff>
<wicri:noCountry code="subfield">Ohio USA</wicri:noCountry>
</affiliation>
Le document en format XML
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<series><title level="j">The Laryngoscope</title>
<idno type="ISSN">0023-852X</idno>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives/Hypothesis</title>
<p id="P1">The objective of this project was to develop a virtual temporal bone dissection system that would provide an enhanced educational experience for the training of otologic surgeons.</p>
</sec>
<sec id="S2"><title>Study Design</title>
<p id="P2">A randomized, controlled, multi-institutional single blinded validation study.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">The project encompassed 4 areas of emphasis: structural data acquisition, integration of the system, dissemination of the system, and validation.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Structural acquisition was performed on multiple imaging platforms. Integration achieved a cost effective system. Dissemination was achieved on different levels including casual interest, downloading of software, and full involvement in development and validation studies. A validation study was performed at 8 different training institutions across the country using a two arm, randomized trial where study subjects were randomized to a two-week practice session using either the virtual temporal bone or standard cadaveric temporal bones. Eighty subjects were enrolled and randomized to one of the two treatment arms, 65 completed the study. There was no difference between the two groups using a blinded rating tool to assess performance after training.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">1. A virtual temporal bone dissection system has been developed and compared to cadaveric temporal bones for practice using a multi-center trial. 2. There is no statistical difference seen between practice on the current simulator when compared to practice on human cadaveric temporal bones. 3. Further refinements in structural acquisition and interface design have been identified which can be implemented prior to full incorporation into training programs and use for objective skills assessment.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8607378</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5476</journal-id>
<journal-id journal-id-type="nlm-ta">Laryngoscope</journal-id>
<journal-id journal-id-type="iso-abbrev">Laryngoscope</journal-id>
<journal-title-group><journal-title>The Laryngoscope</journal-title>
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<article-id pub-id-type="manuscript">NIHMS392572</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Virtual Temporal Bone Dissection System: Development and Testing</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Wiet</surname>
<given-names>Gregory J.</given-names>
</name>
<degrees>MD, FACS, FAAP</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Stredney</surname>
<given-names>Don</given-names>
</name>
<degrees>MA</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A5">5</xref>
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<contrib contrib-type="author"><name><surname>Kerwin</surname>
<given-names>Thomas</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hittle</surname>
<given-names>Bradley</given-names>
</name>
<degrees>BS</degrees>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandez</surname>
<given-names>Soledad A.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Welling</surname>
<given-names>D. Bradley</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
The Ohio State University Department of Otolaryngology, Columbus, Ohio USA</aff>
<aff id="A2"><label>2</label>
Department of Biomedical Informatics, Columbus, Ohio USA</aff>
<aff id="A3"><label>3</label>
Center for Biostatistics, Columbus, Ohio USA</aff>
<aff id="A4"><label>4</label>
Nationwide Children’s Hospital, Columbus, Ohio USA</aff>
<aff id="A5"><label>5</label>
Ohio Supercomputer Center, Columbus, Ohio USA</aff>
<author-notes><corresp id="FN1">Correspondence should be addressed to: Gregory J. Wiet, MD, FACS, FAAP, Associate Professor of Otolaryngology and Biomedical Informatics, The Ohio State University, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, Ohio 43205, <email>Gregory.wiet@nationwidechildrens.org</email>
, 614-722-6600, 614-722-6609 (Fax)</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>11</day>
<month>7</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub"><day>31</day>
<month>1</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>3</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>3</month>
<year>2013</year>
</pub-date>
<volume>122</volume>
<issue>Suppl 1</issue>
<fpage>S1</fpage>
<lpage>12</lpage>
<abstract><sec id="S1"><title>Objectives/Hypothesis</title>
<p id="P1">The objective of this project was to develop a virtual temporal bone dissection system that would provide an enhanced educational experience for the training of otologic surgeons.</p>
</sec>
<sec id="S2"><title>Study Design</title>
<p id="P2">A randomized, controlled, multi-institutional single blinded validation study.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">The project encompassed 4 areas of emphasis: structural data acquisition, integration of the system, dissemination of the system, and validation.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Structural acquisition was performed on multiple imaging platforms. Integration achieved a cost effective system. Dissemination was achieved on different levels including casual interest, downloading of software, and full involvement in development and validation studies. A validation study was performed at 8 different training institutions across the country using a two arm, randomized trial where study subjects were randomized to a two-week practice session using either the virtual temporal bone or standard cadaveric temporal bones. Eighty subjects were enrolled and randomized to one of the two treatment arms, 65 completed the study. There was no difference between the two groups using a blinded rating tool to assess performance after training.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">1. A virtual temporal bone dissection system has been developed and compared to cadaveric temporal bones for practice using a multi-center trial. 2. There is no statistical difference seen between practice on the current simulator when compared to practice on human cadaveric temporal bones. 3. Further refinements in structural acquisition and interface design have been identified which can be implemented prior to full incorporation into training programs and use for objective skills assessment.</p>
</sec>
</abstract>
<kwd-group><kwd>Simulation training</kwd>
<kwd>Temporal bone simulation</kwd>
<kwd>Surgical simulation</kwd>
<kwd>Surgical training</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute on Deafness and Other Communication Disorders : NIDCD</funding-source>
<award-id>R01 DC011321 || DC</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute on Deafness and Other Communication Disorders : NIDCD</funding-source>
<award-id>R01 DC006458 || DC</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
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