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Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation.

Identifieur interne : 001776 ( PubMed/Corpus ); précédent : 001775; suivant : 001777

Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation.

Auteurs : P. Lamata ; E J G Mez ; F M Sánchez-Margallo ; F. Lamata ; F. Del Pozo ; J. Us N

Source :

RBID : pubmed:16858535

English descriptors

Abstract

What degree of fidelity must a laparoscopic simulator have to achieve a training objective? This difficult question is addressed by studying the sensory interaction of surgeons in terms of a surgical skill: tissue consistency perception.

DOI: 10.1007/s00464-004-9269-z
PubMed: 16858535

Links to Exploration step

pubmed:16858535

Le document en format XML

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<title xml:lang="en">Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation.</title>
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<name sortKey="Lamata, P" sort="Lamata, P" uniqKey="Lamata P" first="P" last="Lamata">P. Lamata</name>
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<nlm:affiliation>Grupo de Bioingeniería y Telemedicina, Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, c/Ciudad Universitaria s/n, 28040, Madrid, Spain.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="G Mez, E J" sort="G Mez, E J" uniqKey="G Mez E" first="E J" last="G Mez">E J G Mez</name>
</author>
<author>
<name sortKey="Sanchez Margallo, F M" sort="Sanchez Margallo, F M" uniqKey="Sanchez Margallo F" first="F M" last="Sánchez-Margallo">F M Sánchez-Margallo</name>
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<name sortKey="Lamata, F" sort="Lamata, F" uniqKey="Lamata F" first="F" last="Lamata">F. Lamata</name>
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<name sortKey="Del Pozo, F" sort="Del Pozo, F" uniqKey="Del Pozo F" first="F" last="Del Pozo">F. Del Pozo</name>
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<name sortKey="Us N, J" sort="Us N, J" uniqKey="Us N J" first="J" last="Us N">J. Us N</name>
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<title xml:lang="en">Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation.</title>
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<name sortKey="Lamata, P" sort="Lamata, P" uniqKey="Lamata P" first="P" last="Lamata">P. Lamata</name>
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<nlm:affiliation>Grupo de Bioingeniería y Telemedicina, Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, c/Ciudad Universitaria s/n, 28040, Madrid, Spain.</nlm:affiliation>
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<name sortKey="G Mez, E J" sort="G Mez, E J" uniqKey="G Mez E" first="E J" last="G Mez">E J G Mez</name>
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<author>
<name sortKey="Sanchez Margallo, F M" sort="Sanchez Margallo, F M" uniqKey="Sanchez Margallo F" first="F M" last="Sánchez-Margallo">F M Sánchez-Margallo</name>
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<name sortKey="Lamata, F" sort="Lamata, F" uniqKey="Lamata F" first="F" last="Lamata">F. Lamata</name>
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<name sortKey="Del Pozo, F" sort="Del Pozo, F" uniqKey="Del Pozo F" first="F" last="Del Pozo">F. Del Pozo</name>
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<author>
<name sortKey="Us N, J" sort="Us N, J" uniqKey="Us N J" first="J" last="Us N">J. Us N</name>
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<series>
<title level="j">Surgical endoscopy</title>
<idno type="eISSN">1432-2218</idno>
<imprint>
<date when="2006" type="published">2006</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Clinical Competence</term>
<term>Computer Simulation</term>
<term>Humans</term>
<term>Laparoscopy (methods)</term>
<term>Physicians</term>
<term>Sensation</term>
<term>Touch</term>
<term>User-Computer Interface</term>
<term>Vision, Ocular</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Laparoscopy</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Clinical Competence</term>
<term>Computer Simulation</term>
<term>Humans</term>
<term>Physicians</term>
<term>Sensation</term>
<term>Touch</term>
<term>User-Computer Interface</term>
<term>Vision, Ocular</term>
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<front>
<div type="abstract" xml:lang="en">What degree of fidelity must a laparoscopic simulator have to achieve a training objective? This difficult question is addressed by studying the sensory interaction of surgeons in terms of a surgical skill: tissue consistency perception.</div>
</front>
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<DateCreated>
<Year>2006</Year>
<Month>09</Month>
<Day>21</Day>
</DateCreated>
<DateCompleted>
<Year>2006</Year>
<Month>10</Month>
<Day>12</Day>
</DateCompleted>
<DateRevised>
<Year>2008</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1432-2218</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>20</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2006</Year>
<Month>Sep</Month>
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</JournalIssue>
<Title>Surgical endoscopy</Title>
<ISOAbbreviation>Surg Endosc</ISOAbbreviation>
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<ArticleTitle>Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation.</ArticleTitle>
<Pagination>
<MedlinePgn>1368-75</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">What degree of fidelity must a laparoscopic simulator have to achieve a training objective? This difficult question is addressed by studying the sensory interaction of surgeons in terms of a surgical skill: tissue consistency perception.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A method for characterizing surgeon sensory interaction has been defined and applied in an effort to determine the relative importance of three components of perceptual surgical skill: visual cues, haptic information, and previous surgical knowledge and experience. Expert, intermediate, and novel surgeons were enrolled in the study. Users were asked to rank tissue consistency in four different conditions: a description of the tissue alone (Q), visual information alone (VI), tactile information alone (TI), and both visual and tactile information (VTI). Agreement between these stages was assessed by a coefficient of determination (R2).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Tissue is a determinant factor (p < 0.001) in the perception of tissue consistency, whereas the expertise of the surgeon is not (p = 0.289). Tissue consistency perception is based mainly on tactile information (TI-VTI agreement is high, R2 = 0.873), although little sensory substitution is present (VI-VTI agreement is low, R2 = 0.509). Agreement of Q-VI increases with experience (R2 = 0.050, 0.290, and 0.573, corresponding with to novel, intermediate, and expert surgeons), which has been associated with the "visual haptics" concept.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Virtual reality simulators need haptic devices with force feedback capability if tissue consistency information is to be delivered. On the other hand, the visual haptics concept has been associated with a kind of tactile memory developed by surgical experience.</AbstractText>
</Abstract>
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<LastName>Lamata</LastName>
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<Affiliation>Grupo de Bioingeniería y Telemedicina, Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, c/Ciudad Universitaria s/n, 28040, Madrid, Spain.</Affiliation>
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<LastName>Usón</LastName>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2006</Year>
<Month>07</Month>
<Day>20</Day>
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<Country>Germany</Country>
<MedlineTA>Surg Endosc</MedlineTA>
<NlmUniqueID>8806653</NlmUniqueID>
<ISSNLinking>0930-2794</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
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<DescriptorName MajorTopicYN="Y" UI="D003198">Computer Simulation</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D010535">Laparoscopy</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
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<DescriptorName MajorTopicYN="Y" UI="D010820">Physicians</DescriptorName>
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<DescriptorName MajorTopicYN="Y" UI="D012677">Sensation</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D014110">Touch</DescriptorName>
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<DescriptorName MajorTopicYN="Y" UI="D014584">User-Computer Interface</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014785">Vision, Ocular</DescriptorName>
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<Year>2005</Year>
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