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Virtual reality myringotomy simulation with real-time deformation: development and validity testing.

Identifieur interne : 000C00 ( PubMed/Curation ); précédent : 000B99; suivant : 000C01

Virtual reality myringotomy simulation with real-time deformation: development and validity testing.

Auteurs : Andrew K. Ho [Canada] ; Hussain Alsaffar ; Philip C. Doyle ; Hanif M. Ladak ; Sumit K. Agrawal

Source :

RBID : pubmed:22566189

English descriptors

Abstract

Surgical simulation is becoming an increasingly common training tool in residency programs. The first objective was to implement real-time soft-tissue deformation and cutting into a virtual reality myringotomy simulator. The second objective was to test the various implemented incision algorithms to determine which most accurately represents the tympanic membrane during myringotomy.

DOI: 10.1002/lary.23361
PubMed: 22566189

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pubmed:22566189

Le document en format XML

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<title xml:lang="en">Virtual reality myringotomy simulation with real-time deformation: development and validity testing.</title>
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<name sortKey="Ho, Andrew K" sort="Ho, Andrew K" uniqKey="Ho A" first="Andrew K" last="Ho">Andrew K. Ho</name>
<affiliation wicri:level="1">
<nlm:affiliation>Biomedical Engineering Graduate Program, University of Western Ontario, London, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Biomedical Engineering Graduate Program, University of Western Ontario, London, Ontario</wicri:regionArea>
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<name sortKey="Alsaffar, Hussain" sort="Alsaffar, Hussain" uniqKey="Alsaffar H" first="Hussain" last="Alsaffar">Hussain Alsaffar</name>
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<name sortKey="Doyle, Philip C" sort="Doyle, Philip C" uniqKey="Doyle P" first="Philip C" last="Doyle">Philip C. Doyle</name>
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<name sortKey="Ladak, Hanif M" sort="Ladak, Hanif M" uniqKey="Ladak H" first="Hanif M" last="Ladak">Hanif M. Ladak</name>
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<name sortKey="Agrawal, Sumit K" sort="Agrawal, Sumit K" uniqKey="Agrawal S" first="Sumit K" last="Agrawal">Sumit K. Agrawal</name>
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<title xml:lang="en">Virtual reality myringotomy simulation with real-time deformation: development and validity testing.</title>
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<name sortKey="Doyle, Philip C" sort="Doyle, Philip C" uniqKey="Doyle P" first="Philip C" last="Doyle">Philip C. Doyle</name>
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<title level="j">The Laryngoscope</title>
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<term>Algorithms</term>
<term>Computer Simulation</term>
<term>Feedback</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Internship and Residency</term>
<term>Middle Ear Ventilation (education)</term>
<term>Middle Ear Ventilation (methods)</term>
<term>Models, Anatomic</term>
<term>Otolaryngology (education)</term>
<term>Surveys and Questionnaires</term>
<term>Tympanic Membrane (surgery)</term>
<term>User-Computer Interface</term>
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<term>Middle Ear Ventilation</term>
<term>Otolaryngology</term>
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<term>Middle Ear Ventilation</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Tympanic Membrane</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Algorithms</term>
<term>Computer Simulation</term>
<term>Feedback</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Internship and Residency</term>
<term>Models, Anatomic</term>
<term>Surveys and Questionnaires</term>
<term>User-Computer Interface</term>
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<div type="abstract" xml:lang="en">Surgical simulation is becoming an increasingly common training tool in residency programs. The first objective was to implement real-time soft-tissue deformation and cutting into a virtual reality myringotomy simulator. The second objective was to test the various implemented incision algorithms to determine which most accurately represents the tympanic membrane during myringotomy.</div>
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<Month>11</Month>
<Day>19</Day>
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<Volume>122</Volume>
<Issue>8</Issue>
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<Month>Aug</Month>
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<ELocationID EIdType="doi" ValidYN="Y">10.1002/lary.23361</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES/HYPOTHESIS" NlmCategory="OBJECTIVE">Surgical simulation is becoming an increasingly common training tool in residency programs. The first objective was to implement real-time soft-tissue deformation and cutting into a virtual reality myringotomy simulator. The second objective was to test the various implemented incision algorithms to determine which most accurately represents the tympanic membrane during myringotomy.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Descriptive and face-validity testing.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A deformable tympanic membrane was developed, and three soft-tissue cutting algorithms were successfully implemented into the virtual reality myringotomy simulator. The algorithms included element removal, direction prediction, and Delaunay cutting. The simulator was stable and capable of running in real time on inexpensive hardware. A face-validity study was then carried out using a validated questionnaire given to eight otolaryngologists and four senior otolaryngology residents. Each participant was given an adaptation period on the simulator, was blinded to the algorithm being used, and was presented the three algorithms in a randomized order.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A virtual reality myringotomy simulator with real-time soft-tissue deformation and cutting was successfully developed. The simulator was stable, ran in real time on inexpensive hardware, and incorporated haptic feedback and stereoscopic vision. The Delaunay cutting algorithm was found to be the most realistic algorithm representing the incision during myringotomy (P < .05). The Likert and visual analog scales had strong correlations, suggesting good internal reliability.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The first virtual reality myringotomy simulator is being developed and now integrates a real-time deformable tympanic membrane that appears to have face validity. Further development and validation studies are necessary before the simulator can be studied with respect to training efficacy and clinical impact.</AbstractText>
<CopyrightInformation>Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.</CopyrightInformation>
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