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Virtual Reality Cerebral Aneurysm Clipping Simulation With Real-time Haptic Feedback

Identifieur interne : 000406 ( Main/Exploration ); précédent : 000405; suivant : 000407

Virtual Reality Cerebral Aneurysm Clipping Simulation With Real-time Haptic Feedback

Auteurs : Ali Alaraj [États-Unis] ; Cristian J. Luciano [États-Unis] ; Daniel P. Bailey [États-Unis] ; Abdussalam Elsenousi [États-Unis] ; Ben Z. Roitberg [États-Unis] ; Antonio Bernardo [États-Unis] ; P. Pat Banerjee [États-Unis] ; Fady T. Charbel [États-Unis]

Source :

RBID : PMC:4340784

English descriptors

Abstract

Background

With the decrease in the number of cerebral aneurysms treated surgically and the increase of complexity of those treated surgically, there is a need for simulation-based tools to teach future neurosurgeons the operative techniques of aneurysm clipping.

Objective

To develop and evaluate the usefulness of a new haptic-based virtual reality (VR) simulator in the training of neurosurgical residents.

Methods

A real-time sensory haptic feedback virtual reality aneurysm clipping simulator was developed using the Immersive Touch platform. A prototype middle cerebral artery aneurysm simulation was created from a computed tomography angiogram. Aneurysm and vessel volume deformation and haptic feedback are provided in a 3-D immersive VR environment. Intraoperative aneurysm rupture was also simulated. Seventeen neurosurgery residents from three residency programs tested the simulator and provided feedback on its usefulness and resemblance to real aneurysm clipping surgery.

Results

Residents felt that the simulation would be useful in preparing for real-life surgery. About two thirds of the residents felt that the 3-D immersive anatomical details provided a very close resemblance to real operative anatomy and accurate guidance for deciding surgical approaches. They believed the simulation is useful for preoperative surgical rehearsal and neurosurgical training. One third of the residents felt that the technology in its current form provided very realistic haptic feedback for aneurysm surgery.

Conclusion

Neurosurgical residents felt that the novel immersive VR simulator is helpful in their training especially since they do not get a chance to perform aneurysm clippings until very late in their residency programs.


Url:
DOI: 10.1227/NEU.0000000000000583
PubMed: 25599200
PubMed Central: 4340784


Affiliations:


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<term>Models, Anatomic</term>
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<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Background</title>
<p id="P1">With the decrease in the number of cerebral aneurysms treated surgically and the increase of complexity of those treated surgically, there is a need for simulation-based tools to teach future neurosurgeons the operative techniques of aneurysm clipping.</p>
</sec>
<sec id="S2">
<title>Objective</title>
<p id="P2">To develop and evaluate the usefulness of a new haptic-based virtual reality (VR) simulator in the training of neurosurgical residents.</p>
</sec>
<sec id="S3">
<title>Methods</title>
<p id="P3">A real-time sensory haptic feedback virtual reality aneurysm clipping simulator was developed using the Immersive Touch platform. A prototype middle cerebral artery aneurysm simulation was created from a computed tomography angiogram. Aneurysm and vessel volume deformation and haptic feedback are provided in a 3-D immersive VR environment. Intraoperative aneurysm rupture was also simulated. Seventeen neurosurgery residents from three residency programs tested the simulator and provided feedback on its usefulness and resemblance to real aneurysm clipping surgery.</p>
</sec>
<sec id="S4">
<title>Results</title>
<p id="P4">Residents felt that the simulation would be useful in preparing for real-life surgery. About two thirds of the residents felt that the 3-D immersive anatomical details provided a very close resemblance to real operative anatomy and accurate guidance for deciding surgical approaches. They believed the simulation is useful for preoperative surgical rehearsal and neurosurgical training. One third of the residents felt that the technology in its current form provided very realistic haptic feedback for aneurysm surgery.</p>
</sec>
<sec id="S5">
<title>Conclusion</title>
<p id="P5">Neurosurgical residents felt that the novel immersive VR simulator is helpful in their training especially since they do not get a chance to perform aneurysm clippings until very late in their residency programs.</p>
</sec>
</div>
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