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Percutaneous spinal fixation simulation with virtual reality and haptics.

Identifieur interne : 002398 ( Ncbi/Merge ); précédent : 002397; suivant : 002399

Percutaneous spinal fixation simulation with virtual reality and haptics.

Auteurs : Cristian J. Luciano [États-Unis] ; P Pat Banerjee ; Jeffery M. Sorenson ; Kevin T. Foley ; Sameer A. Ansari ; Silvio Rizzi ; Anand V. Germanwala ; Leonard Kranzler ; Prashant Chittiboina ; Ben Z. Roitberg

Source :

RBID : pubmed:23254818

English descriptors

Abstract

In this study, we evaluated the use of a part-task simulator with 3-dimensional and haptic feedback as a training tool for percutaneous spinal needle placement.

DOI: 10.1227/NEU.0b013e3182750a8d
PubMed: 23254818

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pubmed:23254818

Le document en format XML

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<term>Cerebrospinal Fluid Shunts (education)</term>
<term>Cerebrospinal Fluid Shunts (methods)</term>
<term>Cerebrospinal Fluid Shunts (standards)</term>
<term>Clinical Competence</term>
<term>Competency-Based Education (methods)</term>
<term>Computer Simulation</term>
<term>Fellowships and Scholarships (methods)</term>
<term>Female</term>
<term>Fluoroscopy</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Internship and Residency (methods)</term>
<term>Male</term>
<term>Minimally Invasive Surgical Procedures (education)</term>
<term>Minimally Invasive Surgical Procedures (methods)</term>
<term>Minimally Invasive Surgical Procedures (standards)</term>
<term>Needles</term>
<term>Radiation Dosage</term>
<term>Spine (surgery)</term>
<term>Tomography, X-Ray Computed</term>
<term>User-Computer Interface</term>
<term>Ventriculostomy (education)</term>
<term>Ventriculostomy (methods)</term>
<term>Ventriculostomy (standards)</term>
<term>Vertebroplasty (education)</term>
<term>Vertebroplasty (methods)</term>
<term>Vertebroplasty (standards)</term>
</keywords>
<keywords scheme="MESH" qualifier="education" xml:lang="en">
<term>Cerebrospinal Fluid Shunts</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Ventriculostomy</term>
<term>Vertebroplasty</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Cerebrospinal Fluid Shunts</term>
<term>Competency-Based Education</term>
<term>Fellowships and Scholarships</term>
<term>Internship and Residency</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Ventriculostomy</term>
<term>Vertebroplasty</term>
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<term>Cerebrospinal Fluid Shunts</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Ventriculostomy</term>
<term>Vertebroplasty</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Spine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Clinical Competence</term>
<term>Computer Simulation</term>
<term>Female</term>
<term>Fluoroscopy</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Male</term>
<term>Needles</term>
<term>Radiation Dosage</term>
<term>Tomography, X-Ray Computed</term>
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<front>
<div type="abstract" xml:lang="en">In this study, we evaluated the use of a part-task simulator with 3-dimensional and haptic feedback as a training tool for percutaneous spinal needle placement.</div>
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<DateCreated>
<Year>2012</Year>
<Month>12</Month>
<Day>20</Day>
</DateCreated>
<DateCompleted>
<Year>2013</Year>
<Month>05</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>11</Month>
<Day>20</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1524-4040</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>72 Suppl 1</Volume>
<PubDate>
<Year>2013</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Neurosurgery</Title>
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<ArticleTitle>Percutaneous spinal fixation simulation with virtual reality and haptics.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In this study, we evaluated the use of a part-task simulator with 3-dimensional and haptic feedback as a training tool for percutaneous spinal needle placement.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the learning effectiveness in terms of entry point/target point accuracy of percutaneous spinal needle placement on a high-performance augmented-reality and haptic technology workstation with the ability to control the duration of computer-simulated fluoroscopic exposure, thereby simulating an actual situation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Sixty-three fellows and residents performed needle placement on the simulator. A virtual needle was percutaneously inserted into a virtual patient's thoracic spine derived from an actual patient computed tomography data set.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Ten of 126 needle placement attempts by 63 participants ended in failure for a failure rate of 7.93%. From all 126 needle insertions, the average error (15.69 vs 13.91), average fluoroscopy exposure (4.6 vs 3.92), and average individual performance score (32.39 vs 30.71) improved from the first to the second attempt. Performance accuracy yielded P = .04 from a 2-sample t test in which the rejected null hypothesis assumes no improvement in performance accuracy from the first to second attempt in the test session.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The experiments showed evidence (P = .04) of performance accuracy improvement from the first to the second percutaneous needle placement attempt. This result, combined with previous learning retention and/or face validity results of using the simulator for open thoracic pedicle screw placement and ventriculostomy catheter placement, supports the efficacy of augmented reality and haptics simulation as a learning tool.</AbstractText>
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</AffiliationInfo>
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