Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation
Identifieur interne : 000C38 ( PascalFrancis/Corpus ); précédent : 000C37; suivant : 000C39Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation
Auteurs : P. Lamata ; E. J. Gomez ; F. M. Sanchez-Margallo ; F. Lamata ; F. Del Pozo ; J. UsonSource :
- Surgical endoscopy [ 0930-2794 ] ; 2006.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
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. 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). 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. 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.
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Format Inist (serveur)
NO : | PASCAL 06-0463168 INIST |
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ET : | Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation |
AU : | LAMATA (P.); GOMEZ (E. J.); SANCHEZ-MARGALLO (F. M.); LAMATA (F.); DEL POZO (F.); USON (J.) |
AF : | Grupo de Bioingeniería y Telemedicina (GBT), Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, c/Ciudad Universitaria s/n/28040 Madrid/Espagne (1 aut., 2 aut., 5 aut.); Minimally Invasive Surgery Centre, Av. de la Universidad s/n/10071 Câceres/Espagne (3 aut., 6 aut.); Servicio de Cirugía, Hospital Clínico Universitario, Avda. San Juan Bosco, 15/50009 Zaragoza/Espagne (4 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Surgical endoscopy; ISSN 0930-2794; Coden SUREEX; Etats-Unis; Da. 2006; Vol. 20; No. 9; Pp. 1368-1375; Bibl. 20 ref. |
LA : | Anglais |
EA : | 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. 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). 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. 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. |
CC : | 002B24E06 |
FD : | Endoscopie; Perception; Laparoscopie; Simulation; Homme |
ED : | Endoscopy; Perception; Laparoscopy; Simulation; Human |
SD : | Endoscopía; Percepción; Laparoscopia; Simulación; Hombre |
LO : | INIST-21220.354000142914220060 |
ID : | 06-0463168 |
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Pascal:06-0463168Le document en format XML
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<front><div type="abstract" xml:lang="en">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. 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). 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. 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.</div>
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<ET>Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation</ET>
<AU>LAMATA (P.); GOMEZ (E. J.); SANCHEZ-MARGALLO (F. M.); LAMATA (F.); DEL POZO (F.); USON (J.)</AU>
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<EA>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. 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). 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. 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.</EA>
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