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

Identifieur interne : 000C38 ( PascalFrancis/Corpus ); précédent : 000C37; suivant : 000C39

Tissue 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. Uson

Source :

RBID : Pascal:06-0463168

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0930-2794
A02 01      @0 SUREEX
A03   1    @0 Surg. endosc.
A05       @2 20
A06       @2 9
A08 01  1  ENG  @1 Tissue consistency perception in laparoscopy to define the level of fidelity in virtual reality simulation
A11 01  1    @1 LAMATA (P.)
A11 02  1    @1 GOMEZ (E. J.)
A11 03  1    @1 SANCHEZ-MARGALLO (F. M.)
A11 04  1    @1 LAMATA (F.)
A11 05  1    @1 DEL POZO (F.)
A11 06  1    @1 USON (J.)
A14 01      @1 Grupo de Bioingeniería y Telemedicina (GBT), Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, c/Ciudad Universitaria s/n @2 28040 Madrid @3 ESP @Z 1 aut. @Z 2 aut. @Z 5 aut.
A14 02      @1 Minimally Invasive Surgery Centre, Av. de la Universidad s/n @2 10071 Câceres @3 ESP @Z 3 aut. @Z 6 aut.
A14 03      @1 Servicio de Cirugía, Hospital Clínico Universitario, Avda. San Juan Bosco, 15 @2 50009 Zaragoza @3 ESP @Z 4 aut.
A20       @1 1368-1375
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 21220 @5 354000142914220060
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 20 ref.
A47 01  1    @0 06-0463168
A60       @1 P
A61       @0 A
A64 01  1    @0 Surgical endoscopy
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B24E06
C03 01  X  FRE  @0 Endoscopie @5 04
C03 01  X  ENG  @0 Endoscopy @5 04
C03 01  X  SPA  @0 Endoscopía @5 04
C03 02  X  FRE  @0 Perception @5 07
C03 02  X  ENG  @0 Perception @5 07
C03 02  X  SPA  @0 Percepción @5 07
C03 03  X  FRE  @0 Laparoscopie @5 08
C03 03  X  ENG  @0 Laparoscopy @5 08
C03 03  X  SPA  @0 Laparoscopia @5 08
C03 04  X  FRE  @0 Simulation @5 09
C03 04  X  ENG  @0 Simulation @5 09
C03 04  X  SPA  @0 Simulación @5 09
C03 05  X  FRE  @0 Homme @5 10
C03 05  X  ENG  @0 Human @5 10
C03 05  X  SPA  @0 Hombre @5 10
N21       @1 303
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 06-0463168 INIST
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

Links to Exploration step

Pascal:06-0463168

Le document en format XML

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<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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<NO>PASCAL 06-0463168 INIST</NO>
<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>
<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.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Surgical endoscopy; ISSN 0930-2794; Coden SUREEX; Etats-Unis; Da. 2006; Vol. 20; No. 9; Pp. 1368-1375; Bibl. 20 ref.</SO>
<LA>Anglais</LA>
<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>
<CC>002B24E06</CC>
<FD>Endoscopie; Perception; Laparoscopie; Simulation; Homme</FD>
<ED>Endoscopy; Perception; Laparoscopy; Simulation; Human</ED>
<SD>Endoscopía; Percepción; Laparoscopia; Simulación; Hombre</SD>
<LO>INIST-21220.354000142914220060</LO>
<ID>06-0463168</ID>
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