HapticV1, Pmc, Checkpoint, bibRecord, 001648

Needs Analysis for Developing a Virtual Reality NOTES Simulator

Identifieur interne : 001648 ( Pmc/Checkpoint ); précédent : 001647; suivant : 001649

Needs Analysis for Developing a Virtual Reality NOTES Simulator

Auteurs : Ganesh Sankaranarayanan ; Kai Matthes ; Arun Nemani ; Woojin Ahn ; Masayuki Kato ; Daniel B. Jones ; Steven Schwaitzberg ; Suvranu De

Source :

Surgical endoscopy [ 0930-2794 ] ; 2012.

RBID : PMC:3618859

Abstract

Introduction and Study Aim

Natural orifice translumenal endoscopic surgery (NOTES) is an emerging surgical technique that requires a cautious adoption approach to ensure patient safety. High fidelity virtual reality-based simulators allow development of new surgical procedures and tools and train medical personnel without risk to human patients. As part of a project funded by the National Institutes of Health, we are developing a Virtual Transluminal Endoscopic Surgery Trainer (VTEST™) for this purpose. The objective of this study is to conduct a structured needs analysis to identify the design parameters for such a virtual reality-based simulator for NOTES.

Methods

A 30-point questionnaire was distributed at the 2011 NOSCAR meeting to get responses from the experts. Ordinal logistic regression and the Wilcoxon rank sum test were used for analysis.

Results

A total of 22 NOTES experts participated in the study. Cholecystectomy (CE, 68%) followed by appendectomy (AE, 63%) (CE vs AE, p=0.0521) was selected as the first choice for simulation. Flexible (FL, 47%) and hybrid (HY, 47%) approaches were equally favorable compared to rigid (RI, 6%) with p<0.001 for both FL vs RI and HY vs RI. The transvaginal approach was preferred 3 to 1 to the transgastric. Most participants preferred two channel (2C) scopes (65%) compared to single (1C) or three (3C) or more channels with p<0.001 for both 2C vs 1C and 2C vs 3C. The importance of force feedback and the utility of a virtual NOTES simulator in training and testing new tools for NOTES were rated very high by the participants.

Conclusion

Our study reinforced the importance of developing a virtual NOTES simulator and clearly presented expert preferences. The results of this analysis will direct our initial development of the VTEST^TM platform.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618859

DOI: 10.1007/s00464-012-2637-1
PubMed: 23247736
PubMed Central: 3618859

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Pmc, to step Corpus: 001A20
to stream Pmc, to step Curation: 001A20

Links to Exploration step

PMC:3618859

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Needs Analysis for Developing a Virtual Reality NOTES Simulator</title>
<author><name sortKey="Sankaranarayanan, Ganesh" sort="Sankaranarayanan, Ganesh" uniqKey="Sankaranarayanan G" first="Ganesh" last="Sankaranarayanan">Ganesh Sankaranarayanan</name>
<affiliation><nlm:aff id="A1">Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute</nlm:aff>
<wicri:noCountry code="subfield">Rensselaer Polytechnic Institute</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Matthes, Kai" sort="Matthes, Kai" uniqKey="Matthes K" first="Kai" last="Matthes">Kai Matthes</name>
<affiliation><nlm:aff id="A2">Department of, Anesthesiology, Perioperative and Pain Medicine Childrens Hospital, Harvard Medical School</nlm:aff>
<wicri:noCountry code="subfield">Harvard Medical School</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Nemani, Arun" sort="Nemani, Arun" uniqKey="Nemani A" first="Arun" last="Nemani">Arun Nemani</name>
<affiliation><nlm:aff id="A1">Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute</nlm:aff>
<wicri:noCountry code="subfield">Rensselaer Polytechnic Institute</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Ahn, Woojin" sort="Ahn, Woojin" uniqKey="Ahn W" first="Woojin" last="Ahn">Woojin Ahn</name>
<affiliation><nlm:aff id="A1">Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute</nlm:aff>
<wicri:noCountry code="subfield">Rensselaer Polytechnic Institute</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Kato, Masayuki" sort="Kato, Masayuki" uniqKey="Kato M" first="Masayuki" last="Kato">Masayuki Kato</name>
<affiliation><nlm:aff id="A3">Department of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School</nlm:aff>
<wicri:noCountry code="subfield">Harvard Medical School</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Jones, Daniel B" sort="Jones, Daniel B" uniqKey="Jones D" first="Daniel B." last="Jones">Daniel B. Jones</name>
<affiliation><nlm:aff id="A4">Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School</nlm:aff>
<wicri:noCountry code="subfield">Harvard Medical School</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Schwaitzberg, Steven" sort="Schwaitzberg, Steven" uniqKey="Schwaitzberg S" first="Steven" last="Schwaitzberg">Steven Schwaitzberg</name>
<affiliation><nlm:aff id="A5">Department of Surgery, Cambridge Health Alliance, Harvard Medical School</nlm:aff>
<wicri:noCountry code="subfield">Harvard Medical School</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="De, Suvranu" sort="De, Suvranu" uniqKey="De S" first="Suvranu" last="De">Suvranu De</name>
<affiliation><nlm:aff id="A1">Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute</nlm:aff>
<wicri:noCountry code="subfield">Rensselaer Polytechnic Institute</wicri:noCountry>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">23247736</idno>
<idno type="pmc">3618859</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618859</idno>
<idno type="RBID">PMC:3618859</idno>
<idno type="doi">10.1007/s00464-012-2637-1</idno>
<date when="2012">2012</date>
<idno type="wicri:Area/Pmc/Corpus">001A20</idno>
<idno type="wicri:Area/Pmc/Curation">001A20</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001648</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Needs Analysis for Developing a Virtual Reality NOTES Simulator</title>
<author><name sortKey="Sankaranarayanan, Ganesh" sort="Sankaranarayanan, Ganesh" uniqKey="Sankaranarayanan G" first="Ganesh" last="Sankaranarayanan">Ganesh Sankaranarayanan</name>
<affiliation><nlm:aff id="A1">Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute</nlm:aff>
<wicri:noCountry code="subfield">Rensselaer Polytechnic Institute</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Matthes, Kai" sort="Matthes, Kai" uniqKey="Matthes K" first="Kai" last="Matthes">Kai Matthes</name>
<affiliation><nlm:aff id="A2">Department of, Anesthesiology, Perioperative and Pain Medicine Childrens Hospital, Harvard Medical School</nlm:aff>
<wicri:noCountry code="subfield">Harvard Medical School</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Nemani, Arun" sort="Nemani, Arun" uniqKey="Nemani A" first="Arun" last="Nemani">Arun Nemani</name>
<affiliation><nlm:aff id="A1">Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute</nlm:aff>
<wicri:noCountry code="subfield">Rensselaer Polytechnic Institute</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Ahn, Woojin" sort="Ahn, Woojin" uniqKey="Ahn W" first="Woojin" last="Ahn">Woojin Ahn</name>
<affiliation><nlm:aff id="A1">Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute</nlm:aff>
<wicri:noCountry code="subfield">Rensselaer Polytechnic Institute</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Kato, Masayuki" sort="Kato, Masayuki" uniqKey="Kato M" first="Masayuki" last="Kato">Masayuki Kato</name>
<affiliation><nlm:aff id="A3">Department of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School</nlm:aff>
<wicri:noCountry code="subfield">Harvard Medical School</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Jones, Daniel B" sort="Jones, Daniel B" uniqKey="Jones D" first="Daniel B." last="Jones">Daniel B. Jones</name>
<affiliation><nlm:aff id="A4">Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School</nlm:aff>
<wicri:noCountry code="subfield">Harvard Medical School</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Schwaitzberg, Steven" sort="Schwaitzberg, Steven" uniqKey="Schwaitzberg S" first="Steven" last="Schwaitzberg">Steven Schwaitzberg</name>
<affiliation><nlm:aff id="A5">Department of Surgery, Cambridge Health Alliance, Harvard Medical School</nlm:aff>
<wicri:noCountry code="subfield">Harvard Medical School</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="De, Suvranu" sort="De, Suvranu" uniqKey="De S" first="Suvranu" last="De">Suvranu De</name>
<affiliation><nlm:aff id="A1">Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute</nlm:aff>
<wicri:noCountry code="subfield">Rensselaer Polytechnic Institute</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series><title level="j">Surgical endoscopy</title>
<idno type="ISSN">0930-2794</idno>
<idno type="eISSN">1432-2218</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Introduction and Study Aim</title>
<p id="P1">Natural orifice translumenal endoscopic surgery (NOTES) is an emerging surgical technique that requires a cautious adoption approach to ensure patient safety. High fidelity virtual reality-based simulators allow development of new surgical procedures and tools and train medical personnel without risk to human patients. As part of a project funded by the National Institutes of Health, we are developing a Virtual Transluminal Endoscopic Surgery Trainer (VTEST™) for this purpose. The objective of this study is to conduct a structured needs analysis to identify the design parameters for such a virtual reality-based simulator for NOTES.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A 30-point questionnaire was distributed at the 2011 NOSCAR meeting to get responses from the experts. Ordinal logistic regression and the Wilcoxon rank sum test were used for analysis.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">A total of 22 NOTES experts participated in the study. Cholecystectomy (CE, 68%) followed by appendectomy (AE, 63%) (CE vs AE, p=0.0521) was selected as the first choice for simulation. Flexible (FL, 47%) and hybrid (HY, 47%) approaches were equally favorable compared to rigid (RI, 6%) with p<0.001 for both FL vs RI and HY vs RI. The transvaginal approach was preferred 3 to 1 to the transgastric. Most participants preferred two channel (2C) scopes (65%) compared to single (1C) or three (3C) or more channels with p<0.001 for both 2C vs 1C and 2C vs 3C. The importance of force feedback and the utility of a virtual NOTES simulator in training and testing new tools for NOTES were rated very high by the participants.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">Our study reinforced the importance of developing a virtual NOTES simulator and clearly presented expert preferences. The results of this analysis will direct our initial development of the VTEST<sup>TM</sup>
 platform.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">8806653</journal-id>
<journal-id journal-id-type="pubmed-jr-id">7653</journal-id>
<journal-id journal-id-type="nlm-ta">Surg Endosc</journal-id>
<journal-id journal-id-type="iso-abbrev">Surg Endosc</journal-id>
<journal-title-group><journal-title>Surgical endoscopy</journal-title>
</journal-title-group>
<issn pub-type="ppub">0930-2794</issn>
<issn pub-type="epub">1432-2218</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23247736</article-id>
<article-id pub-id-type="pmc">3618859</article-id>
<article-id pub-id-type="doi">10.1007/s00464-012-2637-1</article-id>
<article-id pub-id-type="manuscript">NIHMS430105</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Needs Analysis for Developing a Virtual Reality NOTES Simulator</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sankaranarayanan</surname>
<given-names>Ganesh</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Matthes</surname>
<given-names>Kai</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nemani</surname>
<given-names>Arun</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ahn</surname>
<given-names>Woojin</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kato</surname>
<given-names>Masayuki</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jones</surname>
<given-names>Daniel B.</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Schwaitzberg</surname>
<given-names>Steven</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>De</surname>
<given-names>Suvranu</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute</aff>
<aff id="A2"><label>2</label>
Department of, Anesthesiology, Perioperative and Pain Medicine Childrens Hospital, Harvard Medical School</aff>
<aff id="A3"><label>3</label>
Department of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School</aff>
<aff id="A4"><label>4</label>
Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School</aff>
<aff id="A5"><label>5</label>
Department of Surgery, Cambridge Health Alliance, Harvard Medical School</aff>
<author-notes><corresp id="CR1"><bold>Corresponding Author:</bold>
 Prof. Suvranu De JEC 2307 Chair, Department of Mechanical, Aerospace and Nuclear Engineering Rensselaer Polytechnic Institute 110, 8th Street, Troy, NY 12180 Phone: 518-276-6096 Fax: 518-276-6025 <email>des@rpi.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>21</day>
<month>12</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>12</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>5</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>5</month>
<year>2014</year>
</pub-date>
<volume>27</volume>
<issue>5</issue>
<fpage>1607</fpage>
<lpage>1616</lpage>
<abstract><sec id="S1"><title>Introduction and Study Aim</title>
<p id="P1">Natural orifice translumenal endoscopic surgery (NOTES) is an emerging surgical technique that requires a cautious adoption approach to ensure patient safety. High fidelity virtual reality-based simulators allow development of new surgical procedures and tools and train medical personnel without risk to human patients. As part of a project funded by the National Institutes of Health, we are developing a Virtual Transluminal Endoscopic Surgery Trainer (VTEST™) for this purpose. The objective of this study is to conduct a structured needs analysis to identify the design parameters for such a virtual reality-based simulator for NOTES.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A 30-point questionnaire was distributed at the 2011 NOSCAR meeting to get responses from the experts. Ordinal logistic regression and the Wilcoxon rank sum test were used for analysis.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">A total of 22 NOTES experts participated in the study. Cholecystectomy (CE, 68%) followed by appendectomy (AE, 63%) (CE vs AE, p=0.0521) was selected as the first choice for simulation. Flexible (FL, 47%) and hybrid (HY, 47%) approaches were equally favorable compared to rigid (RI, 6%) with p<0.001 for both FL vs RI and HY vs RI. The transvaginal approach was preferred 3 to 1 to the transgastric. Most participants preferred two channel (2C) scopes (65%) compared to single (1C) or three (3C) or more channels with p<0.001 for both 2C vs 1C and 2C vs 3C. The importance of force feedback and the utility of a virtual NOTES simulator in training and testing new tools for NOTES were rated very high by the participants.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">Our study reinforced the importance of developing a virtual NOTES simulator and clearly presented expert preferences. The results of this analysis will direct our initial development of the VTEST<sup>TM</sup>
 platform.</p>
</sec>
</abstract>
<kwd-group><kwd>NOTES</kwd>
<kwd>Natural orifice surgery</kwd>
<kwd>transgastric</kwd>
<kwd>transvaginal</kwd>
<kwd>virtual reality</kwd>
<kwd>simulator</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Biomedical Imaging and Bioengineering : NIBIB</funding-source>
<award-id>R01 EB014305 || EB</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Biomedical Imaging and Bioengineering : NIBIB</funding-source>
<award-id>R01 EB010037 || EB</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Biomedical Imaging and Bioengineering : NIBIB</funding-source>
<award-id>R01 EB009362 || EB</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Biomedical Imaging and Bioengineering : NIBIB</funding-source>
<award-id>R01 EB005807 || EB</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Ahn, Woojin" sort="Ahn, Woojin" uniqKey="Ahn W" first="Woojin" last="Ahn">Woojin Ahn</name>
<name sortKey="De, Suvranu" sort="De, Suvranu" uniqKey="De S" first="Suvranu" last="De">Suvranu De</name>
<name sortKey="Jones, Daniel B" sort="Jones, Daniel B" uniqKey="Jones D" first="Daniel B." last="Jones">Daniel B. Jones</name>
<name sortKey="Kato, Masayuki" sort="Kato, Masayuki" uniqKey="Kato M" first="Masayuki" last="Kato">Masayuki Kato</name>
<name sortKey="Matthes, Kai" sort="Matthes, Kai" uniqKey="Matthes K" first="Kai" last="Matthes">Kai Matthes</name>
<name sortKey="Nemani, Arun" sort="Nemani, Arun" uniqKey="Nemani A" first="Arun" last="Nemani">Arun Nemani</name>
<name sortKey="Sankaranarayanan, Ganesh" sort="Sankaranarayanan, Ganesh" uniqKey="Sankaranarayanan G" first="Ganesh" last="Sankaranarayanan">Ganesh Sankaranarayanan</name>
<name sortKey="Schwaitzberg, Steven" sort="Schwaitzberg, Steven" uniqKey="Schwaitzberg S" first="Steven" last="Schwaitzberg">Steven Schwaitzberg</name>
</noCountry>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Pmc/Checkpoint

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001648 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 001648 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Ticri/CIDE
   |area=    HapticV1
   |flux=    Pmc
   |étape=   Checkpoint
   |type=    RBID
   |clé=     PMC:3618859
   |texte=   Needs Analysis for Developing a Virtual Reality NOTES Simulator
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i   -Sk "pubmed:23247736" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd   \
       | NlmPubMed2Wicri -a HapticV1

This area was generated with Dilib version V0.6.23.
Data generation: Mon Jun 13 01:09:46 2016. Site generation: Wed Mar 6 09:54:07 2024

	Serveur d'exploration sur les dispositifs haptiques
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur les dispositifs haptiques

Needs Analysis for Developing a Virtual Reality NOTES Simulator

Needs Analysis for Developing a Virtual Reality NOTES Simulator

Source :

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki