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Learning retention of thoracic pedicle screw placement using a high-resolution augmented reality simulator with haptic feedback.

Identifieur interne : 000E94 ( PubMed/Curation ); précédent : 000E93; suivant : 000E95

Learning retention of thoracic pedicle screw placement using a high-resolution augmented reality simulator with haptic feedback.

Auteurs : Cristian J. Luciano [États-Unis] ; P Pat Banerjee ; Brad Bellotte ; G Michael Oh ; Michael Lemole ; Fady T. Charbel ; Ben Roitberg

Source :

RBID : pubmed:21471846

English descriptors

Abstract

We evaluated the use of a part-task simulator with 3D and haptic feedback as a training tool for a common neurosurgical procedure--placement of thoracic pedicle screws.

DOI: 10.1227/NEU.0b013e31821954ed
PubMed: 21471846

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pubmed:21471846

Le document en format XML

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<title xml:lang="en">Learning retention of thoracic pedicle screw placement using a high-resolution augmented reality simulator with haptic feedback.</title>
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<name sortKey="Luciano, Cristian J" sort="Luciano, Cristian J" uniqKey="Luciano C" first="Cristian J" last="Luciano">Cristian J. Luciano</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Mechanical and Industrial Engineering, College of Engineering, University of Illinois at Chicago, Illinois 60607, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Mechanical and Industrial Engineering, College of Engineering, University of Illinois at Chicago, Illinois 60607</wicri:regionArea>
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<name sortKey="Banerjee, P Pat" sort="Banerjee, P Pat" uniqKey="Banerjee P" first="P Pat" last="Banerjee">P Pat Banerjee</name>
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<name sortKey="Bellotte, Brad" sort="Bellotte, Brad" uniqKey="Bellotte B" first="Brad" last="Bellotte">Brad Bellotte</name>
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<name sortKey="Oh, G Michael" sort="Oh, G Michael" uniqKey="Oh G" first="G Michael" last="Oh">G Michael Oh</name>
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<name sortKey="Lemole, Michael" sort="Lemole, Michael" uniqKey="Lemole M" first="Michael" last="Lemole">Michael Lemole</name>
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<name sortKey="Charbel, Fady T" sort="Charbel, Fady T" uniqKey="Charbel F" first="Fady T" last="Charbel">Fady T. Charbel</name>
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<name sortKey="Roitberg, Ben" sort="Roitberg, Ben" uniqKey="Roitberg B" first="Ben" last="Roitberg">Ben Roitberg</name>
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<name sortKey="Bellotte, Brad" sort="Bellotte, Brad" uniqKey="Bellotte B" first="Brad" last="Bellotte">Brad Bellotte</name>
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<name sortKey="Oh, G Michael" sort="Oh, G Michael" uniqKey="Oh G" first="G Michael" last="Oh">G Michael Oh</name>
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<name sortKey="Lemole, Michael" sort="Lemole, Michael" uniqKey="Lemole M" first="Michael" last="Lemole">Michael Lemole</name>
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<title level="j">Neurosurgery</title>
<idno type="eISSN">1524-4040</idno>
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<term>Bone Screws</term>
<term>Computer Simulation</term>
<term>Education, Medical, Graduate (methods)</term>
<term>Humans</term>
<term>Learning</term>
<term>Neurosurgery (education)</term>
<term>Retention (Psychology)</term>
<term>Spinal Fusion (methods)</term>
<term>Thoracic Vertebrae (surgery)</term>
<term>User-Computer Interface</term>
</keywords>
<keywords scheme="MESH" qualifier="education" xml:lang="en">
<term>Neurosurgery</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Education, Medical, Graduate</term>
<term>Spinal Fusion</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Thoracic Vertebrae</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bone Screws</term>
<term>Computer Simulation</term>
<term>Humans</term>
<term>Learning</term>
<term>Retention (Psychology)</term>
<term>User-Computer Interface</term>
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<front>
<div type="abstract" xml:lang="en">We evaluated the use of a part-task simulator with 3D and haptic feedback as a training tool for a common neurosurgical procedure--placement of thoracic pedicle screws.</div>
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<DateCreated>
<Year>2011</Year>
<Month>08</Month>
<Day>05</Day>
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<DateCompleted>
<Year>2011</Year>
<Month>12</Month>
<Day>01</Day>
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<DateRevised>
<Year>2015</Year>
<Month>02</Month>
<Day>04</Day>
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<Journal>
<ISSN IssnType="Electronic">1524-4040</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>69</Volume>
<Issue>1 Suppl Operative</Issue>
<PubDate>
<Year>2011</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Neurosurgery</Title>
<ISOAbbreviation>Neurosurgery</ISOAbbreviation>
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<ArticleTitle>Learning retention of thoracic pedicle screw placement using a high-resolution augmented reality simulator with haptic feedback.</ArticleTitle>
<Pagination>
<MedlinePgn>ons14-9; discussion ons19</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We evaluated the use of a part-task simulator with 3D and haptic feedback as a training tool for a common neurosurgical procedure--placement of thoracic pedicle screws.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the learning retention of thoracic pedicle screw placement on a high-performance augmented reality and haptic technology workstation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Fifty-one fellows and residents performed thoracic pedicle screw placement on the simulator. The virtual screws were drilled into a virtual patient's thoracic spine derived from a computed tomography data set of a real patient.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">With a 12.5% failure rate, a 2-proportion z test yielded P = .08. For performance accuracy, an aggregate Euclidean distance deviation from entry landmark on the pedicle and a similar deviation from the target landmark in the vertebral body yielded P = .04 from a 2-sample t test in which the rejected null hypothesis assumes no improvement in performance accuracy from the practice to the test sessions, and the alternative hypothesis assumes an improvement.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The performance accuracy on the simulator was comparable to the accuracy reported in literature on recent retrospective evaluation of such placements. The failure rates indicated a minor drop from practice to test sessions, and also indicated a trend (P = .08) toward learning retention resulting in improvement from practice to test sessions. The performance accuracy showed a 15% mean score improvement and more than a 50% reduction in standard deviation from practice to test. It showed evidence (P = .04) of performance accuracy improvement from practice to test session.</AbstractText>
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<CommentsCorrections RefType="Cites">
<RefSource>Spine J. 2008 Jul-Aug;8(4):591-6</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Eur Spine J. 2008 Dec;17(12):1686-96</RefSource>
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<RefSource>J Neurosurg Spine. 2009 Jan;10(1):33-9</RefSource>
<PMID Version="1">19119930</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Eur Spine J. 2000 Jun;9(3):235-40</RefSource>
<PMID Version="1">10905443</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Spine (Phila Pa 1976). 2001 Feb 15;26(4):360-4</RefSource>
<PMID Version="1">11224882</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Neurosurg. 2003 Oct;99(3 Suppl):324-9</RefSource>
<PMID Version="1">14563154</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Neurol Res. 2009 May;31(4):430-1</RefSource>
<PMID Version="1">19402952</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Int Orthop. 2009 Aug;33(4):895-903</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Spine J. 2009 Oct;9(10):817-21</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Spine (Phila Pa 1976). 2007 Jan 15;32(2):E56-64</RefSource>
<PMID Version="1">17224800</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Neurol India. 2005 Dec;53(4):458-65</RefSource>
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<RefSource>Spine (Phila Pa 1976). 2005 Jan 15;30(2):222-6</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>J Spinal Disord Tech. 2009 Oct;22(7):502-6</RefSource>
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<CommentsCorrections RefType="Cites">
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Int Orthop. 2008 Aug;32(4):517-21</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Comput Aided Surg. 2008 May;13(3):157-66</RefSource>
<PMID Version="1">18432415</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>J Neurosurg Spine. 2007 Oct;7(4):393-8</RefSource>
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<RefSource>J Neurosurg. 2007 Sep;107(3):515-21</RefSource>
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<RefSource>Neurosurgery. 2007 Jul;61(1):142-8; discussion 148-9</RefSource>
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<RefSource>Eur Spine J. 2007 May;16(5):625-9</RefSource>
<PMID Version="1">17106663</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Neurosurgery. 2001 Apr;48(4):771-8; discussion 778-9</RefSource>
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