Advertisement

Role of Immersive Touch Simulation in Neurosurgical Training

  • Denise Brunozzi
  • Sophia F. Shakur
  • Amanda Kwasnicki
  • Rahim Ismail
  • Fady T. Charbel
  • Ali Alaraj
Chapter
Part of the Comprehensive Healthcare Simulation book series (CHS)

Abstract

Over years, neurosurgical training is changing: sophisticated clinical skills to learn are challenged by catastrophic consequences in case of surgical mistakes, and patient safety and procedure efficacy have a higher priority than educational training. Practice, though, is the mainstay for surgical learning and skills improvement, and simulation models provide training opportunity in a safe and controlled environment.

Nowadays the virtual reality simulation allows reliable three-dimensional human model reproduction in a broad scope of anatomical variants.

ImmersiveTouch reality enables training of hand-eye coordination and acquisition of sophisticated psychomotor skills by providing both visual and haptic feedback. Different modules have been developed, from the simplest lumbar puncture to the most complicated aneurysm clipping procedure. Through hand and head electromagnetic tracking, the ImmersiveTouch system computes viewer’s perspective around the virtual anatomic model, making the experience even more realistic.

The score system of each module is based on the accuracy of the procedure performed and allows objective skills assessment. The effective enhancing capacity of ImmersiveTouch modules on trainee skills has been verified in several studies of repeated practice and of comparison of in vivo procedural outcomes before and after simulation training.

ImmersiveTouch simulator, though, seems to be the answer to the needs of moving toward a more standardized neurosurgical educational training in a safer environment.

Keywords

ImmersiveTouch Simulation Neurosurgical education Training modules Spine Ventriculostomy Aneurysm clipping 

References

  1. 1.
    Suri A, Patra DP, Meena RK. Simulation in neurosurgery: past, present and future. Neurol India. 2016;64(3):387–95.CrossRefGoogle Scholar
  2. 2.
    Polavarapu HV, Kulaylat AN, Sun S, et al. 100 years of surgical education: the past, present, and future. Bull Am Coll Surg. 2013 Jul;98(7):22–7.Google Scholar
  3. 3.
    Leach DC. Simulation: it’s about respect. ACGME Bull. 2005, December:2–3. http://www.acgme.org/Portals/0/PFAssets/bulletin/bulletin09_05.pdf
  4. 4.
    Lemole M, Banerjee P, Luciano C, et al. Virtual reality in neurosurgical education: part-task ventriculostomy simulation with dynamic visual and haptic feedback. Neurosurgery. 2007;61(1):142–9.CrossRefGoogle Scholar
  5. 5.
    Bradley P. The history of simulation in medical education and possible future directions. Med Educ. 2006;40:254–62.CrossRefGoogle Scholar
  6. 6.
    OED online (2006) http://dictionary.oed.com.
  7. 7.
    Choudhury N, Gèlinas-Phaneuf N, Delorme S, et al. Fundamentals of neurosurgery: virtual reality tasks for training and evaluation of technical skills. World Neurosurg. 2013;80(5):9–19.CrossRefGoogle Scholar
  8. 8.
    Alaraj A, Lemole MG, Finkle JH, et al. Virtual reality training in neurosurgery: review of current status and future applications. Surg Neurol Int. 2011;2:52.CrossRefGoogle Scholar
  9. 9.
    Aggarwal R, Black SA, Hance JR, et al. Virtual reality simulation training can improve inexperienced surgeons’ endovascular skills. Eur J Vasc Endovasc Surg. 2006;31:588–93.CrossRefGoogle Scholar
  10. 10.
    Lugana MP, de Reijke TM, Hessel W, et al. Training in laparoscopic urology. Curr Opin Urol. 2006;16:65–70.CrossRefGoogle Scholar
  11. 11.
    Yudkowsky R, Luciano C, Banerjee P, et al. Practice on an augmented reality/haptic simulator and library of virtual brains improves residents’ ability to perform a ventriculostomy. Society for Simulation in Healthcare. 2013;8(1):25–31.CrossRefGoogle Scholar
  12. 12.
    Balogh AA, Preul MC, Laszlo K, et al. Multilayer image grid technology: four-dimensional interactive image reconstruction of microsurgical neuroanatomic dissection. Neurosurgery. 2006;58(1):157–65.Google Scholar
  13. 13.
    Bernardo A, Preul MC, , Zabramsky JM et al. A three-dimensional interactive virtual dissection model to simulate transpetrous surgical avenues. Neurosurgery 2003; 52:499–505.CrossRefGoogle Scholar
  14. 14.
    Kockro RA, Serra L, Tseng-Tsai Y, et al. Planning and simulation of neurosurgery in a virtual reality environment. Neurosurgery. 2000;46:118–35.CrossRefGoogle Scholar
  15. 15.
    Kockro RA, Hwang PY. Virtual temporal bone: an interactive 3-dimensional learning aid for cranial base surgery. Neurosurgery. 2009;64(Suppl 2):216–29.PubMedGoogle Scholar
  16. 16.
    Malone HR, Syed ON, Downes MS, et al. Simulation in neurosurgery: a review of computer-based simulation environments and their surgical applications. Neurosurgery. 2010;67:1105–16.CrossRefGoogle Scholar
  17. 17.
    Banerjee P, Luciano C, Rizzi S. Virtual reality simulations. Anesthesiology Clin. 2007;25:337–48.CrossRefGoogle Scholar
  18. 18.
    Luciano C, Banerjee P, Lemole GM Jr, et al. Second generation haptic ventriculostomy simulator using the ImmersiveTouch system. Stud Health Technol Inform. 2006;119:343–8.Google Scholar
  19. 19.
    Alaraj A, Charbel T, Birk D, et al. Role of cranial and spinal virtual and augmented reality simulation using ImmersiveTouch modules in neurosurgical training. Neurosurgery. 2013;72(Suppl 1):115–23.CrossRefGoogle Scholar
  20. 20.
    Banerjee P, Luciano C, Lemole M, et al. Accuracy of ventriculostomy catheter placement using a head- and hand-tracked high-resolution virtual reality simulator with haptic feedback. J Neurosurg. 2007;107:515–21.CrossRefGoogle Scholar
  21. 21.
    Shakur S, Luciano C, Kania P, et al. Usefulness of a virtual reality percutaneous trigeminal rhizotomy simulator in neurosurgical training. Operative Neurosurgery. 2015;11(3):420–5.CrossRefGoogle Scholar
  22. 22.
    Gasco J, Patel A, Luciano C, et al. A novel virtual reality simulation for hemostasis in a brain surgical cavity: perceived utility for visuomotor skills in current and aspiring neurosurgery resident. World Neurosurg. 2013;80(96):732–7.CrossRefGoogle Scholar
  23. 23.
    Alaraj A, Luciano C, Bailey D, et al. Virtual reality cerebral aneurysm clipping simulation with real-time haptic feedback. Neurosurgery. 2015;11(2):52–8.PubMedPubMedCentralGoogle Scholar
  24. 24.
    Gasco J, Patel A, Ortega-Barnett J, et al. Virtual reality spine surgery simulation: an empirical study of its usefulness. Neurol Res. 2014;36(11):968–73.CrossRefGoogle Scholar
  25. 25.
    Luciano C, Banerjee P, Bellotte B, et al. Learning retention of thoracic pedicle screw placement using a high-resolution augmented reality simulator with haptic feedback. Operative. Neurosurgery. 2011;69(1):14–9.Google Scholar
  26. 26.
    Luciano C, Banerjee P, Sorenson J, et al. Percutaneous spinal fixation simulation with virtual reality and haptics. Neurosurgery. 2013;72(suppl 1):89–96.CrossRefGoogle Scholar
  27. 27.
    Gasco J, Holbrook TJ, Patel A, et al. Neurosurgery simulation in residency traininig: feasibility, cost, and educational benefit. Neurosurgery. 2013;73(4):39–45.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Denise Brunozzi
    • 1
  • Sophia F. Shakur
    • 1
  • Amanda Kwasnicki
    • 1
  • Rahim Ismail
    • 1
  • Fady T. Charbel
    • 1
  • Ali Alaraj
    • 1
  1. 1.Department of NeurosurgeryUniversity of Illinois at ChicagoChicagoUSA

Personalised recommendations