Neurosurgical tactile discrimination training with haptic-based virtual reality simulation

Achal Patel, Nick Koshy, Juan Ortega-Barnett, Hoi C. Chan, Yong Fang Kuo, Cristian Luciano, Silvio Rizzi, Martin Matulyauskas, Patrick Kania, Pat Banerjee, Jaime Gasco

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: To determine if a computer-based simulation with haptic technology can help surgical trainees improve tactile discrimination using surgical instruments.

Material and Methods: Twenty junior medical students participated in the study and were randomized into two groups. Subjects in Group A participated in virtual simulation training using the ImmersiveTouch simulator (ImmersiveTouch, Inc., Chicago, IL, USA) that required differentiating the firmness of virtual spheres using tactile and kinesthetic sensation via haptic technology. Subjects in Group B did not undergo any training. With their visual fields obscured, subjects in both groups were then evaluated on their ability to use the suction and bipolar instruments to find six elastothane objects with areas ranging from 1.5 to 3.5 cm2embedded in a urethane foam brain cavity model while relying on tactile and kinesthetic sensation only.

Results: A total of 73.3% of the subjects in Group A (simulation training) were able to find the brain cavity objects in comparison to 53.3% of the subjects in Group B (no training) (P = 0.0183). There was a statistically significant difference in the total number of Group A subjects able to find smaller brain cavity objects (size ≤ 2.5 cm2) compared to that in Group B (72.5 vs 40%, P = 0.0032). On the other hand, no significant difference in the number of subjects able to detect larger objects (size ≥ 3 cm2) was found between Groups A and B (75 vs 80%, P = 0.7747).

Conclusion: Virtual computer-based simulators with integrated haptic technology may improve tactile discrimination required for microsurgical technique.

Original languageEnglish (US)
Pages (from-to)1035-1039
Number of pages5
JournalNeurological Research
Volume36
Issue number12
DOIs
StatePublished - Dec 1 2014

Fingerprint

Touch
Technology
Brain
Aptitude
Urethane
Suction
Visual Fields
Medical Students
Surgical Instruments
Computer Simulation
Discrimination (Psychology)
Simulation Training

Keywords

  • Education
  • Haptic
  • Neurosurgery
  • Simulation
  • Training

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Patel, A., Koshy, N., Ortega-Barnett, J., Chan, H. C., Kuo, Y. F., Luciano, C., ... Gasco, J. (2014). Neurosurgical tactile discrimination training with haptic-based virtual reality simulation. Neurological Research, 36(12), 1035-1039. https://doi.org/10.1179/1743132814Y.0000000405

Neurosurgical tactile discrimination training with haptic-based virtual reality simulation. / Patel, Achal; Koshy, Nick; Ortega-Barnett, Juan; Chan, Hoi C.; Kuo, Yong Fang; Luciano, Cristian; Rizzi, Silvio; Matulyauskas, Martin; Kania, Patrick; Banerjee, Pat; Gasco, Jaime.

In: Neurological Research, Vol. 36, No. 12, 01.12.2014, p. 1035-1039.

Research output: Contribution to journalArticle

Patel, A, Koshy, N, Ortega-Barnett, J, Chan, HC, Kuo, YF, Luciano, C, Rizzi, S, Matulyauskas, M, Kania, P, Banerjee, P & Gasco, J 2014, 'Neurosurgical tactile discrimination training with haptic-based virtual reality simulation', Neurological Research, vol. 36, no. 12, pp. 1035-1039. https://doi.org/10.1179/1743132814Y.0000000405
Patel, Achal ; Koshy, Nick ; Ortega-Barnett, Juan ; Chan, Hoi C. ; Kuo, Yong Fang ; Luciano, Cristian ; Rizzi, Silvio ; Matulyauskas, Martin ; Kania, Patrick ; Banerjee, Pat ; Gasco, Jaime. / Neurosurgical tactile discrimination training with haptic-based virtual reality simulation. In: Neurological Research. 2014 ; Vol. 36, No. 12. pp. 1035-1039.
@article{e59ca7adbbd24f39bfa66659cd85136d,
title = "Neurosurgical tactile discrimination training with haptic-based virtual reality simulation",
abstract = "Objective: To determine if a computer-based simulation with haptic technology can help surgical trainees improve tactile discrimination using surgical instruments.Material and Methods: Twenty junior medical students participated in the study and were randomized into two groups. Subjects in Group A participated in virtual simulation training using the ImmersiveTouch simulator (ImmersiveTouch, Inc., Chicago, IL, USA) that required differentiating the firmness of virtual spheres using tactile and kinesthetic sensation via haptic technology. Subjects in Group B did not undergo any training. With their visual fields obscured, subjects in both groups were then evaluated on their ability to use the suction and bipolar instruments to find six elastothane objects with areas ranging from 1.5 to 3.5 cm2embedded in a urethane foam brain cavity model while relying on tactile and kinesthetic sensation only.Results: A total of 73.3{\%} of the subjects in Group A (simulation training) were able to find the brain cavity objects in comparison to 53.3{\%} of the subjects in Group B (no training) (P = 0.0183). There was a statistically significant difference in the total number of Group A subjects able to find smaller brain cavity objects (size ≤ 2.5 cm2) compared to that in Group B (72.5 vs 40{\%}, P = 0.0032). On the other hand, no significant difference in the number of subjects able to detect larger objects (size ≥ 3 cm2) was found between Groups A and B (75 vs 80{\%}, P = 0.7747).Conclusion: Virtual computer-based simulators with integrated haptic technology may improve tactile discrimination required for microsurgical technique.",
keywords = "Education, Haptic, Neurosurgery, Simulation, Training",
author = "Achal Patel and Nick Koshy and Juan Ortega-Barnett and Chan, {Hoi C.} and Kuo, {Yong Fang} and Cristian Luciano and Silvio Rizzi and Martin Matulyauskas and Patrick Kania and Pat Banerjee and Jaime Gasco",
year = "2014",
month = "12",
day = "1",
doi = "10.1179/1743132814Y.0000000405",
language = "English (US)",
volume = "36",
pages = "1035--1039",
journal = "Neurological Research",
issn = "0161-6412",
publisher = "Maney Publishing",
number = "12",

}

TY - JOUR

T1 - Neurosurgical tactile discrimination training with haptic-based virtual reality simulation

AU - Patel, Achal

AU - Koshy, Nick

AU - Ortega-Barnett, Juan

AU - Chan, Hoi C.

AU - Kuo, Yong Fang

AU - Luciano, Cristian

AU - Rizzi, Silvio

AU - Matulyauskas, Martin

AU - Kania, Patrick

AU - Banerjee, Pat

AU - Gasco, Jaime

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Objective: To determine if a computer-based simulation with haptic technology can help surgical trainees improve tactile discrimination using surgical instruments.Material and Methods: Twenty junior medical students participated in the study and were randomized into two groups. Subjects in Group A participated in virtual simulation training using the ImmersiveTouch simulator (ImmersiveTouch, Inc., Chicago, IL, USA) that required differentiating the firmness of virtual spheres using tactile and kinesthetic sensation via haptic technology. Subjects in Group B did not undergo any training. With their visual fields obscured, subjects in both groups were then evaluated on their ability to use the suction and bipolar instruments to find six elastothane objects with areas ranging from 1.5 to 3.5 cm2embedded in a urethane foam brain cavity model while relying on tactile and kinesthetic sensation only.Results: A total of 73.3% of the subjects in Group A (simulation training) were able to find the brain cavity objects in comparison to 53.3% of the subjects in Group B (no training) (P = 0.0183). There was a statistically significant difference in the total number of Group A subjects able to find smaller brain cavity objects (size ≤ 2.5 cm2) compared to that in Group B (72.5 vs 40%, P = 0.0032). On the other hand, no significant difference in the number of subjects able to detect larger objects (size ≥ 3 cm2) was found between Groups A and B (75 vs 80%, P = 0.7747).Conclusion: Virtual computer-based simulators with integrated haptic technology may improve tactile discrimination required for microsurgical technique.

AB - Objective: To determine if a computer-based simulation with haptic technology can help surgical trainees improve tactile discrimination using surgical instruments.Material and Methods: Twenty junior medical students participated in the study and were randomized into two groups. Subjects in Group A participated in virtual simulation training using the ImmersiveTouch simulator (ImmersiveTouch, Inc., Chicago, IL, USA) that required differentiating the firmness of virtual spheres using tactile and kinesthetic sensation via haptic technology. Subjects in Group B did not undergo any training. With their visual fields obscured, subjects in both groups were then evaluated on their ability to use the suction and bipolar instruments to find six elastothane objects with areas ranging from 1.5 to 3.5 cm2embedded in a urethane foam brain cavity model while relying on tactile and kinesthetic sensation only.Results: A total of 73.3% of the subjects in Group A (simulation training) were able to find the brain cavity objects in comparison to 53.3% of the subjects in Group B (no training) (P = 0.0183). There was a statistically significant difference in the total number of Group A subjects able to find smaller brain cavity objects (size ≤ 2.5 cm2) compared to that in Group B (72.5 vs 40%, P = 0.0032). On the other hand, no significant difference in the number of subjects able to detect larger objects (size ≥ 3 cm2) was found between Groups A and B (75 vs 80%, P = 0.7747).Conclusion: Virtual computer-based simulators with integrated haptic technology may improve tactile discrimination required for microsurgical technique.

KW - Education

KW - Haptic

KW - Neurosurgery

KW - Simulation

KW - Training

UR - http://www.scopus.com/inward/record.url?scp=84919348776&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84919348776&partnerID=8YFLogxK

U2 - 10.1179/1743132814Y.0000000405

DO - 10.1179/1743132814Y.0000000405

M3 - Article

VL - 36

SP - 1035

EP - 1039

JO - Neurological Research

JF - Neurological Research

SN - 0161-6412

IS - 12

ER -