Anatomically relevant pelvic phantom for surgical simulation

Nigicser, Illes; Szabó, Balázs P.; Jaksa, László; Nagy, Dénes Ákos; Garamvolgyi, Tivadar; Barcza, Szilvia; Galambos, Péter; Haidegger, Tamás

doi:10.1109/coginfocom.2016.7804587

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…As well, the residents indicated their strong approval for this type of learning activity, expressing a willingness to repeat the training or participate in future trials. This internal motivation is key to long-term engagement and integration of component skills, contributing more broadly to increased quality of care for patients [3,4,6,24].…”

Section: Discussionmentioning

confidence: 99%

“…For the orthopedic upper extremity phantoms presented here, perfectly copying all human anatomy would be unnecessary and wasteful; only the anatomical features relevant to a specified training procedure should be included. This simplifies manufacturing and improves stimuli recognition and retention in novice trainees [3], including visual, tactile, and auditory sensations used to guide the application of care [1,4].…”

Section: Introductionmentioning

confidence: 99%

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3D Printing of Customizable Phantoms to Replace Cadaveric Models in Upper Extremity Surgical Residency Training

2022

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Medical phantoms are commonly used for training and skill demonstration of surgical procedures without exposing a patient to unnecessary risk. The discrimination of these tissues is critical to the ability of young orthopedic surgical trainees to identify patient injuries and properly manipulate surrounding tissues into healing-compliant positions. Most commercial phantoms lack anatomical specificity and use materials that inadequately attempt to mimic human tissue characteristics. This paper covers the manufacturing methods used to create novel, higher fidelity surgical training phantoms. We utilize medical scans and 3D printing techniques to create upper extremity phantoms that replicate both osseous and synovial geometries. These phantoms are undergoing validation through OSATS training of surgical residents under the guidance of attendings and chief residents. Twenty upper extremity phantoms with distal radius fracture were placed into traction and reduced by first- and second-year surgical residency students as part of their upper extremity triage training. Trainees reported uniform support for the training, enjoying the active learning exercise and expressing willingness for participation in future trials. Trainees successfully completed the reduction procedure utilizing tactile stimuli and prior lecture knowledge, showing the viability of synthetic phantoms to be used in lieu of traditional cadaveric models.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

3D Printing of Customizable Phantoms to Replace Cadaveric Models in Upper Extremity Surgical Residency Training

2022

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“…Since a number of challenges offer benchmark datasets, even standard simulated environments, the authors highly recommend the usage of these as is. In terms of physical benchmarks, 3D printing technology makes the sharing and reproducing of phantom environments and other objects easier and cheaper than ever [ 36 ], and hopefully the practice of using 3D printable surgical phantoms will soon spread in the research community.…”

Section: Benchmarking Techniquesmentioning

confidence: 99%

“… The Level of Clinical Relevance (LoCR) scale for Robot-Assisted Minimally Invasive Surgery (RAMIS) with examples. LoCR 1: 3D printed board for the peg transfer training task, designed by Hwang et al [ 27 ]; LoCR 2: Fundamentals of Robotic Surgery (FRS) training dome; LoCR 3: 3D printed bone phantom for drilling tasks; LoCR 4: anatomically relevant silicone pelvis phantom [ 36 ]; LoCR 5: in vivo human surgical environment [ 37 ]. …”

Section: Figurementioning

confidence: 99%

Performance and Capability Assessment in Surgical Subtask Automation

Nagy

Haidegger

2022

Sensors

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Robot-Assisted Minimally Invasive Surgery (RAMIS) has reshaped the standard clinical practice during the past two decades. Many believe that the next big step in the advancement of RAMIS will be partial autonomy, which may reduce the fatigue and the cognitive load on the surgeon by performing the monotonous, time-consuming subtasks of the surgical procedure autonomously. Although serious research efforts are paid to this area worldwide, standard evaluation methods, metrics, or benchmarking techniques are still not formed. This article aims to fill the void in the research domain of surgical subtask automation by proposing standard methodologies for performance evaluation. For that purpose, a novel characterization model is presented for surgical automation. The current metrics for performance evaluation and comparison are overviewed and analyzed, and a workflow model is presented that can help researchers to identify and apply their choice of metrics. Existing systems and setups that serve or could serve as benchmarks are also introduced and the need for standard benchmarks in the field is articulated. Finally, the matter of Human–Machine Interface (HMI) quality, robustness, and the related legal and ethical issues are presented.

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“…A jelenleg már elérhető trénerek hiányzó tulajdonsá-gait alapul véve kutatócsoportunk új oktatási eszközök fejlesztésébe kezdett [27]. A pelvi tréner helyes kialakítá-sa mellett különösen nagy hangsúlyt helyezünk az anató-miailag helyes fantomok kialakítására, valamint újfajta teljesítménymérési eszközök és módszerek bevezetésére [28].…”

Section: Megbeszélésunclassified

A laparoszkópos készségfejlesztés eszközei – elérhető trénerek és szimulátorok

et al. 2017

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A laparoszkópos technika napjainkra a sebészeti gyakorlatban széles körben elterjedt hazánkban is, azonban hatékony és etikus oktatása komplex szimulációs eszköztárat igényel. Ezek az oktatóeszközök fizikailag megvalósított boksztré-nerek vagy számítógépes szimulátorok, esetleg ezek kombinációjaként jelennek meg a piacon. Közleményünkben támpontot kívánunk adni a laparoszkópos oktatóeszközök kiválasztásához a kereskedelmi forgalomban kapható szimulátorok áttekintésével és főbb tulajdonságaik, funkcióik szisztematikus összefoglalásával. Az egyes rendszerek jellemzése mellett értékeljük a laparoszkópos oktatásra vonatkozó szakirodalmat, és kitérünk a megfigyelhető fejleszté-si trendekre. A közlemény kitér a boksztrénerek és a számítógépes virtuális valóság szimulátorok közötti különbségekre, illetve betekintést nyújt a robotsebészeti és a teljes műtéti folyamatot célzó szimulátorok világába. Orv Hetil. 2017; 158(40): 1570-1576. Kulcsszavak: laparoszkópos oktatás, boksztréner, MIS-szimulátor, robotsebészeti szimulátor Tools for laparoscopic skill development -available trainers and simulatorsThe laparoscopic minimally invasive surgical technique is widely employed on a global scale. However, the efficient and ethical teaching of this technique requires equipment for surgical simulation. These educational devices are present on the market in the form of box trainers and virtual reality simulators, or some combination of those. In this article, we present a systematic overview of commercially available surgical simulators describing the most important features of each product. Our overview elaborates on box trainers and virtual reality simulators, and also touches on surgical robotics simulators, together with operating room workflow simulators, for the sake of completeness. Apart from presenting educational tools, we evaluated the literature of laparoscopic surgical education and simulation, to provide a complete picture of the unfolding trends in this field. A laparoszkópos sebészet napjainkra széles körben elterjedt a klinikai gyakorlatban, így a laparoszkópos sebésze-ti készségek megfelelő oktatása és felmérése fontos kér-déskörré vált [1]. A minimálisan invazív sebészethez (MIS) szükséges koordinációs készségek nagymértékben eltérnek a nyitott műtéteknél szükségesektől. A kétdi-menziós rendszereknél a kamerával történő navigációnál a síkképernyő miatt lecsökken a mélységérzékelés, és a

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Anatomically relevant pelvic phantom for surgical simulation

Cited by 6 publications

References 13 publications

3D Printing of Customizable Phantoms to Replace Cadaveric Models in Upper Extremity Surgical Residency Training

3D Printing of Customizable Phantoms to Replace Cadaveric Models in Upper Extremity Surgical Residency Training

Performance and Capability Assessment in Surgical Subtask Automation

A laparoszkópos készségfejlesztés eszközei – elérhető trénerek és szimulátorok

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