Evaluation of Interactive Virtual Reality as a Preoperative Aid in Localizing Renal Tumors

Tapiero, Shlomi; Karani, Rajiv; Limfueco, Luke; Xie, Lillian; Jefferson, Francis; Reinwart, Clare; Okhunov, Zhamshid; Clayman, Ralph V.; Landman, Jaime

doi:10.1089/end.2020.0234

Cited by 5 publications

(14 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Along the stages of the cancer care pathway, VR was applied predominantly in the delivery of cancer treatment (n = 34, 64.2%) with surgical oncology dominating (n = 24) . Other care pathway domains where VR has been studied include post-cancer treatment supportive care (n = 7, 13.2%) [37][38][39][40][41][42][43], palliative and end-of-life care (n = 7, 13.2%) [44][45][46][47][48][49][50], and prehabilitation (n = 5, 9.4%) [26,33,44,[51][52][53] (Figure 2).…”

Section: Resultsmentioning

confidence: 99%

Virtual reality and surgical oncology

Ng¹,

Bing²,

Cuevas³

et al. 2023

ecancer

View full text Add to dashboard Cite

More than 80% of people diagnosed with cancer will require surgery. However, less than 5% have access to safe, affordable and timely surgery in low-and middle-income countries (LMICs) settings mostly due to the lack of trained workforce. Since its creation, virtual reality (VR) has been heralded as a viable adjunct to surgical training, but its adoption in surgical oncology to date is poorly understood. We undertook a systematic review to determine the application of VR across different surgical specialties, modalities and cancer pathway globally between January 2011 and 2021. We reviewed their characteristics and respective methods of validation of 24 articles. The results revealed gaps in application and accessibility of VR with a proclivity for high-income countries and high-risk, complex oncological surgeries. There is a lack of standardisation of clinical evaluation of VR, both in terms of clinical trials and implementation science. While all VR illustrated face and content validity, only around two-third exhibited construct validity and predictive validity was lacking overall. In conclusion, the asynchrony between VR development and actual global cancer surgery demand means the technology is not effectively, efficiently and equitably utilised to realise its surgical capacity-building potential. Future research should prioritise cost-effective VR technologies with predictive validity for high demand, open cancer surgeries required in LMICs.

show abstract

Section: Resultsmentioning

confidence: 99%

Virtual reality and surgical oncology

Ng¹,

Bing²,

Cuevas³

et al. 2023

ecancer

View full text Add to dashboard Cite

show abstract

“…Out of the 37 studies analyzed, twenty-three reported the usefulness and applications of virtual and printed 3D kidney models in "surgical planning" and "surgical training". Fourteen [36][37][38][39][40][41][42][43][44][45][46][47][48][49] of these were crosssectional studies, mainly surveying the impact of 3D models in understanding renal anatomy and renal tumor by young surgeons, medical students and patients. Table I is a summary of study characteristics of the use of 3D VR models in renal tumors.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Over the past decade, the development of nephrometry scores, for example the PADUA and RENAL scores [22] have been developed as tools to predict objectively the surgical complexity of a renal tumor. Some studies [17,22,28,39,44,45] performed a quantitative analysis of 3D-based nephrometry scores (PADUA and RENAL) to reclassify the surgical complexity of renal masses (R.E.N.A.L. score ≥ 8).…”

Section: Presurgical Stimulation and Intra-operative Navigation Mappingmentioning

confidence: 99%

“…Few papers [16,22,23,38,39,41,[43][44][45]47,48] are focused on the value of 3D imaging models for educating medical students, urology residents and fellows. In their study, Rai et al [39] demonstrated that medical students who are using the interactive 3D virtual reality simulator environment (dV-Trainer virtual) in addition to the standard 2D planar imaging, more accurately located renal masses in 3D physical models, compared to trainees who had access only to 2D planar images.…”

Section: Medical Education and Patient-doctor Communicationmentioning

confidence: 99%

“…To perform a partial nephrectomy, it is of utmost importance to identify the exact location of the tumor to minimize both postoperative and major complications. Some studies [22,37,38,40,41,43,44,47] have investigated the usefulness of 3D imaging models in the learning capacity of urologists for presurgical planning of renal tumor and surgical training. Porpiglia et al [22] reported that 3D imaging is a "hyper-accurate" method, capable to give the surgeon a more accurate understanding of the surgical complexity, being easier to understand a standard volume assessment obtained from 2D images, in a threedimensional space.…”

Section: Medical Education and Patient-doctor Communicationmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of the clinical value and applications of three-dimensional virtual reconstructions in renal tumors

Moldovanu

Lebovici²,

Buruian

2021

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

Three-dimensional (3D) virtual reconstruction (VR) in the medical sciences has emerged as a novel, exciting and effective tool, with promising results for patients, trainees, and even experienced surgeons. The purpose of this review is to summarize the information on the clinical value and applications of 3D VR in renal tumors published in the last ten years. A literary search of PubMed-MEDLINE databases was performed to identify studies reporting the clinical application and usefulness of 3D VR models in renal tumors. Thirty-seven studies were found to meet the selection criteria and were included in the analysis. Most studies have provided a quantitative assessment focused on the accuracy of 3D VR models in replication of anatomy and renal tumor, on measuring 3D tumor volume and on the clinical value and utility of 3D VR in pre-surgical planning and simulation of renal procedures, with significant reductions of intraoperative complications. Fourteen studies provided a qualitative assessment of the usefulness of 3D VR models, with results showing an improved patient understanding of renal anatomy and pathology, improved undergraduate and postgraduate urology education. Moreover, 3D printing technology is a novel technique, and we are currently in the dynamic era, expanding into new surgical nephron-sparing procedures and the development of printed kidneys for transplantation.

show abstract