Immersing Patients in a Virtual Reality Environment for Brain Mapping During Awake Surgery: Safety Study

Delion, Matthieu; Klinger, Évelyne; Bernard, Florian; Aubin, Ghislaine; Minassian, Aram Ter; Menei, Philippe

doi:10.1016/j.wneu.2019.11.047

Cited by 28 publications

(47 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The procedure has been described in detail elsewhere [9]. Before surgery, all patients underwent a neuropsychological evaluation and fMRI and were trained in the use of VR tasks in the context of awake surgery.…”

Section: Operative Proceduresmentioning

confidence: 99%

“…At the beginning of our research on the use of VR in the operating room, intending to detect hemianopsia and unilateral neglect during DES, we used the Oculus VRHs DK1 and DK2 (visual field 100°, resolution 1280×800 pixels, and refresh rate 60 Hz; Oculus) [4]. For the tolerance study, we chose to use a wireless low-cost, high-quality, customizable device: the Samsung Gear VR combined with a Samsung S7 smartphone (Android platform; visual field 96°, resolution 1440×1280 pixels, and refresh rate 60 Hz) [9]. However, before the completion of this study, new VRH models, including an eye-tracking system, became available.…”

Section: Limitationsmentioning

confidence: 99%

“…However, the risk of VR sickness or VRH-induced seizures raised concerns for all screen-based video games [5][6][7][8]. Therefore, we performed an initial study evaluating the tolerance of a wireless, low-cost, high-quality, and customizable device: the Samsung Gear VR combined with a Samsung S7 smartphone [9]. This trial, on 30 patients, showed that VRH use and immersive virtual experiences were both feasible and safe for patients undergoing awake craniotomy and brain mapping using DES.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Immersive Virtual Reality and Ocular Tracking for Brain Mapping During Awake Surgery: Prospective Evaluation Study

Casanova¹,

Clavreul²,

Soulard³

et al. 2021

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

Background Language mapping during awake brain surgery is currently a standard procedure. However, mapping is rarely performed for other cognitive functions that are important for social interaction, such as visuospatial cognition and nonverbal language, including facial expressions and eye gaze. The main reason for this omission is the lack of tasks that are fully compatible with the restrictive environment of an operating room and awake brain surgery procedures. Objective This study aims to evaluate the feasibility and safety of a virtual reality headset equipped with an eye-tracking device that is able to promote an immersive visuospatial and social virtual reality (VR) experience for patients undergoing awake craniotomy. Methods We recruited 15 patients with brain tumors near language and/or motor areas. Language mapping was performed with a naming task, DO 80, presented on a computer tablet and then in 2D and 3D via the VRH. Patients were also immersed in a visuospatial and social VR experience. Results None of the patients experienced VR sickness, whereas 2 patients had an intraoperative focal seizure without consequence; there was no reason to attribute these seizures to virtual reality headset use. The patients were able to perform the VR tasks. Eye tracking was functional, enabling the medical team to analyze the patients’ attention and exploration of the visual field of the virtual reality headset directly. Conclusions We found that it is possible and safe to immerse the patient in an interactive virtual environment during awake brain surgery, paving the way for new VR-based brain mapping procedures. Trial Registration ClinicalTrials.gov NCT03010943; https://clinicaltrials.gov/ct2/show/NCT03010943.

show abstract

Section: Operative Proceduresmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Immersive Virtual Reality and Ocular Tracking for Brain Mapping During Awake Surgery: Prospective Evaluation Study

Casanova¹,

Clavreul²,

Soulard³

et al. 2021

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Several studies have assessed the feasibility and/or effectiveness of VR in different clinical settings [20][21][22]. However, the number of patients included in these studies was small.…”

Section: Effect Of Vr During the Af Ablation Proceduresmentioning

confidence: 99%

Virtual Reality for Sedation During Atrial Fibrillation Ablation in Clinical Practice: Observational Study

Roxburgh¹,

Li²,

Guenancia³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

Background Connected devices are dramatically changing many aspects in health care. One such device, the virtual reality (VR) headset, has recently been shown to improve analgesia in a small sample of patients undergoing transcatheter aortic valve implantation. Objective We aimed to investigate the feasibility and effectiveness of VR in patients undergoing atrial fibrillation (AF) ablation under conscious sedation. Methods All patients who underwent an AF ablation with VR from March to May 2020 were included. Patients were compared to a consecutive cohort of patients who underwent AF ablation in the 3 months prior to the study. Primary efficacy was assessed by using a visual analog scale, summarizing the overall pain experienced during the ablation. Results The AF cryoablation procedure with VR was performed for 48 patients (mean age 63.0, SD 10.9 years; n=16, 33.3% females). No patient refused to use the device, although 14.6% (n=7) terminated the VR session prematurely. Preparation of the VR headset took on average 78 (SD 13) seconds. Compared to the control group, the mean perceived pain, assessed with the visual analog scale, was lower in the VR group (3.5 [SD 1.5] vs 4.3 [SD 1.6]; P=.004), and comfort was higher in the VR group (7.5 [SD 1.6] vs 6.8 [SD 1.7]; P=.03). On the other hand, morphine consumption was not different between the groups. Lastly, complications, as well as procedure and fluoroscopy duration, were not different between the two groups. Conclusions We found that VR was associated with a reduction in the perception of pain in patients undergoing AF ablation under conscious sedation. Our findings demonstrate that VR can be easily incorporated into the standard ablation workflow.

show abstract

“…''Safety" is another domain which can be found for both population (surgeon and patient). The duo ''Patient" and ''Safety" stands for the evaluation of the tolerance and safety of a virtual reality headset (VRH) and immersive virtual experiences in patients undergoing awake craniotomy [10].…”

Section: Data Collection and Analysismentioning

confidence: 99%

Application of virtual reality in neurosurgery: Patient missing. A systematic review

Vayssière

Constanthin

Herbelin

et al. 2022

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

Immersing Patients in a Virtual Reality Environment for Brain Mapping During Awake Surgery: Safety Study

Cited by 28 publications

References 27 publications

Immersive Virtual Reality and Ocular Tracking for Brain Mapping During Awake Surgery: Prospective Evaluation Study

Immersive Virtual Reality and Ocular Tracking for Brain Mapping During Awake Surgery: Prospective Evaluation Study

Virtual Reality for Sedation During Atrial Fibrillation Ablation in Clinical Practice: Observational Study

Application of virtual reality in neurosurgery: Patient missing. A systematic review

Contact Info

Product

Resources

About