Immersive Virtual Reality in Basic Point-of-Care Ultrasound Training: A Randomized Controlled Trial

Andersen, Nanna L.; Jensen, Rune Hagel Skaarup; Konge, Lars; Laursen, Christian Borbjerg; Falster, Casper; Jacobsen, Niels; Elhakim, Mohammad T.; Bojsen, Jonas Asgaard; Riishede, Minna; Fransen, Maja Lynge; Rasmussen, Benjamin Schnack; Posth, Stefan; Sant, Linus; Graumann, Ole

doi:10.1016/j.ultrasmedbio.2022.08.012

Cited by 8 publications

(4 citation statements)

References 28 publications

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“…The results of the comparison confirmed that VR surgery was superior to education based on traditional surgical technique manuals. Andersen et al [14] conducted education with fourth-year medical students, dividing them into a group that received VR-based self-directed ultrasound training and a group that received instructor-led training. The educational effectiveness was then compared using an objective structured ultrasound examination tool.…”

Section: Introductionmentioning

confidence: 99%

An Immersive Virtual Reality Simulator for Echocardiography Examination

Kim,

Kim

et al. 2024

Applied Sciences

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Echocardiography is a medical examination that uses ultrasound to assess and diagnose the structure and function of the cardiac. Through the use of ultrasound waves, this examination allows medical professionals to create visualizations of the cardiac muscle, enabling them to diagnose and monitor conditions such as cardiac diseases, abnormalities, and functional disorders. An echocardiogram plays a crucial role in the early detection and diagnosis of various cardiac issues such as hypertension, myocardial infarction, valvular cardiac disease, and myocardial hypertrophy. It significantly contributes to determining treatment and management strategies. To achieve accurate disease diagnosis and develop appropriate treatment plans through echocardiography, it is essential to have a thorough understanding of proper probe usage, the precise acquisition of echocardiographic images, and the ability to interpret various echocardiographic examinations such as two-dimensional, M-mode, Doppler, etc. To enhance the skills required for echocardiography, medical educational institutions conduct theoretical classes, practical sessions using patient models, and clinical practice sessions with actual patients. However, issues such as inadequate practical adaptation due to theory-centric education, limitations in practical opportunities due to insufficient practice equipment, ethical or safety concerns arising during clinical practice, and a lack of educators leading to insufficient feedback, are currently being encountered. Hence, there is a need for new educational methods that can address the existing challenges in echocardiography education. In this paper, as part of these efforts, we propose a virtual reality-based immersive simulator for practical echocardiography training. The proposed echocardiography simulator allows users to explore a virtual echocardiography examination space by wearing a head-mounted display (HMD). This simulator consists of 3D virtual space models, interactive models manipulated by interaction devices, and 3D patient models containing normal or abnormal anatomical cardiac models. Using interactive devices such as HMD controllers and haptic devices, users can manipulate 3D models related to echocardiography within the simulator and interact with 3D patient models containing normal or abnormal anatomical cardiac models, allowing for the practice of echocardiography examinations. Ultimately, a performance evaluation of the developed immersive virtual reality simulator and usability validation targeting medical university students were conducted. The evaluation and validation results confirmed the potential efficacy of the proposed echocardiography VR simulator.

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Section: Introductionmentioning

confidence: 99%

An Immersive Virtual Reality Simulator for Echocardiography Examination

Kim,

Kim

et al. 2024

Applied Sciences

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“…[ 9 - 12 ] Studies have already explored the effect of VR learning in the areas of ultrasound, anatomy, and surgery and have found significant positive effects although further research is suggested in previous studies. [ 11 , 13 ]…”

Section: Introductionmentioning

confidence: 99%

“…[8] e virtual three-dimensional VR universe has also been used in educational contexts within other health domains. [9][10][11][12] Studies have already explored the effect of VR learning in the areas of ultrasound, anatomy, and surgery and have found significant positive effects although further research is suggested in previous studies. [11,13] e use of VR has also been seen within the field of X-ray training where students of radiography reported a positive attitude toward training procedures in VR.…”

Section: Introductionmentioning

confidence: 99%

“…[9][10][11][12] Studies have already explored the effect of VR learning in the areas of ultrasound, anatomy, and surgery and have found significant positive effects although further research is suggested in previous studies. [11,13] e use of VR has also been seen within the field of X-ray training where students of radiography reported a positive attitude toward training procedures in VR. e biggest challenge they faced was lack of tactile feedback when palpating anatomical landmarks during positioning.…”

Section: Introductionmentioning

confidence: 99%

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Using virtual reality simulation for training practical skills in musculoskeletal wrist X-ray - A pilot study

Jensen

Graumann

Jensen

et al. 2023

JCIS

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Objectives: Using virtual reality (VR), students of radiography can practice acquisition and positioning of musculoskeletal radiographs and get immediate feedback on their performance within the simulator. The purpose of this study was to assess usability of a newly developed VR simulator and to explore self-perceived clinical readiness (SPCR) of radiography students before and after training acquisition of wrist radiographs in the VR simulator. Material and Methods: A prospective methodology was applied where the students (n = 10) estimated their own SPCR in regard to acquisition of wrist radiographs pre- and post-VR training. A questionnaire on usability, realism, and educational value of the simulator was answered post-VR training. Usability and SPCR scores were calculated. The student’s paired t-test was applied to explore the impact of VR training on SPCR. Results: The students (90%) reported that the simulator was realistic and they thought that it could contribute to learning. The pre- and post-SPCR scores were 75 (95% confidence interval [CI]: 54–96) and 77 (95% CI: 59–95), respectively. There was no significant difference (P = 0.4574) between the pre- and post-SPCR scores. Conclusion: Results indicated that the concept of training acquisition and positioning of wrist radiographs in a VR simulator is feasible with positive feedback from the students. The SPCR scores improved slightly, although not statistically significant, after completion of the training session.

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The use of virtual reality and augmented reality in ultrasound education, a narrative review of the literature

Saliba,

Pather

2024

J of Clinical Ultrasound

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Immersive virtual reality (IVR) and augmented reality (AR) are emerging technologies with significant potential in ultrasound education. IVR, utilizing head‐mounted devices (HMDs), and AR, enhancing real‐world views with digital overlays, have demonstrated their value in various educational and training scenarios. This narrative review examines the use of IVR and AR in ultrasound education, evaluating their effectiveness compared to traditional methods. Studies show that IVR and AR can match or surpass conventional training, offering benefits like standardized assessments and reduced costs. Despite some limitations, such as small sample sizes and potential conflicts of interest, the current data supports the viability of IVR and AR as tools for ultrasound education. Further research is needed to confirm these findings and explore broader applications.

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Immersive Virtual Reality in Basic Point-of-Care Ultrasound Training: A Randomized Controlled Trial

Cited by 8 publications

References 28 publications

An Immersive Virtual Reality Simulator for Echocardiography Examination

An Immersive Virtual Reality Simulator for Echocardiography Examination

Using virtual reality simulation for training practical skills in musculoskeletal wrist X-ray - A pilot study

The use of virtual reality and augmented reality in ultrasound education, a narrative review of the literature

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