The efficacy of immersive virtual reality surgical simulator training for pedicle screw placement: a randomized double-blind controlled trial

Xin, Baoquan; Huang, Xing; Wan, Wei; Lv, Kai; Hu, Yiwei; Wang, Jing; Song, Li; Zou, Weiwei; Xiao, Jianru; Liu, Tielong

doi:10.1007/s00264-020-04488-y

Cited by 49 publications

(28 citation statements)

References 22 publications

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“…The goal of this study is to examine the role of a VFT experience in changing beliefs and knowledge about climate change, and to examine how the instructional design of VFTs can promote transfer. IVR simulations are used in a variety of educational contexts to aid learning (e.g., laboratory safety training; Makransky et al, 2019a;spine surgery;Xin et al, 2019;immunology;Zhang et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The Virtual Field Trip: Investigating How to Optimize Immersive Virtual Learning in Climate Change Education

Petersen¹,

Klingenberg²,

Mayer³

et al. 2020

Preprint

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Immersive Virtual Reality (IVR) is being used for educational virtual field trips (VFTs) involving scenarios that may be too difficult, dangerous, or expensive to experience in real life. We implemented an immersive VFT within the investigation phase of an inquiry-based learning (IBL) climate change intervention. Students investigated the consequences of climate change by virtually travelling to Greenland and exploring albedo and greenhouse effects first hand. A total of 102 7th and 8th grade students were randomly assigned to one of two instructional conditions: 1) narrated pre-training followed by IVR exploration or 2) the same narrated training material integrated within the IVR exploration. Students in both conditions showed significant increases in declarative knowledge, self-efficacy, interest, STEM intentions, outcome expectations, and intentions to change behavior from the pre- to post-assessment. However, there was a significant difference between conditions favoring the pre-training group on a transfer test consisting of an oral presentation to a fictitious UN panel. The findings suggest that educators can choose to present important prerequisite learning content before or during a VFT. However, adding pre-training may lead to better transfer test performance, presumably because it helps reduce cognitive load while learning in IVR.

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Section: Introductionmentioning

confidence: 99%

The Virtual Field Trip: Investigating How to Optimize Immersive Virtual Learning in Climate Change Education

Petersen¹,

Klingenberg²,

Mayer³

et al. 2020

Preprint

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“…One system 37 has a lower cost and is more suitable for medical students to train basic skills of spine surgery than other systems. Other systems 26,32‐36,38‐43 can train users in spinal surgery, improve users' surgery skills, and shorten users' learning curves but cannot distinguish novices and experts. Some systems 26,32,38,41 have a tactile system that can provide tactile feedback to users.…”

Section: Discussionmentioning

confidence: 99%

“…Other systems 26,32‐36,38‐43 can train users in spinal surgery, improve users' surgery skills, and shorten users' learning curves but cannot distinguish novices and experts. Some systems 26,32,38,41 have a tactile system that can provide tactile feedback to users. Other systems 33,34,43 have natural tactile feedback provided by artificial models.…”

Section: Discussionmentioning

confidence: 99%

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A review of computer‐assisted orthopaedic surgery systems

Wang

Shang

et al. 2020

Robotics Computer Surgery

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Background: Computer-assisted orthopaedic surgery systems have great potential, but no review has focused on computer-assisted surgery systems for the spine, hip, and knee. Methods: A systematic search was performed in Web of Science and PubMed. We searched the literature on computer-assisted orthopaedic surgery systems from 2008 to the present and focused on three aspects of systems: training, planning, and intraoperative navigation. Results and discussion: In this review study, we reviewed 34 surgical training systems, 31 surgical planning systems, and 41 surgical navigation systems. The functions and characteristics of the surgical systems were compared and analysed, and the current concerns about and the impact of the surgical systems on doctors and surgery were clarified. Conclusion: Computer-assisted orthopaedic surgery systems are still in the development stage. Future surgical training systems should include synthetic models with patient anatomy. Surgical planning systems with automatic planning should be developed, and surgical navigation systems with multimodal fusion, robotic assistance and imaging should be developed.

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“…The average MERSQI was 11.52 ± 2.20 (SD, 95% confidence level of 0.626) suggesting a 25.0% improvement from a decade ago reported by Kirkman and colleagues 9.21 ± 1.95 (SD; range 6-12.5) [56]. The majority of the selected prospective randomised controlled trials were single-blinded trials, as double-blinding to reduce the risk of bias appears technically challenging in simulation trials with only one achieving this [122].…”

Section: Comparison With Other Studiesmentioning

confidence: 92%

Simulation for skills training in neurosurgery: a systematic review, meta-analysis, and analysis of progressive scholarly acceptance

et al. 2020

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At a time of significant global unrest and uncertainty surrounding how the delivery of clinical training will unfold over the coming years, we offer a systematic review, meta-analysis, and bibliometric analysis of global studies showing the crucial role simulation will play in training. Our aim was to determine the types of simulators in use, their effectiveness in improving clinical skills, and whether we have reached a point of global acceptance. A PRISMA-guided global systematic review of the neurosurgical simulators available, a meta-analysis of their effectiveness, and an extended analysis of their progressive scholarly acceptance on studies meeting our inclusion criteria of simulation in neurosurgical education were performed. Improvement in procedural knowledge and technical skills was evaluated. Of the identified 7405 studies, 56 studies met the inclusion criteria, collectively reporting 50 simulator types ranging from cadaveric, low-fidelity, and part-task to virtual reality (VR) simulators. In all, 32 studies were included in the meta-analysis, including 7 randomised controlled trials. A random effects, ratio of means effects measure quantified statistically significant improvement in procedural knowledge by 50.2% (ES 0.502; CI 0.355; 0.649, p < 0.001), technical skill including accuracy by 32.5% (ES 0.325; CI − 0.482; − 0.167, p < 0.001), and speed by 25% (ES − 0.25, CI − 0.399; − 0.107, p < 0.001). The initial number of VR studies (n = 91) was approximately double the number of refining studies (n = 45) indicating it is yet to reach progressive scholarly acceptance. There is strong evidence for a beneficial impact of adopting simulation in the improvement of procedural knowledge and technical skill. We show a growing trend towards the adoption of neurosurgical simulators, although we have not fully gained progressive scholarly acceptance for VR-based simulation technologies in neurosurgical education.

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The efficacy of immersive virtual reality surgical simulator training for pedicle screw placement: a randomized double-blind controlled trial

Cited by 49 publications

References 22 publications

The Virtual Field Trip: Investigating How to Optimize Immersive Virtual Learning in Climate Change Education

The Virtual Field Trip: Investigating How to Optimize Immersive Virtual Learning in Climate Change Education

A review of computer‐assisted orthopaedic surgery systems

Simulation for skills training in neurosurgery: a systematic review, meta-analysis, and analysis of progressive scholarly acceptance

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