Towards immersive virtual reality (iVR): a route to surgical expertise

Dargar, Saurabh; Kennedy, Rebecca A.; Lai, WeiXuan; Arikatla, Venkata Sreekanth; De, Suvranu

doi:10.1186/s40244-015-0015-8

Cited by 35 publications

(11 citation statements)

References 102 publications

(96 reference statements)

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“…Hardware platforms capable of generating a completely virtual world allow 'immersion' of the operator by means of head-mounted displays and haptic devices (hence the name Immersive Virtual Reality-IVR). In doing so, this allows the operator to interact with the objects within the virtual surroundings [11]. While the applications have only been able to reproduce simple procedures such as cholecystectomy or appendectomy, they may only benefit residents in the beginning of their experience.…”

Section: How Does Technology Assist Us In Teaching?mentioning

confidence: 99%

Is it possible to continue academic teaching in surgery during the COVID pandemic era?

Arezzo

Vignali

Ammirati

et al. 2020

Minimally Invasive Therapy & Allied Technologies

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In the era of the novel coronavirus (COVID-19) pandemic, we critically appraised the literature by means of a systematic review on surgical education and propose an educational curriculum with the aid of available technologies. We performed a literature search on 10 May 2020 of Medline/PubMed, Embase, Google Scholar and major journals with specific COVID-19 sections. Articles eligible for inclusion contained the topic of education in surgery in the context of COVID-19. Specific questions we aimed to answer were: Is there any difference in surgical education from pre-COVID-19 to now? How does technology assist us in teaching? Can we better harness technology to augment resident training? Two-hundred and twenty-six articles were identified, 21 relevant for our aim: 14 case studies, three survey analyses, three reviews and one commentary. The collapse of the traditional educational system due to social distancing caused a fragmentation of knowledge, a reduced acquisition of skills and a decreased employment of surgical trainees. These problems can be partially overcome by using new technologies and arranging 2-weeks rotation shifts, alternating clinical activities with learning. While medical care will remain largely based on the interaction with patients, students' adaptability to innovation will be a characteristic of post-COVID classes.

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Section: How Does Technology Assist Us In Teaching?mentioning

confidence: 99%

Is it possible to continue academic teaching in surgery during the COVID pandemic era?

Arezzo

Vignali

Ammirati

et al. 2020

Minimally Invasive Therapy & Allied Technologies

View full text Add to dashboard Cite

show abstract

“…Historically, VR and AR arose in the medical literature circa 1995. VR has been used for pain management, rehabilitation, limb "replacement" and (IVR) surgical skill and decision-making training, 113 in addition to the mental health areas previously mentioned. Surgery demands psychomotor, cognitive (i.e., automaticity) and inter-professional skills for expertise acquisition and "deliberate" practice.…”

Section: Vr Ar and Tpr In Other Areas Of Medicine And Health Carementioning

confidence: 99%

Therapeutic Relationship of Telepsychiatry and Telebehavioral Health: Ideas from Research on Telepresence, Virtual Reality and Augmented Reality

Hilty¹,

Randhawa²,

Maheu³

et al. 2019

Psychol Cogn Sci Open J

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Objective: This paper explores the therapeutic relationship, engagement and communication for participants using telepsychiatry (i.e., video; TP), telebehavioral health (TBH) and other technologies. Methods: The goal of this concept paper is to help clinicians, teachers and researchers consider the intersection of the following three topics: 1) the therapeutic relationship in psychiatric and behavioral health care; 2) how TBH affects the therapeutic relationship, engagement, communication, and boundaries; and 3) research findings on telepresence (TPr), virtual reality (VR) and augmented reality (AR) applied to clinical care. A keyword search focused on concept areas: 1) therapeutic relationship, engagement, communication, boundaries, clinical; 2) telepsychiatry, telemental or telebehavioral health, telepsychology); 3) psychotherapy via technology; 4) computer/technology-mediated communication; and 5) telepresence related to technologies (virtual, augmented, reality, environment). Results: From a total of 4,712 potential references, 453 were eligible for full text review and 77 papers directly related to the concepts. From papers' references and a review of books and popular literature, 12 other sources of information (i.e., papers, books, other) about TPr and VR were found. Though few studies literally discuss the therapeutic relationship, the impact of technology on clinical engagement and communication is growing, from clinical (e.g., psychotherapy) and non-clinical (e.g., communication, TPr) literature. The historical evolution of TPr and VR shows that definitions, foci of studies (e.g., social neuroscience to business) and assessments vary widely. TP and TBH care can be improved by concepts of TPr, avoiding distractions, understanding the technology-human interface, measures of TPR for clinical use and the use of simulation for training. Conclusions: Additional evaluation/research is needed to ensure quality care, training, and evaluation of the therapeutic relationship while preventing potential pitfalls.

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“…VR visualization of the surgical environment has been proven highly efficient for the training of surgery skills [18]. Surgeons favorably accepted virtual reality headsets, mentioning a fast learning curve [21], [22], [23] and intuitive interface. Integration of AR/VR systems in the current surgical setup allows to obtain a higher level of human-robot collaboration [20] and has the potential to improve the safety and quality of surgical interventions [24], [25].…”

Section: Introductionmentioning

confidence: 99%

Autonomous Endoscope Robot Positioning Using Instrument Segmentation With Virtual Reality Visualization

Zinchenko

Song

2021

IEEE Access

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This paper presents a method for endoscope's autonomous positioning by a robotic endoscope holder for minimally invasive surgery. The method improves human-robot cooperation in robot-assisted surgery by allowing the endoscope holder to acknowledge the surgeon's view projection and navigate the camera without manual control. The real-time prediction of next desired camera location is estimated using segmented instrument's tip locations from endoscope video and surgeon's attention focus given by tracked virtual reality headset. To tackle the issue of real-time surgical instrument segmentation for more precise instrument tip localization, we propose the YOLOv3 and ResNet Combined Neural Network. The method showed an 86.6% IoU across MICCAI'17 Endovis datasets with 30 frames per second processing speed. The proposed pipeline was implemented in ROS on Ubuntu with visualization running under Windows operating system in Unity3D. The simulation demonstrates the robotic arm, endoscope, and surgical environment visualized in 3D in the virtual reality headset to provide a stable view of the endoscope and improve the surgeon's perception of the operating environment.INDEX TERMS autonomous robot control, artificial neural network, minimally invasive surgery, object segmentation, human-robot cooperation.

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Towards immersive virtual reality (iVR): a route to surgical expertise

Cited by 35 publications

References 102 publications

Is it possible to continue academic teaching in surgery during the COVID pandemic era?

Is it possible to continue academic teaching in surgery during the COVID pandemic era?

Therapeutic Relationship of Telepsychiatry and Telebehavioral Health: Ideas from Research on Telepresence, Virtual Reality and Augmented Reality

Autonomous Endoscope Robot Positioning Using Instrument Segmentation With Virtual Reality Visualization

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