Virtual reality in radiation therapy training

Boejen, A.; Grau, Cai

doi:10.1016/j.suronc.2010.07.004

Cited by 56 publications

(39 citation statements)

References 4 publications

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“…While it is accepted that 3D imaging is better than 2D imaging to better understand spatial relationships, 17,20 the work carried out so far using 3D imaging and VR have been aimed mainly at improving RT teaching. 13 The results obtained in this study highlight that this extra information was welcomed by patients to the point that it was stressed by patients themselves that information using VR on RT planning and delivery should be provided to everybody receiving RT, and before starting treatment. More important, patients and relatives felt that their knowledge on RT planning and delivery had been improved.…”

mentioning

confidence: 63%

“…12 A full stereoscopic 3D computer model of a Linac was first developed in 2005 10 and the world's first 3D virtual reality training centre integrated in the clinic was established in 2007. 13 Furthermore, in 2007, the National Radiotherapy Advisory Group (NRAG) proposed the adoption of VR training in RT throughout the United Kingdom. 14 The VERT 3D imaging system allows patients to see in 3D their own CT Scans, and how RT is planned and delivered.…”

Section: Introductionmentioning

confidence: 99%

“…Other potential uses include surgical demonstration and simulation, and teaching. 13,15,16 To explore how patients might view their experiences of receiving extra information about their treatment we have carried out this pilot study using the VERT 3D imaging system. This system projects 3D images of the treatment room, a linear accelerator (Linac), a treatment couch and various treatment aids (Fig.…”

Section: Introductionmentioning

confidence: 99%

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Pilot study on virtual imaging for patient information on radiotherapy planning and delivery

et al. 2015

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a b s t r a c tIt is widely accepted that health professionals might sometimes underestimate cancer patients' needs for information on the complex process of radiotherapy (RT) planning and delivery. Furthermore, relatives might also feel excluded from the treatment of their loved ones. This pilot study was carried out in order to assess whether both patients and their relatives would welcome further information on RT planning and delivery using the virtual reality (VR) system VERT. One hundred and fifty patients with different types of cancer receiving radical RT were included in the study. Patients and relatives were shown using VERT on a one-to-one basis with an oncologist or a radiographer, a standard room where RT is given, a linear accelerator, and how RT is planned and delivered using their own planning CT Scans. Patients welcomed this information as it helped them to reduce their fears about RT. Relatives felt also more involved in the treatment of their loved one. The results obtained in this pilot study show that VR aids could become an important tool for delivering information on RT to both patients and relatives.© 2015 The College of Radiographers. Published by Elsevier Ltd. All rights reserved. IntroductionThere is clear evidence suggesting there is often a gap between the information provided to patients regarding their disease and management, and the amount of information patients wish to receive.1 Furthermore, it is not uncommon for clinicians to underestimate cancer patients' needs for information, 2 especially when the vast majority of cancer patients want to be thoroughly informed about their illness. 3 Despite this, there are still problems with respect to the provision of information which could satisfy most patients. 4 The importance of the provision of information to patients has been stressed by the Department of Health 5 stating that is a key requirement in current cancer services standards in the UK. However, it cannot be assumed that all patients want substantial information regarding their treatment as some might prefer to fully trust their doctor rather than being involved in taking any decisions that could affect their management. While several studies have addressed these issues, 6,7 further work is still required to improve the understanding of patients' needs. Furthermore, relatives might feel sometimes disengaged in the management of their loved ones and might consider themselves being excluded from several areas within the management process. The negative psychological impact upon partners and other relatives of cancer patients is well documented, 8 and such negative effect is (amongst many other factors) widely associated with lack of medical information given to them. It has long been argued that providing tailored information to relatives as well as patients in general cancer care is a positive aspect of the treatment process 9 and there is little doubt that such inclusionary practice should be encouraged in cancer care.A clear example where provision of information to patien...

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confidence: 63%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pilot study on virtual imaging for patient information on radiotherapy planning and delivery

et al. 2015

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“…Eleven studies were identifi ed that reported on simulation techniques specifi c to DR (n = 7) [13][14][15][16][17][18][19] and RT (n = 4). [20][21][22][23] One study, assessing the learning eff ectiveness of a live simulated scenario 14 of a critical incident within the computed tomography suite demonstrated improved student performance when they were given the opportunity to view and critique a staged simulated scenario before becoming immersed in that scenario themselves. Th ese results support a carefully staged simulated learning in a graded framework.…”

Section: Image Library Nmentioning

confidence: 99%

“…20 Students responded to VERT™ positively because it provided a relaxed, uniform, motivating, safe and enjoyable environment, where they gained understanding more quickly. [21][22][23] Clinical staff reported that pre-placement experience in VERT™ led to increased confi dence and improved psychomotor skills that were transferable to the clinical environment. Clinicians recognised that VERT™ had a large impact on fundamental concepts and simple techniques, but also can be used in complex set-ups.…”

Section: Image Library Nmentioning

confidence: 99%

The use and perceptions of simulation in medical radiation science education

2011

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Purpose: To investigate whether simulated learning programs can be expanded to include aspects of clinical education in medical radiation science (MRS) curricula. Methods: Information about the use and perceptions of simulation in MRS education was collected from academic, clinical and accrediting stakeholders using semi-structured telephone interviews, an online survey, invited comment and face to face consultative meetings. Participants represented the MRS sub-disciplines: Diagnostic Radiography, Radiation Th erapy, Nuclear Medicine and Medical Sonography. Th e following themes were explored with regard to simulation programs: existing, potential expansion of, eff ectiveness of and implementation. Results: Currently, simulation is widely implemented across Australia to deliver MRS curricula. Areas for potential expansion include: authentic replication of the clinical environment with facilities for video recording, fl exible multipurpose space, video demonstrations, online computer assisted tutorials, interactive programs, authentic scenarios using role play or live actors, virtual reality environments and comprehensive digital imaging libraries. Th e literature revealed no fi rm evidence that simulation training was more eff ective than clinical training. Participants in our project viewed simulation as complementary to clinical placement, but not as a replacement for the complexity of situations that clinical placement presents.Stakeholders cautioned for careful curriculum planning and evaluation when implementing simulation in MRS education. Conclusion: Th is consultative process provided a comprehensive summary of the current use of simulation in MRS and the potential for expansion with examples from the sub-disciplines. Th ere is a need for further research to investigate the eff ectiveness of simulation in clinical skills development.

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Integrating anatomy training into radiation oncology residency: Considerations for developing a multidisciplinary, interactive learning module for adult learners

Labranche

Johnson

Palma

et al. 2014

Anatomical Sciences Ed

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Radiation oncologists require an in-depth understanding of anatomical relationships for modern clinical practice, although most do not receive formal anatomy training during residency. To fulfill the need for instruction in relevant anatomy, a series of four multidisciplinary, interactive learning modules were developed for a cohort of radiation oncology and medical physics residents. Instructional design was based on established learning theories, with the intent of integrating knowledge of specific anatomical regions with radiology and radiation oncology practice. Each session included presentations by a radiologist and a radiation oncologist, as well as hands-on exploration of anatomical specimens with guidance from anatomists. Pre- and post-tests distributed during each session showed significant short-term knowledge retention. According to qualitative surveys and exit interviews, participants felt more comfort' with delineating structures, gross anatomy, and radiograph interpretation at the end of each session. Overall participant experience was positive, and the modules were considered effective for learning radiologic anatomy. Suggestions for future interventions include more time, increased clinical application, additional contouring practice and feedback, and improved coordination between each of the three disciplines. Results and conclusions from this study will be used to inform the design of a future multi-day national workshop for Canadian radiation oncology residents.

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Virtual reality in radiation therapy training

Cited by 56 publications

References 4 publications

Pilot study on virtual imaging for patient information on radiotherapy planning and delivery

Pilot study on virtual imaging for patient information on radiotherapy planning and delivery

The use and perceptions of simulation in medical radiation science education

Integrating anatomy training into radiation oncology residency: Considerations for developing a multidisciplinary, interactive learning module for adult learners

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