Virtual reality simulator’s effectiveness on the spine procedure education for trainee: a randomized controlled trial

Kim, Ji Yeong; Lee, Jong Seok; Lee, Jae Hee; Park, Yoon Sun; Cho, Jaein; Koh, Jae Chul

doi:10.4097/kja.22491

Cited by 7 publications

(6 citation statements)

References 29 publications

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Section: Resultsmentioning

confidence: 99%

“…[60] In one RCT involving a Unity-based immersive VR simulator, trainees learning lumbar transforaminal epidural block placement using VR outperformed those who learned via text and video material alone. [58] Although software like Unity has reduced the redundant work in the development of XR education and simulation software, there is significant heterogeneity in how individual systems are developed. Lampotang et al argue that these heterogeneous approaches may lead to increased validation and curriculum development costs.…”

Section: Educational Applications Of Extended Realitymentioning

confidence: 99%

“…[55] Most recent VR applications were built using the Unity game engine (Unity Software Inc., San Francisco, California). [47,[56][57][58][59] Unity simplifies the development of XR applications and reduces duplicate work by providing pre-built code. [60] In one RCT involving a Unity-based immersive VR simulator, trainees learning lumbar transforaminal epidural block placement using VR outperformed those who learned via text and video material alone.…”

Section: Educational Applications Of Extended Realitymentioning

confidence: 99%

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Extended Reality for Neuraxial Anesthesia and Pain Procedures: A Scoping Review

Cho,

Thaker,

Jotwani

et al. 2024

Preprint

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Background Extended reality technology, encompassing augmented reality, mixed reality, and virtual reality, has the potential to enhance the teaching and performance of neuraxial procedures. The diverse applications of extended reality include immersive simulations and novel modes of procedural navigation. Objectives This scoping review aims to explore the preclinical, clinical, and educational applications of extended reality for neuraxial procedures while suggesting directions for future research. Evidence review A systematic search was conducted across PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar until December 2023. Additional sources were identified via citation searching of relevant articles. The findings are reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Findings 41 studies, including three pending clinical trials were included. The majority of included studies were published after 2015. Extended reality technology was applied in diverse ways for teaching, simulation, and navigation, but only four of the completed studies described clinical use. For the display of visuals, computer screens were most commonly used, followed by head-mounted devices, laser projectors, and semi-transparent mirrors. Conclusions Interest in utilizing extended reality technology for neuraxial procedures is growing. Preliminary work shows promise for this technology in both education and clinical practice, but achieving accurate image registration without disrupting existing workflows remains an ongoing barrier to clinical testing. Additional research is needed to assess the cost-effectiveness and reliability of this technology.

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Section: Resultsmentioning

confidence: 99%

Section: Educational Applications Of Extended Realitymentioning

confidence: 99%

Section: Educational Applications Of Extended Realitymentioning

confidence: 99%

See 1 more Smart Citation

Extended Reality for Neuraxial Anesthesia and Pain Procedures: A Scoping Review

Cho,

Thaker,

Jotwani

et al. 2024

Preprint

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“…The simulator was developed using a process similar to that used for our previous spinal procedure simulator. 14 However, considering that the SCS procedure is usually performed on the cervical or thoracic spine, the CT data of the entire spine were used in this study. As with the previous simulator, real-time virtual X-rays could be generated by matching the patient’s Digital Imaging and Communications in Medicine data coordinates, Hounsfield unit values, and virtual objects in the virtual spaces.…”

Section: Methodsmentioning

confidence: 99%

Development and Evaluation of a Virtual Reality Simulator for Spinal Cord Stimulation: A Randomized Controlled Trial

Kim,

Jang,

Yoon

et al. 2024

JPR

Self Cite

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Purpose The aim of this prospective study was to develop a virtual reality simulator (VRS) for spinal cord stimulation (SCS) trials and establish its effectiveness. Methods We developed a VRS for SCS training by integrating patient imaging data analytics, creating artificial X-ray images, and using spatial alignment techniques and virtual reality technologies. The simulator was created by a physician with considerable experience in performing SCS, and can simulate the feeling of the procedure in a virtual environment. The efficacy of the simulator for SCS trials was assessed using a cohort of 20 novice trainees. The primary outcomes were duration of the procedure, checklist score, number of C-arm images captured, and overall trainee satisfaction. Results The cohort that utilized the VRS had better Zwisch scale scores (P <0.001), completed the procedure in a shorter time (P <0.001), took fewer C-arm images (P <0.001), and reported better overall satisfaction (P = 0.011) than the cohort that did not. Conclusion We developed a realistic and efficient VRS for educating novice trainees on SCS trials, thereby eliminating the risk of radiation exposure associated with cadaver training. The results of this study indicate that our VRS has potential as an instrumental resource that can be integrated into the educational framework for SCS trials.

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“…Furthermore, VR simulators have emerged as an alternative to traditional educational methods, particularly given the recently established guidelines for minimizing physical contact. A study by Kim et al [ 8 ] found that using a VR simulator in spinal procedure education resulted in higher global rating scores, reduced procedural times, reduced use of C-arms, and higher overall satisfaction scores, supporting the use of VR simulators as teaching aids compared to self-learning groups using video and book.…”

mentioning

confidence: 99%