Percutaneous spinal fixation simulation with virtual reality and haptics

Cristian J. Luciano, P. Pat Banerjee, Jeffrey Sorenson, Kevin Foley, Sameer A. Ansari, Silvio Rizzi, Anand V. Germanwala, Leonard Kranzler, Prashant Chittiboina, Ben Z. Roitberg

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: In this study, we evaluated the use of a part-task simulator with 3-dimensional and haptic feedback as a training tool for percutaneous spinal needle placement. Objective: To evaluate the learning effectiveness in terms of entry point/target point accuracy of percutaneous spinal needle placement on a high-performance augmented-reality and haptic technology workstation with the ability to control the duration of computer-simulated fluoroscopic exposure, thereby simulating an actual situation. Methods: Sixty-three fellows and residents performed needle placement on the simulator. A virtual needle was percutaneously inserted into a virtual patient's thoracic spine derived from an actual patient computed tomography data set. Results: Ten of 126 needle placement attempts by 63 participants ended in failure for a failure rate of 7.93%. From all 126 needle insertions, the average error (15.69 vs 13.91), average fluoroscopy exposure (4.6 vs 3.92), and average individual performance score (32.39 vs 30.71) improved from the first to the second attempt. Performance accuracy yielded P = .04 from a 2-sample t test in which the rejected null hypothesis assumes no improvement in performance accuracy from the first to second attempt in the test session. Conclusion: The experiments showed evidence (P = .04) of performance accuracy improvement from the first to the second percutaneous needle placement attempt. This result, combined with previous learning retention and/or face validity results of using the simulator for open thoracic pedicle screw placement and ventriculostomy catheter placement, supports the efficacy of augmented reality and haptics simulation as a learning tool.

Original languageEnglish (US)
JournalNeurosurgery
Volume72
Issue numberSUPPL. 1
DOIs
StatePublished - Jan 1 2013

Fingerprint

Needles
Learning
Reproducibility of Results
Thorax
Ventriculostomy
Aptitude
Fluoroscopy
Spine
Catheters
Tomography
Technology

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Luciano, C. J., Banerjee, P. P., Sorenson, J., Foley, K., Ansari, S. A., Rizzi, S., ... Roitberg, B. Z. (2013). Percutaneous spinal fixation simulation with virtual reality and haptics. Neurosurgery, 72(SUPPL. 1). https://doi.org/10.1227/NEU.0b013e3182750a8d

Percutaneous spinal fixation simulation with virtual reality and haptics. / Luciano, Cristian J.; Banerjee, P. Pat; Sorenson, Jeffrey; Foley, Kevin; Ansari, Sameer A.; Rizzi, Silvio; Germanwala, Anand V.; Kranzler, Leonard; Chittiboina, Prashant; Roitberg, Ben Z.

In: Neurosurgery, Vol. 72, No. SUPPL. 1, 01.01.2013.

Research output: Contribution to journalArticle

Luciano, CJ, Banerjee, PP, Sorenson, J, Foley, K, Ansari, SA, Rizzi, S, Germanwala, AV, Kranzler, L, Chittiboina, P & Roitberg, BZ 2013, 'Percutaneous spinal fixation simulation with virtual reality and haptics', Neurosurgery, vol. 72, no. SUPPL. 1. https://doi.org/10.1227/NEU.0b013e3182750a8d
Luciano, Cristian J. ; Banerjee, P. Pat ; Sorenson, Jeffrey ; Foley, Kevin ; Ansari, Sameer A. ; Rizzi, Silvio ; Germanwala, Anand V. ; Kranzler, Leonard ; Chittiboina, Prashant ; Roitberg, Ben Z. / Percutaneous spinal fixation simulation with virtual reality and haptics. In: Neurosurgery. 2013 ; Vol. 72, No. SUPPL. 1.
@article{06f1f19403c748cb9c16104eff8844d1,
title = "Percutaneous spinal fixation simulation with virtual reality and haptics",
abstract = "Background: In this study, we evaluated the use of a part-task simulator with 3-dimensional and haptic feedback as a training tool for percutaneous spinal needle placement. Objective: To evaluate the learning effectiveness in terms of entry point/target point accuracy of percutaneous spinal needle placement on a high-performance augmented-reality and haptic technology workstation with the ability to control the duration of computer-simulated fluoroscopic exposure, thereby simulating an actual situation. Methods: Sixty-three fellows and residents performed needle placement on the simulator. A virtual needle was percutaneously inserted into a virtual patient's thoracic spine derived from an actual patient computed tomography data set. Results: Ten of 126 needle placement attempts by 63 participants ended in failure for a failure rate of 7.93{\%}. From all 126 needle insertions, the average error (15.69 vs 13.91), average fluoroscopy exposure (4.6 vs 3.92), and average individual performance score (32.39 vs 30.71) improved from the first to the second attempt. Performance accuracy yielded P = .04 from a 2-sample t test in which the rejected null hypothesis assumes no improvement in performance accuracy from the first to second attempt in the test session. Conclusion: The experiments showed evidence (P = .04) of performance accuracy improvement from the first to the second percutaneous needle placement attempt. This result, combined with previous learning retention and/or face validity results of using the simulator for open thoracic pedicle screw placement and ventriculostomy catheter placement, supports the efficacy of augmented reality and haptics simulation as a learning tool.",
author = "Luciano, {Cristian J.} and Banerjee, {P. Pat} and Jeffrey Sorenson and Kevin Foley and Ansari, {Sameer A.} and Silvio Rizzi and Germanwala, {Anand V.} and Leonard Kranzler and Prashant Chittiboina and Roitberg, {Ben Z.}",
year = "2013",
month = "1",
day = "1",
doi = "10.1227/NEU.0b013e3182750a8d",
language = "English (US)",
volume = "72",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Percutaneous spinal fixation simulation with virtual reality and haptics

AU - Luciano, Cristian J.

AU - Banerjee, P. Pat

AU - Sorenson, Jeffrey

AU - Foley, Kevin

AU - Ansari, Sameer A.

AU - Rizzi, Silvio

AU - Germanwala, Anand V.

AU - Kranzler, Leonard

AU - Chittiboina, Prashant

AU - Roitberg, Ben Z.

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Background: In this study, we evaluated the use of a part-task simulator with 3-dimensional and haptic feedback as a training tool for percutaneous spinal needle placement. Objective: To evaluate the learning effectiveness in terms of entry point/target point accuracy of percutaneous spinal needle placement on a high-performance augmented-reality and haptic technology workstation with the ability to control the duration of computer-simulated fluoroscopic exposure, thereby simulating an actual situation. Methods: Sixty-three fellows and residents performed needle placement on the simulator. A virtual needle was percutaneously inserted into a virtual patient's thoracic spine derived from an actual patient computed tomography data set. Results: Ten of 126 needle placement attempts by 63 participants ended in failure for a failure rate of 7.93%. From all 126 needle insertions, the average error (15.69 vs 13.91), average fluoroscopy exposure (4.6 vs 3.92), and average individual performance score (32.39 vs 30.71) improved from the first to the second attempt. Performance accuracy yielded P = .04 from a 2-sample t test in which the rejected null hypothesis assumes no improvement in performance accuracy from the first to second attempt in the test session. Conclusion: The experiments showed evidence (P = .04) of performance accuracy improvement from the first to the second percutaneous needle placement attempt. This result, combined with previous learning retention and/or face validity results of using the simulator for open thoracic pedicle screw placement and ventriculostomy catheter placement, supports the efficacy of augmented reality and haptics simulation as a learning tool.

AB - Background: In this study, we evaluated the use of a part-task simulator with 3-dimensional and haptic feedback as a training tool for percutaneous spinal needle placement. Objective: To evaluate the learning effectiveness in terms of entry point/target point accuracy of percutaneous spinal needle placement on a high-performance augmented-reality and haptic technology workstation with the ability to control the duration of computer-simulated fluoroscopic exposure, thereby simulating an actual situation. Methods: Sixty-three fellows and residents performed needle placement on the simulator. A virtual needle was percutaneously inserted into a virtual patient's thoracic spine derived from an actual patient computed tomography data set. Results: Ten of 126 needle placement attempts by 63 participants ended in failure for a failure rate of 7.93%. From all 126 needle insertions, the average error (15.69 vs 13.91), average fluoroscopy exposure (4.6 vs 3.92), and average individual performance score (32.39 vs 30.71) improved from the first to the second attempt. Performance accuracy yielded P = .04 from a 2-sample t test in which the rejected null hypothesis assumes no improvement in performance accuracy from the first to second attempt in the test session. Conclusion: The experiments showed evidence (P = .04) of performance accuracy improvement from the first to the second percutaneous needle placement attempt. This result, combined with previous learning retention and/or face validity results of using the simulator for open thoracic pedicle screw placement and ventriculostomy catheter placement, supports the efficacy of augmented reality and haptics simulation as a learning tool.

UR - http://www.scopus.com/inward/record.url?scp=84872073216&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84872073216&partnerID=8YFLogxK

U2 - 10.1227/NEU.0b013e3182750a8d

DO - 10.1227/NEU.0b013e3182750a8d

M3 - Article

VL - 72

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - SUPPL. 1

ER -