Virtual reality for medical training: the state-of-the-art

Virtual reality (VR) medical simulations deliver a tailored learning experience that can be standardized, and can cater to different learning styles in ways that cannot be matched by traditional teaching. These simulations also facilitate self-directed learning, allow trainees to develop skills at their own pace and allow unlimited repetition of specific scenarios that enable them to remedy skills deficiencies in a safe environment. A number of simulators have been validated and have shown clear benefits to medical training. However, while graphical realism is high, realistic haptic feedback and interactive tissues are limited for many simulators. This paper reviews the current status and benefits of haptic VR simulation-based medical training for bone and dental surgery, intubation procedures, eye surgery, and minimally invasive and endoscopic surgery.

[1]  S. Benford,et al.  Virtual neurosurgery, training for the future , 2007, British journal of neurosurgery.

[2]  P. Schmalbrock,et al.  Virtual Temporal Bone Dissection: An Interactive Surgical Simulator , 2002, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[3]  M A Rodrigues,et al.  A Biomechanical Model of the Upper Airways for Simulating Laryngoscopy , 2001, Computer methods in biomechanics and biomedical engineering.

[4]  John Vozenilek,et al.  See one, do one, teach one: advanced technology in medical education. , 2004, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[5]  Aaron Fenster,et al.  Development and validation of a virtual reality transrectal ultrasound guided prostatic biopsy simulator. , 2011, Canadian Urological Association journal = Journal de l'Association des urologues du Canada.

[6]  Suvranu De,et al.  Using the PhysX engine for physics‐based virtual surgery with force feedback , 2009, The international journal of medical robotics + computer assisted surgery : MRCAS.

[7]  M. A. Mahr,et al.  Construct validity of anterior segment anti‐tremor and forceps surgical simulator training modules: Attending versus resident surgeon performance , 2008, Journal of cataract and refractive surgery.

[8]  Vicki R LeBlanc,et al.  A preliminary study in using virtual reality to train dental students. , 2004, Journal of dental education.

[9]  Hanif M Ladak,et al.  Development and face validity testing of a three-dimensional myringotomy simulator with haptic feedback. , 2010, Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale.

[10]  P. Barach,et al.  Reducing variation in adverse events during the academic year , 2009, BMJ : British Medical Journal.

[11]  R. Vincent Leslie,et al.  Development of a Virtual Reality Haptic Veress Needle Insertion Simulator for Surgical Skills Training , 2009, MMVR.

[12]  A. Ziv,et al.  Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review , 2005, Medical teacher.

[13]  John Kenneth Salisbury,et al.  A Collaborative Virtual Environment for the Simulation of Temporal Bone Surgery , 2004, MICCAI.

[14]  J. Caffrey,et al.  Virtual Reality Neurosurgery: A Simulator Blueprint , 2004, Neurosurgery.

[15]  Nigel W. John,et al.  The Role of Haptics in Medical Training Simulators: A Survey of the State of the Art , 2011, IEEE Transactions on Haptics.

[16]  Steven D. Wexner,et al.  Review of available methods of simulation training to facilitate surgical education , 2010, Surgical Endoscopy.

[17]  Enrico Gobbetti,et al.  Developing a virtual reality environment for petrous bone surgery : a “ state-ofthe-art ” review , 2001 .

[18]  T S Ikonen,et al.  Virtual Reality Simulator Training of Laparoscopic Cholecystectomies — A Systematic Review , 2012, Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society.

[19]  S Abrahamson,et al.  COMMENTARY , 1969, Quality and Safety in Health Care.

[20]  G. Székely,et al.  Uterus models for use in virtual reality hysteroscopy simulators. , 2009, European journal of obstetrics, gynecology, and reproductive biology.

[21]  Sylvain Lefebvre,et al.  GigaVoxels: ray-guided streaming for efficient and detailed voxel rendering , 2009, I3D '09.

[22]  Alice Urbankova,et al.  Impact of computerized dental simulation training on preclinical operative dentistry examination scores. , 2010, Journal of dental education.

[23]  Dan Morris,et al.  An interactive simulation environment for craniofacial surgical procedures. , 2005, Studies in health technology and informatics.

[24]  Siriwan Suebnukarn,et al.  Haptic augmented reality dental trainer with automatic performance assessment , 2010, IUI '10.

[25]  Mark A. Ganter,et al.  Real-time finite element modeling for surgery simulation: an application to virtual suturing , 2004, IEEE Transactions on Visualization and Computer Graphics.

[26]  M. Srinivasan,et al.  Simulation of tissue cutting and bleeding for laparoscopic surgery using auxiliary surfaces. , 1999, Studies in health technology and informatics.

[27]  Duncan Fyfe Gillies,et al.  Modelling and simulation of the tongue during laryngoscopy , 1998, Comput. Networks.

[28]  T. Grantcharov,et al.  Randomized clinical trial of virtual reality simulation for laparoscopic skills training , 2004, The British journal of surgery.

[29]  Parvati Dev,et al.  LUCY: a 3-D pelvic model for surgical simulation. , 2004, The Journal of the American Association of Gynecologic Laparoscopists.

[30]  Duncan Fyfe Gillies,et al.  Realistic deformable models for simulating the tongue during laryngoscopy , 2001, Proceedings International Workshop on Medical Imaging and Augmented Reality.

[31]  Robert A Pedowitz,et al.  Evaluation of a virtual reality simulator for arthroscopy skills development. , 2002, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[32]  W. Pories,et al.  U.S. health care reform: Will it change postgraduate surgical education? , 1994, World Journal of Surgery.

[33]  Aleksandar Zivanovic,et al.  A part-task approach to haptic knee arthroscopy training. , 2003, Studies in health technology and informatics.

[34]  Karen J Reynolds,et al.  Toward Photorealism in Endoscopic Sinus Surgery Simulation , 2013, American journal of rhinology & allergy.

[35]  Judith A Buchanan,et al.  Experience with virtual reality-based technology in teaching restorative dental procedures. , 2004, Journal of dental education.

[36]  Peter Åsman,et al.  Virtual reality cataract surgery training: learning curves and concurrent validity , 2012, Acta ophthalmologica.

[37]  C. Laurell,et al.  Computer-simulated phacoemulsification. , 2004, Ophthalmology.

[38]  Julian J. Nussbaum,et al.  Virtual reality in ophthalmology training. , 2006, Survey of ophthalmology.

[39]  T. Oetting,et al.  Construct validity of a surgical simulator as a valid model for capsulorhexis training , 2010, Journal of cataract and refractive surgery.

[40]  Stephane Cotin,et al.  EP4A: Software and Computer Based Simulator Research: Development and Outlook SOFA—An Open Source Framework for Medical Simulation , 2007, MMVR.

[41]  Molly Cooke,et al.  American medical education 100 years after the Flexner report. , 2006, The New England journal of medicine.

[42]  Yuzhong Shen,et al.  A simulation-based training system for surgical wound debridement. , 2006, Studies in health technology and informatics.

[43]  Don Stredney,et al.  Use of Ultra-High-Resolution Data for Temporal Bone Dissection Simulation , 2005, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[45]  Gábor Székely,et al.  A Hybrid Cutting Approach for Hysteroscopy Simulation , 2005, MICCAI.

[46]  Andreas Pommert,et al.  Virtual reality: A new paranasal sinus surgery simulator , 2009, The Laryngoscope.

[47]  John D. Owens,et al.  GPU Computing , 2008, Proceedings of the IEEE.

[48]  Sukitti Punak,et al.  Simulation for Training With the Autosuture TM Endo StitchTM Device , 2006 .

[49]  A. Duffy,et al.  Evolution of surgical skills training. , 2006, World journal of gastroenterology.

[50]  H. Bleuler,et al.  Highly-realistic, immersive training environment for hysteroscopy. , 2006, Studies in health technology and informatics.

[51]  Woojin Ahn,et al.  Development of the VBLaST™: a virtual basic laparoscopic skill trainer , 2008, The international journal of medical robotics + computer assisted surgery : MRCAS.

[52]  Peter Szurman,et al.  Virtual reality training improves wet-lab performance of capsulorhexis: results of a randomized, controlled study , 2009, Graefe's Archive for Clinical and Experimental Ophthalmology.

[53]  T. Hikichi,et al.  Vitreous surgery simulator. , 2000, Archives of ophthalmology.

[54]  J. Svanvik,et al.  Use of a virtual reality, real-time, simulation model for the training of urologists in transurethral resection of the prostate , 2005, Scandinavian journal of urology and nephrology.

[55]  Anthony G Gallagher,et al.  Virtual reality training for the operating room and cardiac catheterisation laboratory , 2004, The Lancet.

[56]  Steven Dow,et al.  The design and testing of a force feedback dental simulator , 2001, Comput. Methods Programs Biomed..

[57]  Patrick Taffé,et al.  Rate of undesirable events at beginning of academic year: retrospective cohort study , 2009, BMJ : British Medical Journal.

[58]  K. A. Ericsson,et al.  Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[59]  J. Jakimowicz,et al.  Virtual reality surgical laparoscopic simulators , 2003, Surgical Endoscopy And Other Interventional Techniques.

[60]  Changmok Choi,et al.  Development of a Surgical Simulator for Laparoscopic Esophageal Procedures , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[61]  Barton F. Branstetter,et al.  Toward a Comprehensive Hybrid Physical-Virtual Reality Simulator of Peripheral Anesthesia with Ultrasound and Neurostimulator Guidance , 2011, MMVR.

[62]  Andreas Pommert,et al.  Virtual dental surgery as a new educational tool in dental school. , 2010, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[63]  Keith K. Green,et al.  Computer-simulated eye surgery. A novel teaching method for residents and practitioners. , 1995, Ophthalmology.

[64]  Ian Brown,et al.  A visual graphic/haptic rendering model for hysteroscopic procedures. , 2006, Australasian physical & engineering sciences in medicine.

[65]  P.-A. Heng,et al.  A virtual-reality training system for knee arthroscopic surgery , 2004, IEEE Transactions on Information Technology in Biomedicine.

[66]  Renato Pajarola,et al.  Interactive SPH simulation and rendering on the GPU , 2010, SCA '10.

[67]  Sébastien Ourselin,et al.  A Haptic Interface with Motor/Brake System for Colonoscopy Simulation , 2008, 2008 Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems.

[68]  Sébastien Ourselin,et al.  Developing a Next Generation Colonoscopy Simulator , 2010, Int. J. Image Graph..

[69]  J. Dankelman,et al.  Haptics in minimally invasive surgery – a review , 2008, Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy.

[70]  Kimerly Powell,et al.  Temporal bone dissection simulation--an update. , 2002, Studies in health technology and informatics.

[71]  R S Haluck,et al.  Computers and virtual reality for surgical education in the 21st century. , 2000, Archives of surgery.

[72]  N. Seymour.  VR to OR: A Review of the Evidence that Virtual Reality Simulation Improves Operating Room Performance , 2008, World Journal of Surgery.

[73]  Reinhard Männer,et al.  EYESi Ophthalmoscope - A Simulator for Indirect Ophthalmoscopic Examinations , 2009, MMVR.

[74]  David S. Ebert,et al.  Conservative voxelization , 2007, The Visual Computer.

[75]  Aaron Oliker,et al.  Simulating video-assisted thoracoscopic lobectomy: a virtual reality cognitive task simulation. , 2011, The Journal of thoracic and cardiovascular surgery.

[76]  A. Ziv,et al.  Simulation-based medical education: an ethical imperative. , 2006, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[77]  R. Satava,et al.  Virtual Reality Training Improves Operating Room Performance: Results of a Randomized, Double-Blinded Study , 2002, Annals of surgery.

[78]  M.A. Padilla,et al.  Mechatronic Resectoscope Emulator for a Surgery Simulation Training System of the Prostate , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[79]  J. Mayrose,et al.  Utilization of virtual reality for endotracheal intubation training. , 2003, Resuscitation.

[80]  A virtual-reality subtotal tonsillectomy simulator. , 2012, The Journal of laryngology and otology.

[81]  Vanda Luengo,et al.  Design and Implementation of a Visual and Haptic Simulator in a Platform for a TEL System in Percutaneuos Orthopedic Surgery , 2011, MMVR.

[82]  Luis Serra,et al.  Volume-based tumor neurosurgery planning in the Virtual Workbench , 1998, Proceedings. IEEE 1998 Virtual Reality Annual International Symposium (Cat. No.98CB36180).