ARBOOK: Development and Assessment of a Tool Based on Augmented Reality for Anatomy

Abstract The evolution of technologies and the development of new tools with educational purposes are growing up. This work presents the experience of a new tool based on augmented reality (AR) focusing on the anatomy of the lower limb. ARBOOK was constructed and developed based on TC and MRN images, dissections and drawings. For ARBOOK evaluation, a specific questionnaire of three blocks was performed and validated according to the Delphi method. The questionnaire included motivation and attention tasks, autonomous work and three-dimensional interpretation tasks. A total of 211 students from 7 public and private Spanish universities were divided in two groups. Control group received standard teaching sessions supported by books, and video. The ARBOOK group received the same standard sessions but additionally used the ARBOOK tool. At the end of the training, a written test on lower limb anatomy was done by students. Statistically significant better scorings for the ARBOOK group were found on attention–motivation, autonomous work and three-dimensional comprehension tasks. Additionally, significantly better scoring was obtained by the ARBOOK group in the written test. The results strongly suggest that the use of AR is suitable for anatomical purposes. Concretely, the results indicate how this technology is helpful for student motivation, autonomous work or spatial interpretation. The use of this type of technologies must be taken into account even more at the present moment, when new technologies are naturally incorporated to our current lives.

[1]  S. Daniel,et al.  Can virtual reality improve anatomy education? A randomised controlled study of a computer‐generated three‐dimensional anatomical ear model , 2006, Medical education.

[2]  Kevin W Eva,et al.  Is There Any Real Virtue of Virtual Reality?: The Minor Role of Multiple Orientations in Learning Anatomy from Computers , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[3]  G R Norman,et al.  Do virtual computer models hinder anatomy learning? , 1999, Academic medicine : journal of the Association of American Medical Colleges.

[4]  Mary Hegarty,et al.  Individual Differences Among Users: Implications for the Design of 3D Medical Visualizations , 2008 .

[5]  Piet Kommers,et al.  Optimizing conditions for computer-assisted anatomical learning , 2006, Interact. Comput..

[6]  N. Dalkey,et al.  An Experimental Application of the Delphi Method to the Use of Experts , 1963 .

[7]  Miguel Alaminos,et al.  Motivational component profiles in university students learning histology: a comparative study between genders and different health science curricula , 2014, BMC medical education.

[8]  A. Bandura Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[9]  James Birt,et al.  An enriched multimedia eBook application to facilitate learning of anatomy , 2014, Anatomical sciences education.

[10]  Luc Soler,et al.  Real-time 3D image reconstruction guidance in liver resection surgery. , 2014, Hepatobiliary surgery and nutrition.

[11]  Tim Vernon,et al.  The benefits of 3D modelling and animation in medical teaching , 2002, The Journal of audiovisual media in medicine.

[12]  T Vilis,et al.  “Active” and “passive” learning of three-dimensional object structure within an immersive virtual reality environment , 2002, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[13]  Ronald Azuma,et al.  Recent Advances in Augmented Reality , 2001, IEEE Computer Graphics and Applications.

[14]  Shawn M. Glynn,et al.  Motivation, achievement, and advanced placement intent of high school students learning science , 2011 .

[15]  M. Goodale,et al.  Manipulating and recognizing virtual objects: where the action is. , 2001, Canadian journal of experimental psychology = Revue canadienne de psychologie experimentale.

[16]  Taralynn Hartsell,et al.  Effect of an interactive web-based instruction in the performance of undergraduate anatomy and physiology lab students , 2010, Comput. Educ..

[17]  P Bijlenga,et al.  Augmented reality-assisted skull base surgery. , 2014, Neuro-Chirurgie.

[18]  J. McLachlan,et al.  Teaching anatomy without cadavers , 2004, Medical education.

[19]  G. Norman,et al.  How medical students learn spatial anatomy , 2001, The Lancet.

[20]  Paul Anderson,et al.  Design and Implementation of Augmented Reality Environment for Complex Anatomy Training: Inguinal Canal Case Study , 2009, HCI.

[21]  Naoki Suzuki,et al.  Clinical application of navigation surgery using augmented reality in the abdominal field , 2015, Surgery Today.

[22]  Alexandre Cardoso,et al.  On the use of Augmented Reality techniques in learning and interpretation of cardiologic data , 2010, 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology.

[23]  Gita Taasoobshirazi,et al.  Science motivation questionnaire II: Validation with science majors and nonscience majors , 2011 .

[24]  F. Charbel,et al.  Learning Retention of Thoracic Pedicle Screw Placement Using a High-Resolution Augmented Reality Simulator With Haptic Feedback , 2011, Neurosurgery.

[25]  W. Cottam,et al.  Adequacy of medical school gross anatomy education as perceived by certain postgraduate residency programs and anatomy course directors , 1999, Clinical anatomy.

[26]  John A McNulty,et al.  Evaluation of computer‐aided instruction in the medical gross anatomy curriculum , 2004, Clinical anatomy.

[27]  A. Bandura Social cognitive theory: an agentic perspective. , 1999, Annual review of psychology.

[28]  M. Goodale,et al.  Active manual control of object views facilitates visual recognition , 1999, Current Biology.

[29]  Caterina Primi,et al.  Teaching probability: effects of task frames and training on misconceptions , 2007 .

[30]  J. Eccles,et al.  Motivational beliefs, values, and goals. , 2002, Annual review of psychology.

[31]  Rhys Gethin Thomas,et al.  Augmented Reality for Anatomical Education , 2010, Journal of visual communication in medicine.

[32]  Charlotte Ringsted,et al.  What is the impact of a national postgraduate medical specialist education reform on the daily clinical training 3.5 years after implementation? A questionnaire survey , 2010, BMC medical education.