Virtual and Augmented Reality in Medical Education

Virtual reality (VR) and augmented reality (AR) are two contemporary simulation models that are currently upgrading medical education. VR provides a 3D and dynamic view of structures and the ability of the user to interact with them. The recent technological advances in haptics, display systems, and motion detection allow the user to have a realistic and interactive experience, enabling VR to be ideal for training in hands-on procedures. Consequently, surgical and other interventional procedures are the main fields of application of VR. AR provides the ability of projecting virtual information and structures over physical objects, thus enhancing or altering the real environment. The integration of AR applications in the understanding of anatomical structures and physiological mechanisms seems to be beneficial. Studies have tried to demonstrate the validity and educational effect of many VR and AR applications, in many different areas, employed via various hardware platforms. Some of them even propose a curriculum that integrates these methods. This chapter provides a brief history of VR and AR in medicine, as well as the principles and standards of their function. Finally, the studies that show the effect of the implementation of these methods in different fields of medical training are summarized and presented.

[1]  M. Bruno,et al.  Simulator training in gastrointestinal endoscopy - From basic training to advanced endoscopic procedures. , 2016, Best practice & research. Clinical gastroenterology.

[2]  Roy Phitayakorn,et al.  A proficiency-based virtual reality endoscopy curriculum improves performance on the fundamentals of endoscopic surgery examination , 2018, Surgical Endoscopy.

[3]  Danilo Miskovic,et al.  Randomized controlled trial on the effect of coaching in simulated laparoscopic training , 2014, Surgical Endoscopy.

[4]  Carol L Lake,et al.  Simulation in Cardiology and Cardiothoracic and Vascular Surgery , 2005, Seminars in cardiothoracic and vascular anesthesia.

[5]  Rebecca Tenney-Soeiro,et al.  Gunner Goggles: Implementing Augmented Reality into Medical Education , 2016, MMVR.

[6]  Florin Graur Virtual Reality in Medicine — Going Beyond the Limits , 2014 .

[7]  Ali Alaraj,et al.  Role of cranial and spinal virtual and augmented reality simulation using immersive touch modules in neurosurgical training. , 2013, Neurosurgery.

[8]  Nicholas Marlow,et al.  Laparoscopic skills maintenance: a randomized trial of virtual reality and box trainer simulators. , 2014, Journal of surgical education.

[9]  James D Watterson,et al.  Randomized prospective blinded study validating acquistion of ureteroscopy skills using computer based virtual reality endourological simulator. , 2002, The Journal of urology.

[10]  E. Kuipers,et al.  Training and competence assessment in GI endoscopy: a systematic review , 2015, Gut.

[11]  Vikas Kapoor,et al.  Haptics - touchfeedback technology widening the horizon of medicine. , 2014, Journal of clinical and diagnostic research : JCDR.

[12]  R. Satava Virtual reality surgical simulator , 1993, Surgical Endoscopy.

[13]  P. Spiess,et al.  Augmented reality assisted surgery: a urologic training tool , 2015, Asian journal of andrology.

[14]  S. Tsuda,et al.  Augmented reality telementoring (ART) platform: a randomized controlled trial to assess the efficacy of a new surgical education technology , 2014, Surgical Endoscopy.

[15]  M. Schijven,et al.  Education in wrist arthroscopy: past, present and future , 2015, Knee Surgery, Sports Traumatology, Arthroscopy.

[16]  J. Wolf,et al.  Randomized prospective blinded study validating acquisition of ureteroscopy skills using computer based virtual reality endourological simulator. , 2002, International braz j urol : official journal of the Brazilian Society of Urology.

[17]  M. Weigl,et al.  Virtual reality-based simulators for spine surgery: a systematic review. , 2017, The spine journal : official journal of the North American Spine Society.

[18]  S. Kim,et al.  Application of Virtual, Augmented, and Mixed Reality to Urology. , 2017, International neurourology journal.

[19]  Noor Christoph,et al.  Augmented reality in medical education? , 2014, Perspectives on Medical Education.

[20]  C. R. Larsen,et al.  The efficacy of virtual reality simulation training in laparoscopy: a systematic review of randomized trials , 2012, Acta obstetricia et gynecologica Scandinavica.

[21]  T Grantcharov,et al.  Virtual reality simulation training can improve technical skills during laparoscopic salpingectomy for ectopic pregnancy , 2006, BJOG : an international journal of obstetrics and gynaecology.

[22]  Henk W R Schreuder,et al.  Hysteroscopic sterilization using a virtual reality simulator: assessment of learning curve. , 2013, Journal of minimally invasive gynecology.

[23]  Sistla Bobby Viswaroop,et al.  Role of transurethral resection of the prostate simulators for training in transurethral surgery , 2015, Current opinion in urology.

[24]  Mohammed A Almekhlafi,et al.  Simulation and augmented reality in endovascular neurosurgery: lessons from aviation. , 2013, Neurosurgery.

[25]  Lars Konge,et al.  Simulation-Based Training in Flexible Bronchoscopy and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA): A Systematic Review , 2017, Respiration.

[26]  Lars Konge,et al.  Training and Assessment of Hysteroscopic Skills: A Systematic Review. , 2016, Journal of surgical education.

[27]  Lars Konge,et al.  Operating Room Performance Improves after Proficiency-Based Virtual Reality Cataract Surgery Training. , 2017, Ophthalmology.

[28]  M. Daly,et al.  Inattentional Blindness Increased with Augmented Reality Surgical Navigation , 2014, American journal of rhinology & allergy.

[29]  Metin Akay,et al.  Virtual Reality for Health Care , 2001 .

[30]  Owen Epstein,et al.  Role of virtual reality simulation in endoscopy training. , 2015, World journal of gastrointestinal endoscopy.

[31]  José Manuel Fernández-Arroyo,et al.  Assessment study of insightARTHRO VR® arthroscopy virtual training simulator: face, content, and construct validities , 2008, Journal of robotic surgery.

[32]  Kimberly D Schenarts,et al.  Evolving Educational Techniques in Surgical Training. , 2016, The Surgical clinics of North America.

[33]  Rob Kooper,et al.  Virtual Environments for Treating the Fear of Heights , 1995, Computer.

[34]  Taylor Sawyer,et al.  Simulation-based medical education in pediatrics. , 2015, Academic pediatrics.

[35]  Sanjay Konakondla,et al.  Simulation training in neurosurgery: advances in education and practice , 2017, Advances in medical education and practice.

[36]  Y. Jeon,et al.  Evaluation of a simplified augmented reality device for ultrasound-guided vascular access in a vascular phantom. , 2014, Journal of clinical anesthesia.

[37]  Elspeth M McDougall,et al.  Comparison of results of virtual-reality simulator and training model for basic ureteroscopy training. , 2006, Journal of endourology.

[38]  Alan Schwartz,et al.  Practice on an Augmented Reality/Haptic Simulator and Library of Virtual Brains Improves Residents’ Ability to Perform a Ventriculostomy , 2013, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[39]  Adam M Klein,et al.  Simulators for Laryngeal and Airway Surgery. , 2017, Otolaryngologic clinics of North America.

[40]  Fernando Bello,et al.  Open surgical simulation--a review. , 2013, Journal of surgical education.

[41]  Laura Drudi,et al.  Virtual reality robotic surgery simulation curriculum to teach robotic suturing: a randomized controlled trial , 2015, Journal of Robotic Surgery.

[42]  Robert B Trelease,et al.  Anatomical informatics: Millennial perspectives on a newer frontier , 2002, The Anatomical record.

[43]  Ara Darzi,et al.  Virtual reality simulation training in Otolaryngology. , 2014, International journal of surgery.

[44]  Karen E. Burtt,et al.  Innovations in surgery simulation: a review of past, current and future techniques. , 2016, Annals of translational medicine.

[45]  J. Madsen,et al.  The role of simulation in neurosurgery , 2015, Child's Nervous System.

[46]  Charlotte Ringsted,et al.  Simulation-based training in flexible fibreoptic intubation: A randomised study , 2015, European journal of anaesthesiology.

[47]  Steven Arild Wuyts Andersen,et al.  Virtual reality simulation training of mastoidectomy - studies on novice performance. , 2016, Danish medical journal.

[48]  John W. Davis,et al.  Robotic surgery training with commercially available simulation systems in 2011: a current review and practice pattern survey from the society of urologic robotic surgeons. , 2012, Journal of endourology.

[49]  Martin A Leitritz,et al.  CRITICAL EVALUATION OF THE USABILITY OF AUGMENTED REALITY OPHTHALMOSCOPY FOR THE TRAINING OF INEXPERIENCED EXAMINERS , 2014, Retina.

[50]  Maya G. Sardesai,et al.  Physical Models and Virtual Reality Simulators in Otolaryngology. , 2017, Otolaryngologic clinics of North America.

[51]  Bob Kiaii,et al.  Validation of a Novel Virtual Reality Training Curriculum for Robotic Cardiac Surgery a Randomized Trial , 2015, Innovations.

[52]  Y. Chan,et al.  Evidence for Endovascular Simulation Training: A Systematic Review. , 2016, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[53]  Maurice Anidjar,et al.  Hybrid augmented reality simulator: preliminary construct validation of laparoscopic smoothness in a urology residency program. , 2008, The Journal of urology.

[54]  Annunziato Amendola,et al.  Comparison of Three Virtual Reality Arthroscopic Simulators as Part of an Orthopedic Residency Educational Curriculum. , 2016, The Iowa orthopaedic journal.

[55]  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.

[56]  M. Tolsgaard,et al.  Collecting Validity Evidence for Simulation‐Based Assessment of Point‐of‐Care Ultrasound Skills , 2017, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[57]  G Riva,et al.  Applications of Virtual Environments in Medicine , 2003, Methods of Information in Medicine.

[58]  May Liu,et al.  A Review of Training Research and Virtual Reality Simulators for the da Vinci Surgical System , 2015, Teaching and learning in medicine.

[59]  George M Saleh,et al.  Ophthalmic surgical simulation: a new era. , 2013, JAMA ophthalmology.

[60]  T. Krummel,et al.  Virtual reality and simulation: training the future emergency physician. , 2002, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[61]  Fady T. Charbel,et al.  Erratum: Role of cranial and spinal virtual and augmented reality simulation using immersive touch modules in neurosurgical training (Neurosurgery (2013) 72:1 (115-123) DOI:10.1227/01.neu.0000436720.15503.10) , 2013 .

[62]  Nick Sevdalis,et al.  The use of simulation in neurosurgical education and training. A systematic review. , 2014, Journal of neurosurgery.

[63]  Shameema Sikder,et al.  Surgical simulators in cataract surgery training , 2013, British Journal of Ophthalmology.

[64]  Stephen C. Yang,et al.  Simulation in cardiothoracic surgical training: where do we stand? , 2014, The Journal of thoracic and cardiovascular surgery.

[65]  Sayra Cristancho,et al.  Observational Learning During Simulation-Based Training in Arthroscopy: Is It Useful to Novices? , 2017, Journal of surgical education.

[66]  A. Fellner,et al.  Robotic Virtual Reality Simulation Plus Standard Robotic Orientation Versus Standard Robotic Orientation Alone: A Randomized Controlled Trial , 2013, Female pelvic medicine & reconstructive surgery.

[67]  Prokar Dasgupta,et al.  Simulation‐based training for prostate surgery , 2015, BJU international.

[68]  Johanna Persson,et al.  A review of the design and development processes of simulation for training in healthcare - A technology-centered versus a human-centered perspective. , 2017, Applied ergonomics.

[69]  M. Schijven,et al.  Systematic review on the effectiveness of augmented reality applications in medical training , 2016, Surgical Endoscopy.

[70]  Urs-Vito Albrecht,et al.  Explore and Experience: Mobile Augmented Reality for Medical Training , 2013, MedInfo.

[71]  Werner Kneist,et al.  Tailored instructor feedback leads to more effective virtual-reality laparoscopic training , 2013, Surgical Endoscopy.

[72]  R. Aggarwal,et al.  Toward technology-supported surgical training: the potential of virtual simulators in laparoscopic surgery , 2013, Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society.

[73]  Ian Hammond,et al.  Training, assessment and competency in gynaecologic surgery. , 2006, Best practice & research. Clinical obstetrics & gynaecology.

[74]  Nolan Ung,et al.  Utilizing virtual and augmented reality for educational and clinical enhancements in neurosurgery , 2017, Journal of Clinical Neuroscience.

[75]  Blagoi I Marinov,et al.  Striving for Better Medical Education: the Simulation Approach , 2017, Folia medica.

[76]  A. Leahy,et al.  Virtual reality simulation in endovascular surgical training. , 2008, The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland.