Physically Realistic Virtual Surgery

逼真的虚拟手术

• 批准号: 10296166
• 负责人: Suvranu De
• 金额: $ 65.41万
• 依托单位: RENSSELAER POLYTECHNIC INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-12-18 至 2022-12-17
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10296166
• 关键词: Adopted; Adoption; Adverse event; American College of Surgeons; Artificial Intelligence; Aviation; Awareness; Behavior; Board Certification; Boston; Client; Cloud Computing; Communication; Computer Models; Computers; Consensus; Decision Making; Discipline; Educational Curriculum; Educational process of instructing; Effectiveness; Enrollment; Environment; Evaluation; Event; Exposure to; Face; Faculty; Feedback; Floor; Goals; Grant; Internet; Interruption; Israel; Laparoscopic Cholecystectomy; Length of Stay; Machine Learning; Manikins; Medical center; Minimally Invasive Surgical Procedures; Modeling; Morbidity - disease rate; Operating Rooms; Operative Surgical Procedures; Participant; Patient-Focused Outcomes; Patients; Performance; Perioperative Nursing; Phase; Process; Protocols documentation; Reporting; Research; Resources; Risk; Running; Schedule; Software Framework; Standardization; Stress; Surgeon; Surgical complication; System; Technical Expertise; Techniques; Technology; Testing; Thinking; Time; Training; Training Activity; Translating; Treatment Cost; Variant; Work; base; cloud platform; cognitive skill; cognitive training; computer generated; conflict resolution; design; distraction; experience; experimental study; eye hand coordination; handheld mobile device; head mounted display; healing; improved; instructor; interactive computing; member; multidisciplinary; next generation; novel; programs; simulation; simulation environment; skills; skills training; stressor; success; virtual; virtual environment; virtual patient; virtual reality; virtual reality environment; virtual surgery

Physically Realistic Virtual Surgery Abstract While virtual reality (VR)-based surgical simulation technology is being developed to improve laparoscopic surgical training outside the operating room (OR), existing simulators focus mostly on technical skills (TS) of hand-eye coordination for isolated tasks and seldom on non-technical skills (NTS) associated with both cognitive skills of decision making, as well as interpersonal skills of communication, team-work and conflict resolution. To enable VR-based surgical simulators to also train for cognitive skills, in the previous grant period we successfully developed the next generation (Gen2) of laparoscopic surgical simulators that immerse the trainee in a virtual OR using a head-mounted display (HMD) system, and introduce distractions, interruptions and other stressors to capture the high-stress environment of the real OR. However, to the best of our knowledge, there exists no VR-based simulator for training interpersonal skills needed for the multidisciplinary integration of OR teams, which consist of surgeons, anesthesiologists, and perioperative nurses. Following the significant reduction of adverse events in other disciplines, such as aviation, by the introduction of mandatory simulation-based team training (e.g., crew resource management), the National Surgical Skills Curriculum developed by the American College of Surgeons (ACS) and Association of Program Directors in Surgery (APDS) has prescribed ten team-based training modules to be performed in a simulation facility (e.g., an OR endosuite) with scenario-based training on high- fidelity manikin simulators. However, such facility-based team training is extremely expensive and cumbersome, requires dedicated facility and faculty time, and entails significant planning and schedule coordination between trainees, technicians, and faculty. To overcome the challenges of facility-based OR team training, the goal of this project is to extend the immersive VR technology (Gen2) developed as part of our prior grant for a single user to the entire OR team, and harness recent advances in cloud computing, mobile device-based VR and artificial intelligence and machine learning to design, develop and evaluate a Virtual Operating Room Team Experience (VORTeX) simulation system. The VORTeX will allow the OR team to train together in a distributed fashion (i.e., not co-located in the same room or simulation facility) wearing mobile device-based HMD systems to develop further their NTS based on computer-generated simulation scenarios replacing the physical ones. Evaluation of the simulation scenarios will be performed asynchronously by a team of experts based on post-action replays. We will implement the VORTeX for a laparoscopic cholecystectomy crisis scenario, developed and validated by our Co-I Dr. Dan Jones at BIDMC and adopted as one of the team training modules of the ACS/APDS national surgical skills curriculum. We hypothesize that the VORTeX will be at least as good as or better than traditional facility-based simulation in providing non-technical skills training to OR teams.

身体上现实的虚拟手术 抽象的 虽然正在开发基于虚拟现实（VR）的手术模拟技术以改善腹腔镜 手术室外的手术培训（OR），现有模拟器主要关注技术技能（TS） 孤立任务的手眼协调，很少与两者相关的非技术技能（NTS） 决策的认知技能，以及沟通，团队合作和冲突的人际交往能力 解决。使基于VR的外科模拟器也能够在上一批赠款期间训练认知技能 我们成功地开发了腹腔镜手术模拟器的下一代（Gen2），使其浸入 在虚拟或使用头部安装显示（HMD）系统中的实习生，并引入干扰，中断 以及其他压力源以捕捉真实或真实的高压力环境。但是，尽我们所能 知识，没有基于VR的模拟器用于培训所需的人际交往技能 由外科医生，麻醉学家和 围手术期护士。在其他学科中的不良事件显着减少之后，例如 航空，通过引入强制模拟的团队培训（例如，机组人员资源 管理），美国外科医生学院开发的国家手术技能课程 （ACS）和手术计划主管协会（APD）已开出了十个基于团队的培训 在模拟设施（例如，或内式套件）中进行的模块，并具有基于方案的高级培训 保真性手持模拟器。但是，这种基于设施的团队培训非常昂贵，并且 繁琐 学员，技术人员和教师之间的协调。克服基于设施的挑战或 团队培训，该项目的目标是扩展作为一部分开发的沉浸式VR技术（GEN2） 我们对整个或团队单个用户的先前赠款，以及利用云计算的最新进展， 基于移动设备的VR以及人工智能和机器学习以设计，开发和 评估虚拟手术室团队体验（Vortex）模拟系统。涡流将允许 或团队以分布式方式一起训练（即，不在同一房间或模拟中共同置于 设施）佩戴基于移动设备的HMD系统，以基于计算机生成的方式进一步开发其NTS 仿真方案取代物理场景。将对模拟方案的评估进行评估 基于后行动重播的专家团队不同步。我们将实现涡流 腹腔镜胆囊切除术危机情景，由BIDMC的Co-I Dan Jones博士开发和验证 并被作为ACS/APDS国家外科技能课程的团队培训模块之一。我们 假设涡流至少与传统设施一样好或更好 在向团队或团队提供非技术技能培训的模拟中。