Preserving a Hands-on-Knowledge Base of Essential but Rare Surgical Procedures

保留基本但罕见的外科手术的实践知识库

• 批准号: 7255274
• 负责人: JORG PETERS
• 金额: $ 20.76万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7255274
• 关键词: 3-Dimensional; Academia; Address; Adipose tissue; Adrenal Glands; Adrenalectomy; Anatomy; Appendix; Atlases; Breathing; Clinical; Clip; Collaborations; Communication; Communication Tools; Communities; Complement; Complex; Computer software; Computers; Consult; Continuing Education; Cues; Development; Devices; Disease; Educational process of instructing; Environment; Equipment; Evaluation; Excision; Family; Feedback; Florida; Future; General Practices; Generations; Goals; Hand; Healthcare; Hemorrhage; Hour; Image; Industry; Invasive; Judgment; Knowledge; Learning; Libraries; Lifting; Ligation; Light; Literature; Mails; Marketing; Measures; Medical; Metric; Mind; Modeling; Motion; Multimedia; Numbers; Operative Surgical Procedures; Organ; Output; Patients; Peer Review; Performance; Play; Procedures; Process; Public Domains; Publishing; Range; Reaction; Records; Reporting; Research Infrastructure; Residencies; Robotics; Scanning; Scientist; Secondary to; Simulate; Specialist; Specialized Center; Staging; Stretching; Surgeon; Surgical sutures; System; Tactile; Techniques; Testing; Text; Time; TimeLine; Tissues; Training; Universities; Validation; Variant; Veins; Video Recording; Vision; Visual; Voice; Word Processing; Work; animation; artist; base; concept; coping; cost; day; experience; haptics; improved; innovation; interest; knowledge base; laptop; member; repository; simulation; size; skills; soft tissue; tool; trend; virtual; visual media

DESCRIPTION (provided by applicant): To efficiently communicate key points of a surgical procedure to less experienced surgeons and senior residents, we propose to create a low-cost, computer-based multimedia-authoring system (environment), called TIPS (Toolkit for Illustration of Procedures in Surgery). The expert surgeon-author can upload and modify anatomical organs and vessels, place soft tissues and move through the 3D anatomy with tactile force feedback via a haptic stylus interface. Additionally, the surgeon can embed information in the 3D scene ranging from scanned images to video-clips of the real procedure. TIPS documents can be shared by e-mail or download to facilitate collaborative authoring. Ease of use is a primary focus since the aim is to place the expert surgeon at the center of the creative process. For the proof of concept our team member (experienced surgeon) will create a laparoscopic adrenalectomy illustration that will provide convenient, repeatable, validated interactive learning for senior residents and practicing surgeons exposing them, for example, to the key points and anatomic variations of safe removal of the adrenal gland. The first learning stage will guide the learner's hand(s) along paths in a 3- dimensional, sparse but richly annotated virtual anatomy that the author has created. The second stage records and evaluates the learner's motion and force when replicating the specialist's procedure. The TIPS modules will be validated by specialist surgeons at the Department of Surgery University of Florida. Modules and their associated metrics will undergo peer review and also will be validated by a metric-driven validation of residents. TIPS documents open a completely new channel of communication between surgeons that addresses the pressing need for convenient, effective continued education for practicing surgeons. The improved training may reduce the number of referral cases, reducing paperwork, medical costs and delays. The TIPS environment differs from surgery training tools teaching basic techniques to novices in that the specialist surgeon is the author and practicing surgeons are the audience. This makes authoring more highlevel and removes a level of indirection (the computer programmer) that easily leads to wrong emphasis in illustrating complex procedures. Our long-range goal and vision beyond this proposal is to create record and preserve procedures whose practice is declining due to infrequency of the disease and a decreasing number of specialists that have performed such cases. The infrastructure will be placed in the public domain to maximize the dissemination and trigger further collaboration of computer and surgical specialists to develop libraries and shared repositories and create an unprecedented body of knowledge.

描述（由申请人提供）：为了向经验不足的外科医生和老年住院医师有效地传达外科手术的要点，我们建议创建一个低成本、基于计算机的多媒体创作系统（环境），称为 TIPS（插图工具包）手术程序）。专家外科医生兼作者可以上传和修改解剖器官和血管，放置软组织，并通过触觉手写笔界面通过触觉力反馈在 3D 解剖结构中移动。此外，外科医生可以在 3D 场景中嵌入从扫描图像到真实手术视频剪辑的信息。 TIPS 文档可以通过电子邮件共享或下载，以方便协作创作。 易用性是首要关注点，因为我们的目标是将专业外科医生置于创作过程的中心。 为了验证概念，我们的团队成员（经验丰富的外科医生）将创建腹腔镜肾上腺切除术插图，该插图将为老年住院医生和执业外科医生提供方便、可重复、经过验证的交互式学习，让他们了解安全切除的关键点和解剖变化等肾上腺。第一个学习阶段将引导学习者的手沿着作者创建的 3 维、稀疏但注释丰富的虚拟解剖结构中的路径前进。第二阶段记录并评估学习者在复制专家程序时的运动和力量。 TIPS 模块将由佛罗里达大学外科学系的专家外科医生进行验证。模块及其相关指标将接受同行评审，并且还将通过指标驱动的居民验证进行验证。 TIPS 文件开辟了外科医生之间全新的沟通渠道，满足了执业外科医生对方便、有效的继续教育的迫切需求。改进后的培训可能会减少转诊病例的数量，从而减少文书工作、医疗费用和延误。 TIPS 环境与向新手教授基本技术的手术培训工具不同，专业外科医生是作者，执业外科医生是受众。这使得创作更加高级，并消除了一定程度的间接性（计算机程序员），这种间接性很容易导致在说明复杂过程时错误地强调。 除了该提案之外，我们的长期目标和愿景是创建记录并保存手术，由于该疾病的发病率较低以及执行此类病例的专家数量不断减少，这些手术的实践正在减少。该基础设施将置于公共领域，以最大限度地传播并引发计算机和外科专家的进一步合作，以开发图书馆和共享存储库并创建前所未有的知识体系。