Virtual Rotator Cuff Arthroscopic Skill Trainer

虚拟肩袖关节镜技能训练器

基本信息

批准号：
10248494
负责人：
Andinet Asmamaw Enquobahrie
金额：
$ 73.4万
依托单位：
KITWARE, INC.
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10248494
关键词：
3-Dimensional Accreditation Address American Anatomy Area Arkansas Arm Bones Arthroscopes Arthroscopy Bone Tissue Certification Clinical Cognitive Complex Computer Models Computer software Computers Custom Decision Making Diagnosis Dissection Educational Curriculum Educational Status Effectiveness Electrocoagulation Eligibility Determination Engineering Ensure Environment Evaluation Face Feedback Guidelines Habits Hand Hemostatic function Human Individual Interdisciplinary Study Joints Knowledge acquisition Learning Learning Skill Life Light Liquid substance Manuals Measurement Measures Mechanics Medical Modality Modeling Motion Movement Muscle North America Operating Rooms Operative Surgical Procedures Orthopedic Surgery Pain Patients Performance Phase Physics Procedures Process Readiness Regimen Regulation Residencies Risk Rotation Rotator Cuff Science Scientist Self Assessment Shoulder Standardization Structure Surgeon Surgical sutures Techniques Technology Tendon structure Testing Time Time trend Tissues Touch sensation Training Training Programs Universities Upper Extremity Upper arm Validation Visualization apprenticeship arm base bone bone visualization clinical practice cognitive skill commercialization design diagnosis evaluation educational atmosphere experience experimental study eye hand coordination force feedback graduate medical education haptic feedback haptic interface haptics human old age (65+)human subject improved innovation instrument novel phase 1 designs programs prototype repaired rotator cuff injury rotator cuff tear scapula simulation skill acquisition skills skills training soft tissue validation studies virtual virtual reality simulator visual feedback

3-Dimensional Accreditation Address American Anatomy Area Arkansas Arm Bones Arthroscopes Arthroscopy Bone Tissue Certification Clinical Cognitive Complex Computer Models Computer software Computers Custom Decision Making Diagnosis Dissection Educational Curriculum Educational Status Effectiveness Electrocoagulation Eligibility Determination Engineering Ensure Environment Evaluation Face Feedback Guidelines Habits Hand Hemostatic function Human Individual Interdisciplinary Study Joints Knowledge acquisition Learning Learning Skill Life Light Liquid substance Manuals Measurement Measures Mechanics Medical Modality Modeling Motion Movement Muscle North America Operating Rooms Operative Surgical Procedures Orthopedic Surgery Pain Patients Performance Phase Physics Procedures Process Readiness Regimen Regulation Residencies Risk Rotation Rotator Cuff Science Scientist Self Assessment Shoulder Standardization Structure Surgeon Surgical sutures Techniques Technology Tendon structure Testing Time Time trend Tissues Touch sensation Training Training Programs Universities Upper Extremity Upper arm Validation Visualization apprenticeship arm base bone bone visualization clinical practice cognitive skill commercialization design diagnosis evaluation educational atmosphere experience experimental study eye hand coordination force feedback graduate medical education haptic feedback haptic interface haptics human old age (65+)human subject improved innovation instrument novel phase 1 designs programs prototype repaired rotator cuff injury rotator cuff tear scapula simulation skill acquisition skills skills training soft tissue validation studies virtual virtual reality simulator visual feedback

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项目摘要

ABSTRACT The aim of this proposal is to design, develop, and validate Virtual Rotator Cuff Arthroscopic Skill Trainer (ViRCAST) to virtually simulate arthroscopic rotator cuff repair surgery and perform extensive validation studies to demonstrate its effectiveness as a training platform. The platform will provide safe training environment to reduce training time for acquisition of necessary skills and provide objective skill learning process with quantitative measures. The ViRCAST will incorporate structured and customized learning (e.g. trainee specific learning), which is expected to improve trainee's psychomotor skills while providing cognitive feedback. It will also assist training with increasing difficulty scenarios. We hypothesize that the proposed platform would significantly improve training with deliberate and individual specific learning. ViRCAST will be unique and innovative by incorporating; (1) High-fidelity visualization of the bone, tissue, and instruments, (2) realistic physics-based soft tissue and bone interactions with instruments and fluid and electrocautery simulation, (3) physics-based tissue and bone haptic (touch) sensation during the bone shaving and cleaning tasks, (4) use of actual instruments with hardware interfaces (5) simulation of knot tying tasks (6) cognitive skill training on various difficulty settings (7) rigorous validation studies (e.g. content, concurrent, discriminant, deliberate learning assessment) with human subjects, (8) Objective metrics derived from the clinical practice and (9) personalization in training to detect and eliminate the deficiencies and bad habits. ViRCAST will incorporate personalized training (e.g. deliberate learning) that will pinpoint trainees' skill deficiencies and aim to improve their skill levels. The ViRCAST will be providing standardized, quantified feedback for evaluation and self-assessment by measuring (a) the accuracy and smoothness of surgeons' hand movements (hand-eye coordination), (b) accuracy of the applied procedure (e.g. anchor angle, distribution of knots, drilling depth), (c) accidental damage or errors (e.g. injuring anatomical structures), (d) performance in conducting a specific task within the surgery (e.g. hemostasis duration), and (e) cognitive decision making process for the complex scenarios. With such a novel training technology, it will also be possible to track trainees' performance trends over time and personalize the training sequence by creating dynamic scenes to improve trainees' deficiency areas.

抽象的该建议的目的是设计，开发和验证虚拟肩袖关节镜技能培训师（vircast）实际上模拟关节镜肩袖修复手术并进行广泛的验证研究展示其作为培训平台的有效性。该平台将为安全的培训环境提供减少获得必要技能的培训时间，并通过定量措施。 Vircast将结合结构化和定制的学习（例如，学员特定学习），预计这将提高学员的心理运动技能，同时提供认知反馈。会还可以帮助培训越来越多的困难方案。我们假设拟议的平台将通过故意和个人的特定学习来显着改善培训。通过合并，Vircast将是独特而创新的；（1）骨骼，组织的高保真可视化（2）基于物理学的软组织和骨骼与仪器和液体的相互作用，以及电磁模拟，（3）剃须期间物理基于物理的组织和骨骼触觉（触摸）感觉和清洁任务，（4）使用硬件接口的实际仪器（5）结与任务的模拟（6）各种难度设置的认知技能培训（7）严格的验证研究（例如内容，并发，判别，故意学习评估）与人类受试者，（8）从临床实践和（9）培训中的个性化，以检测和消除缺陷和不良习惯。 VIRCAST将结合个性化培训（例如故意学习），以查明学员的技能缺陷并旨在提高其技能水平。 Vircast将通过测量（a）外科医生手动运动的准确性和平滑度（手眼协调），（b）应用程序的准确性（例如锚固角度，结的分布，钻孔深度），（c）意外损害或错误（例如伤害解剖结构），（d）在执行特定任务的表现手术（例如止血持续时间）和（e）复杂情况的认知决策过程。和这种新颖的培训技术，随着时间的流逝，也可以跟踪受训者的绩效趋势通过创建动态场景以改善受训者的缺乏症领域来个性化培训顺序。