Evaluation of a haptics-based virtual reality temporal bone simulator for anatomy and surgery training

被引:80
作者
Fang, Te-Yung [1 ,2 ]
Wang, Pa-Chun [1 ,2 ,3 ,4 ]
Liu, Chih-Hsien [1 ]
Su, Mu-Chun [5 ]
Yeh, Shih-Ching [5 ]
机构
[1] Cathay Gen Hosp, Dept Otolaryngol, Taipei, Taiwan
[2] Fu Jen Catholic Univ, Sch Med, New Taipei City, Taiwan
[3] China Med Univ, Dept Publ Hlth, Taichung, Taiwan
[4] Taipei Med Univ, Sch Med, Taipei, Taiwan
[5] Natl Cent Univ, Dept Comp Sci & Informat Engn, Tao Yuan, Taiwan
关键词
Medical education; Virtual environment; Haptics; Otolaryngology; Anatomic dissection; Surgical technique; DISSECTION SIMULATION; MEDICAL-EDUCATION; RESIDENTS; MODEL;
D O I
10.1016/j.cmpb.2013.11.005
中图分类号
TP39 [计算机的应用];
学科分类号
080201 [机械制造及其自动化];
摘要
Introduction: Virtual reality simulation training may improve knowledge of anatomy and surgical skills. We evaluated a 3-dimensional, haptic, virtual reality temporal bone simulator for dissection training. Methods: The subjects were 7 otolaryngology residents (3 training sessions each) and 7 medical students (1 training session each). The virtual reality temporal bone simulation station included a computer with software that was linked to a force-feedback hand stylus, and the system recorded performance and collisions with vital anatomic structures. Subjects performed virtual reality dissections and completed questionnaires after the training sessions. Results: Residents and students had favorable responses to most questions of the technology acceptance model (TAM) questionnaire. The average TAM scores were above neutral for residents and medical students in all domains, and the average TAM score for residents was significantly higher for the usefulness domain and lower for the playful domain than students. The average satisfaction questionnaire for residents showed that residents had greater overall satisfaction with cadaver temporal bone dissection training than training with the virtual reality simulator or plastic temporal bone. For medical students, the average comprehension score was significantly increased from before to after training for all anatomic structures. Medical students had significantly more collisions with the dura than residents. The residents had similar mean performance scores after the first and third training sessions for all dissection procedures. Discussion: The virtual reality temporal bone simulator provided satisfactory training for otolaryngology residents and medical students. (C) 2013 Published by Elsevier Ireland Ltd.
引用
收藏
页码:674 / 681
页数:8
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