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Provision of automated step-by-step procedural guidance in virtual reality surgery simulation

Published: 02 November 2016 Publication History

Abstract

One of the roadblocks to the wide-spread use of virtual reality simulation as a surgical training platform is the need for expert supervision during training to ensure proper skill acquisition. To fully utilize the capacity of virtual reality in surgical training, it is imperative that the guidance process is automated. In this paper, we discuss a method of providing one aspect of performance guidance: advice on the steps of a surgery or procedural guidance. We manually segment the surgical trajectory of an expert surgeon into steps and present them one at a time to guide trainees through a surgical procedure. We show, using a randomized controlled trial, that this form of guidance is effective in moving trainee behavior towards an expert ideal.
To support practice variation and different surgical styles adopted by experts, separate guidance templates have to be generated. To enable this, we introduce a method of automatically segmenting a surgical trajectory into steps. We propose a pre-processing step that uses domain knowledge specific to our application to reduce the solution space. We show how this can be incorporated into existing trajectory segmentation methods, as well as a greedy approach that we propose. We compare this segmentation method to existing techniques and show that it is accurate and efficient.

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Cited By

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  • (2020)The Characteristics of Virtual Reality Usage in Educational Systems2020 International Conference on INnovations in Intelligent SysTems and Applications (INISTA)10.1109/INISTA49547.2020.9194682(1-5)Online publication date: Aug-2020
  • (2020)Training novice robot surgeons: Proctoring provides same results as simulator-generated guidanceJournal of Robotic Surgery10.1007/s11701-020-01118-yOnline publication date: 10-Jul-2020
  • (2020)Transfer of Automated Performance Feedback Models to Different Specimens in Virtual Reality Temporal Bone SurgeryArtificial Intelligence in Education10.1007/978-3-030-52237-7_24(296-308)Online publication date: 30-Jun-2020
  • Show More Cited By

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        cover image ACM Conferences
        VRST '16: Proceedings of the 22nd ACM Conference on Virtual Reality Software and Technology
        November 2016
        363 pages
        ISBN:9781450344913
        DOI:10.1145/2993369
        Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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        New York, NY, United States

        Publication History

        Published: 02 November 2016

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        Author Tags

        1. automated guidance
        2. surgery simulation
        3. virtual reality

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        VRST '16

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        Overall Acceptance Rate 66 of 254 submissions, 26%

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        Cited By

        View all
        • (2020)The Characteristics of Virtual Reality Usage in Educational Systems2020 International Conference on INnovations in Intelligent SysTems and Applications (INISTA)10.1109/INISTA49547.2020.9194682(1-5)Online publication date: Aug-2020
        • (2020)Training novice robot surgeons: Proctoring provides same results as simulator-generated guidanceJournal of Robotic Surgery10.1007/s11701-020-01118-yOnline publication date: 10-Jul-2020
        • (2020)Transfer of Automated Performance Feedback Models to Different Specimens in Virtual Reality Temporal Bone SurgeryArtificial Intelligence in Education10.1007/978-3-030-52237-7_24(296-308)Online publication date: 30-Jun-2020
        • (2019)The Effect of Practice Distribution on Skill Retention in Virtual Reality Temporal Bone Surgery Training2019 IEEE 32nd International Symposium on Computer-Based Medical Systems (CBMS)10.1109/CBMS.2019.00101(495-500)Online publication date: Jun-2019
        • (2019)The Importance of Automated Real-Time Performance Feedback in Virtual Reality Temporal Bone Surgery TrainingArtificial Intelligence in Education10.1007/978-3-030-23204-7_9(96-109)Online publication date: 21-Jun-2019
        • (2018)Real-time cutting simulation in virtual reality systems based on the measurement of porcine organsSimulation10.1177/003754971772614493:12(1073-1085)Online publication date: 30-Dec-2018
        • (2018)Presentation of automated procedural guidance in surgical simulation: results of two randomised controlled trialsThe Journal of Laryngology & Otology10.1017/S0022215117002626132:3(257-263)Online publication date: 24-Jan-2018
        • (2018)Providing Automated Real-Time Technical Feedback for Virtual Reality Based Surgical Training: Is the Simpler the Better?Artificial Intelligence in Education10.1007/978-3-319-93843-1_43(584-598)Online publication date: 20-Jun-2018
        • (2017)Adversarial generation of real-time feedback with neural networks for simulation-based trainingProceedings of the 26th International Joint Conference on Artificial Intelligence10.5555/3172077.3172415(3763-3769)Online publication date: 19-Aug-2017

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