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Azher S, Mills A, He J, Hyjazie T, Tokuno J, Quaiattini A, Harley JM. Findings Favor Haptics Feedback in Virtual Simulation Surgical Education: An Updated Systematic and Scoping Review. Surg Innov 2024; 31:331-341. [PMID: 38486132 PMCID: PMC11047018 DOI: 10.1177/15533506241238263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/28/2024]
Abstract
BACKGROUND Virtual simulations (VSs) enhance clinical competencies and skills. However, a previous systematic review of 9 RCT studies highlighted a paucity of literature on the effects of haptic feedback in surgical VSs. An updated systematic and scoping review was conducted to encompass more studies and a broader range of study methodologies. METHODS A systematic literature search was conducted on July 31, 2023, in MEDLINE, Embase, and Cochrane. English language studies comparing haptic vs non-haptic conditions and using VSs were included. Studies were evaluated and reported using PRISMA-ScR guidelines. RESULTS Out of 2782 initial studies, 51 were included in the review. Most studies used RCT (21) or crossover (23) methodologies with medical residents, students, and attending physicians. Most used post-intervention metrics, while some used pre- and post-intervention metrics. Overall, 34 performance results from studies favored haptics, 3 favored non-haptics, and the rest showed mixed or equal results. CONCLUSION This updated review highlights the diverse application of haptic technology in surgical VSs. Haptics generally enhances performance, complements traditional teaching methods, and offers personalized learning with adequate simulator validation. However, a sparsity of orienting to the simulator, pre-/post-study designs, and small sample sizes poses concerns with the validity of the results. We underscore the urgent need for standardized protocols, large-scale studies, and nuanced understanding of haptic feedback integration. We also accentuate the significance of simulator validation, personalized learning potential, and the need for researcher, educator, and manufacturer collaboration. This review is a guidepost for navigating the complexities and advancements in haptic-enhanced surgical VSs.
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Affiliation(s)
- Sayed Azher
- Department of Surgery, McGill University, Montreal, QC, Canada
- Simulation, Affect, Innovation, Learning, and Surgery (SAILS) Lab, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
| | - Aralia Mills
- Simulation, Affect, Innovation, Learning, and Surgery (SAILS) Lab, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
| | - Jinzhi He
- Simulation, Affect, Innovation, Learning, and Surgery (SAILS) Lab, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
| | - Taliah Hyjazie
- Simulation, Affect, Innovation, Learning, and Surgery (SAILS) Lab, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
| | - Junko Tokuno
- Steinberg Centre for Simulation and Interactive Learning, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
| | - Andrea Quaiattini
- Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Schulich Library of Physical Sciences, Life Sciences, and Engineering, McGill University, Montreal, QC, Canada
| | - Jason M. Harley
- Department of Surgery, McGill University, Montreal, QC, Canada
- Simulation, Affect, Innovation, Learning, and Surgery (SAILS) Lab, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Steinberg Centre for Simulation and Interactive Learning, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- Research Institute of the McGill University Health Centre, Montreal, QC, Canada
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Deng S, Wheeler G, Toussaint N, Munroe L, Bhattacharya S, Sajith G, Lin E, Singh E, Chu KYK, Kabir S, Pushparajah K, Simpson JM, Schnabel JA, Gomez A. A Virtual Reality System for Improved Image-Based Planning of Complex Cardiac Procedures. J Imaging 2021; 7:151. [PMID: 34460787 PMCID: PMC8404926 DOI: 10.3390/jimaging7080151] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 08/13/2021] [Accepted: 08/17/2021] [Indexed: 12/03/2022] Open
Abstract
The intricate nature of congenital heart disease requires understanding of the complex, patient-specific three-dimensional dynamic anatomy of the heart, from imaging data such as three-dimensional echocardiography for successful outcomes from surgical and interventional procedures. Conventional clinical systems use flat screens, and therefore, display remains two-dimensional, which undermines the full understanding of the three-dimensional dynamic data. Additionally, the control of three-dimensional visualisation with two-dimensional tools is often difficult, so used only by imaging specialists. In this paper, we describe a virtual reality system for immersive surgery planning using dynamic three-dimensional echocardiography, which enables fast prototyping for visualisation such as volume rendering, multiplanar reformatting, flow visualisation and advanced interaction such as three-dimensional cropping, windowing, measurement, haptic feedback, automatic image orientation and multiuser interactions. The available features were evaluated by imaging and nonimaging clinicians, showing that the virtual reality system can help improve the understanding and communication of three-dimensional echocardiography imaging and potentially benefit congenital heart disease treatment.
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Affiliation(s)
- Shujie Deng
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
| | - Gavin Wheeler
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
| | - Nicolas Toussaint
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
| | - Lindsay Munroe
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
| | - Suryava Bhattacharya
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
| | - Gina Sajith
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
| | - Ei Lin
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
| | - Eeshar Singh
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
| | - Ka Yee Kelly Chu
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
| | - Saleha Kabir
- Department of Congenital Heart Disease, Evelina London Children’s Hospital, Guy’s and St Thomas’ National Health Service Foundation Trust, London SE1 7EH, UK;
| | - Kuberan Pushparajah
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
- Department of Congenital Heart Disease, Evelina London Children’s Hospital, Guy’s and St Thomas’ National Health Service Foundation Trust, London SE1 7EH, UK;
| | - John M. Simpson
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
- Department of Congenital Heart Disease, Evelina London Children’s Hospital, Guy’s and St Thomas’ National Health Service Foundation Trust, London SE1 7EH, UK;
| | - Julia A. Schnabel
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
- Department of Informatics, Technische Universität München, 85748 Garching, Germany
- Helmholtz Zentrum München—German Research Center for Environmental Health, 85764 Neuherberg, Germany
| | - Alberto Gomez
- School of Biomedical Engineering & Imaging Sciences, King’s College London, London SE1 7EU, UK; (S.D.); (G.W.); (N.T.); (L.M.); (S.B.); (G.S.); (E.L.); (E.S.); (K.Y.K.C.); (K.P.); (J.M.S.); (J.A.S.)
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