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Kim J, Kim D, Oh SH, Kwon H. Virtual reality for preoperative patient education: Impact on satisfaction, usability, and burnout from the perspective of new nurses. World J Clin Cases 2024; 12:6204-6216. [DOI: 10.12998/wjcc.v12.i28.6204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Revised: 07/27/2024] [Accepted: 07/31/2024] [Indexed: 08/13/2024] Open
Abstract
BACKGROUND Traditional paper-based preoperative patient education is a struggle for new nurses and requires extensive training. In this situation, virtual reality technology can help the new nurses. Despite its potential benefits, there are studies on patient satisfaction but there is limited information on the usability of virtual reality (VR) technology for new nurses in giving preoperative education to patients.
AIM To investigate the impact on satisfaction, usability, and burnout of a system using VR technology in preoperative patient education.
METHODS The study involved 20 nurses from the plastic surgery ward and 80 patients admitted between April and May 2019. Each nurse taught four patients: Two using traditional verbal education and two using virtual reality. The System Usability Scale, After-Scenario Questionnaire, and Maslach Burnout Inventory (MBI) were employed to evaluate the impact of these education methods.
RESULTS The VR education groups showed a statistically higher satisfaction than the traditional verbal education groups. Among the three subscales of the MBI, emotional exhaustion and personal accomplishment improved statistically significantly. VR was also better in terms of usability.
CONCLUSION This study suggests VR enhances usability and reduces burnout in nurses, but further research is needed to assess its impact on depersonalization and objective measures like stress and heart rate.
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Affiliation(s)
- Jiyoung Kim
- College of Nursing, Woosuk University, Wanju-gun 55338, South Korea
| | - Donghyun Kim
- Department of Medical Science, Chungnam National University College of Medicine, Daejeon 35015, South Korea
- Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital, Daejeon 35015, South Korea
| | - Sang-Ha Oh
- Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital, Daejeon 35015, South Korea
- Department of Plastic and Reconstructive Surgery, Chungnam National University College of Medicine, Daejeon 35015, South Korea
| | - Hyeokjae Kwon
- Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital, Daejeon 35015, South Korea
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Zeng B, Wang H, Tao X, Shi H, Joskowicz L, Chen X. A bidirectional framework for fracture simulation and deformation-based restoration prediction in pelvic fracture surgical planning. Med Image Anal 2024; 97:103267. [PMID: 39053167 DOI: 10.1016/j.media.2024.103267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 07/05/2024] [Accepted: 07/05/2024] [Indexed: 07/27/2024]
Abstract
Pelvic fracture is a severe trauma with life-threatening implications. Surgical reduction is essential for restoring the anatomical structure and functional integrity of the pelvis, requiring accurate preoperative planning. However, the complexity of pelvic fractures and limited data availability necessitate labor-intensive manual corrections in a clinical setting. We describe in this paper a novel bidirectional framework for automatic pelvic fracture surgical planning based on fracture simulation and structure restoration. Our fracture simulation method accounts for patient-specific pelvic structures, bone density information, and the randomness of fractures, enabling the generation of various types of fracture cases from healthy pelvises. Based on these features and on adversarial learning, we develop a novel structure restoration network to predict the deformation mapping in CT images before and after a fracture for the precise structural reconstruction of any fracture. Furthermore, a self-supervised strategy based on pelvic anatomical symmetry priors is developed to optimize the details of the restored pelvic structure. Finally, the restored pelvis is used as a template to generate a surgical reduction plan in which the fragments are repositioned in an efficient jigsaw puzzle registration manner. Extensive experiments on simulated and clinical datasets, including scans with metal artifacts, show that our method achieves good accuracy and robustness: a mean SSIM of 90.7% for restorations, with translational errors of 2.88 mm and rotational errors of 3.18°for reductions in real datasets. Our method takes 52.9 s to complete the surgical planning in the phantom study, representing a significant acceleration compared to standard clinical workflows. Our method may facilitate effective surgical planning for pelvic fractures tailored to individual patients in clinical settings.
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Affiliation(s)
- Bolun Zeng
- Institute of Biomedical Manufacturing and Life Quality Engineering, School of Mechanical Engineering, Shanghai Jiao Tong University, China
| | - Huixiang Wang
- Department of Orthopedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xingguang Tao
- Department of Orthopedics, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai, China
| | - Haochen Shi
- Institute of Biomedical Manufacturing and Life Quality Engineering, School of Mechanical Engineering, Shanghai Jiao Tong University, China
| | - Leo Joskowicz
- School of Computer Science and Engineering and the Edmond and Lily Safra Center for Brain Sciences, Hebrew University of Jerusalem, Jerusalem, Israel
| | - Xiaojun Chen
- Institute of Biomedical Manufacturing and Life Quality Engineering, School of Mechanical Engineering, Shanghai Jiao Tong University, China; Institute of Medical Robotics, Shanghai Jiao Tong University, Shanghai 200240, China.
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Landau M, Comeaux M, Mortell T, Boyle R, Imbrescia K, Chaffin AE. Characterizing the untapped potential of virtual reality in plastic and reconstructive surgical training: A systematic review on skill transferability. JPRAS Open 2024; 41:295-310. [PMID: 39188661 PMCID: PMC11345902 DOI: 10.1016/j.jpra.2024.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Accepted: 06/27/2024] [Indexed: 08/28/2024] Open
Abstract
Virtual reality (VR) integration into surgical education has gained immense traction by invigorating skill-building in ways that are unlike the traditional modes of training. This systematic review unites current literature relevant to VR in surgical education to showcase tool transferability, and subsequent impact on knowledge acquisition, skill development, and technological innovation. This review followed the PRISMA guidelines and included three databases. Among the 1926 studies that were screened, 31 studies met the inclusion criteria. ChatGPT assisted in generating variables for data extraction, and the authors reached unanimous consensus on 13 variables that provided a framework for assessing VR attributes. Surgical simulation was examined in 26 studies (83.9%). VR applications incorporated anatomy visualization (83.9%), procedure planning (67.7%), skills assessment (64.5%), continuous learning (41.9%), haptic feedback (41.9%), research and innovation (41.9%), case-based learning (22.6%), improved skill retention (19.4%), reduction of stress and anxiety (16.1%), and remote learning (12.9%). No instances of VR integration addressed patient communication or team-based training. Novice surgeons benefited the most from VR simulator experience, improving their confidence and accuracy in tackling complex procedural tasks, as well as decision-making efficiency. Enhanced dexterity compared to traditional modes of surgical training was also notable. VR confers significant potential as an adjunctive teaching method in plastic and reconstructive surgery (PRS). Studies demonstrate the utility of virtual simulation in knowledge acquisition and skill development, though they lack targeted approaches for augmenting training related to collaboration and patient communication. Given the underrepresentation of PRS among surgical disciplines regarding VR implementation in surgical education, longitudinal curriculum integration and PRS-specific technologies should be further investigated.
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Affiliation(s)
- Madeleine Landau
- School of Medicine, Tulane University, New Orleans, LA 70112, USA
| | - Marie Comeaux
- School of Medicine, Tulane University, New Orleans, LA 70112, USA
| | - Tatjana Mortell
- School of Medicine, Tulane University, New Orleans, LA 70112, USA
| | - Rebecca Boyle
- School of Medicine, Tulane University, New Orleans, LA 70112, USA
| | - Kory Imbrescia
- Division of Plastic and Reconstructive Surgery, Department of Surgery, School of Medicine, Tulane University, New Orleans, LA 70112, USA
| | - Abigail E. Chaffin
- Division of Plastic and Reconstructive Surgery, Department of Surgery, School of Medicine, Tulane University, New Orleans, LA 70112, USA
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Giffoni MC, Lopes J, Ribeiro G, Araujo Júnior E, Werner H. Fetal heart segmentation in a virtual reality environment. THE INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING 2024:10.1007/s10554-024-03157-0. [PMID: 38831221 DOI: 10.1007/s10554-024-03157-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Accepted: 05/27/2024] [Indexed: 06/05/2024]
Abstract
This study presents the initial results of a pilot project using the Elucis Virtual Reality (VR) platform for fetal heart segmentation. Twelve fetal heart cases, ranging in gestational age from 24 to 30 weeks, including various cardiac conditions, were reconstructed using 3D models facilitated by the Elucis platform's integration of automated algorithms and manual adjustments. The models, which were evaluated by four experts in virtual and 3D printed formats, were of high quality and offered improved visuospatial visualization and detailed anatomical insights. This research highlights the potential of VR technology to improve prenatal diagnosis and planning for complex cardiac conditions, suggesting significant implications for continuing medical education and clinical practice in fetal cardiology.
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Affiliation(s)
- Marcela Castro Giffoni
- Department of Fetal Medicine, Biodesign Laboratory DASA / PUC, Rio de Janeiro, RJ, Brazil
| | - Jorge Lopes
- Department of Fetal Medicine, Biodesign Laboratory DASA / PUC, Rio de Janeiro, RJ, Brazil
- National Institute of Technology (INT), Rio de Janeiro, RJ, Brazil
| | - Gerson Ribeiro
- Department of Fetal Medicine, Biodesign Laboratory DASA / PUC, Rio de Janeiro, RJ, Brazil
| | - Edward Araujo Júnior
- Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), Rua Belchior de Azevedo, 156 apto. 111 Torre Vitoria, São Paulo, SP, CEP 05089-030, Brazil.
- Discipline of Woman Health, Municipal University of São Caetano do Sul (USCS), São Caetano do Sul, SP, Brazil.
| | - Heron Werner
- Department of Fetal Medicine, Biodesign Laboratory DASA / PUC, Rio de Janeiro, RJ, Brazil
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Wang D, Huai B, Ma X, Jin B, Wang Y, Chen M, Sang J, Liu R. Application of artificial intelligence-assisted image diagnosis software based on volume data reconstruction technique in medical imaging practice teaching. BMC MEDICAL EDUCATION 2024; 24:405. [PMID: 38605345 PMCID: PMC11010354 DOI: 10.1186/s12909-024-05382-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 04/02/2024] [Indexed: 04/13/2024]
Abstract
BACKGROUND In medical imaging courses, due to the complexity of anatomical relationships, limited number of practical course hours and instructors, how to improve the teaching quality of practical skills and self-directed learning ability has always been a challenge for higher medical education. Artificial intelligence-assisted diagnostic (AISD) software based on volume data reconstruction (VDR) technique is gradually entering radiology. It converts two-dimensional images into three-dimensional images, and AI can assist in image diagnosis. However, the application of artificial intelligence in medical education is still in its early stages. The purpose of this study is to explore the application value of AISD software based on VDR technique in medical imaging practical teaching, and to provide a basis for improving medical imaging practical teaching. METHODS Totally 41 students majoring in clinical medicine in 2017 were enrolled as the experiment group. AISD software based on VDR was used in practical teaching of medical imaging to display 3D images and mark lesions with AISD. Then annotations were provided and diagnostic suggestions were given. Also 43 students majoring in clinical medicine from 2016 were chosen as the control group, who were taught with the conventional film and multimedia teaching methods. The exam results and evaluation scales were compared statistically between groups. RESULTS The total skill scores of the test group were significantly higher compared with the control group (84.51 ± 3.81 vs. 80.67 ± 5.43). The scores of computed tomography (CT) diagnosis (49.93 ± 3.59 vs. 46.60 ± 4.89) and magnetic resonance (MR) diagnosis (17.41 ± 1.00 vs. 16.93 ± 1.14) of the experiment group were both significantly higher. The scores of academic self-efficacy (82.17 ± 4.67) and self-directed learning ability (235.56 ± 13.50) of the group were significantly higher compared with the control group (78.93 ± 6.29, 226.35 ± 13.90). CONCLUSIONS Applying AISD software based on VDR to medical imaging practice teaching can enable students to timely obtain AI annotated lesion information and 3D images, which may help improve their image reading skills and enhance their academic self-efficacy and self-directed learning abilities.
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Affiliation(s)
- DongXu Wang
- Department of Medical Imaging, Second Affiliated Hospital of Qiqihar Medical University, 37 West Zhonghua Road, Qiqihar, Heilongjiang, 161006, China.
| | - BingCheng Huai
- Department of Medical Imaging, Second Affiliated Hospital of Qiqihar Medical University, 37 West Zhonghua Road, Qiqihar, Heilongjiang, 161006, China
| | - Xing Ma
- Center for Higher Education Research and Teaching Quality Evaluation, Harbin Medical University, Harbin, Heilongjiang, 150000, China
| | - BaiMing Jin
- School of Public Health, Qiqihar Medical University, 333 BuKui North Street, Qiqihar, Heilongjiang, 161006, China
| | - YuGuang Wang
- Department of Medical Imaging, Second Affiliated Hospital of Qiqihar Medical University, 37 West Zhonghua Road, Qiqihar, Heilongjiang, 161006, China
| | - MengYu Chen
- Academic Affairs Section, Second Affiliated Hospital of Qiqihar Medical University, 37 West Zhonghua Road, Qiqihar, Heilongjiang, 161006, China
| | - JunZhi Sang
- Department of Medical Imaging, Second Affiliated Hospital of Qiqihar Medical University, 37 West Zhonghua Road, Qiqihar, Heilongjiang, 161006, China
| | - RuiNan Liu
- Department of Medical Imaging, Second Affiliated Hospital of Qiqihar Medical University, 37 West Zhonghua Road, Qiqihar, Heilongjiang, 161006, China
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Villarmé A, Pace-Loscos T, Schiappa R, Poissonnet G, Dassonville O, Chamorey E, Bozec A, Culié D. Impact of virtual surgical planning and three-dimensional modeling on time to surgery in mandibular reconstruction by free fibula flap. EUROPEAN JOURNAL OF SURGICAL ONCOLOGY 2024; 50:108008. [PMID: 38359724 DOI: 10.1016/j.ejso.2024.108008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 01/14/2024] [Accepted: 02/05/2024] [Indexed: 02/17/2024]
Abstract
PURPOSE Mandible reconstruction using a free fibula flap (FFF) is preferably performed with virtual surgical planning (VSP) to potentially improve functional and aesthetic outcomes. However, VSP is time-consuming. This study aims to assess the impact of VSP on time to surgery (TS). MATERIALS AND METHODS All patients who underwent FFF for oral cavity cancer between 2007 and 2020 were included. Time to surgery (from the date of the first consultation to the surgery date) was compared between patients without VSP and with VSP. In our department, VSP and 3D modeling were performed by an external engineering laboratory. RESULTS One hundred sixty-five patients were included retrospectively. VSP was utilized for 90 patients (55%). The mean time to surgery was 31 ± 16 days for patients undergoing conventional surgery without VSP and 44 ± 19 days for patients with VSP (p < 0.001). No clinical or tumoral characteristic were associated with a TS extended, except for the utilization of VSP (p < 0.001). By constituting groups of 25 consecutive patients, there is no difference in TS between the groups. CONCLUSION The use of VSP significantly increased the time to surgery in our study, unrelated to clinical differences or year of surgery. This delay may have an impact on oncologic outcomes, so it should be considered in the care organization for each patient. Implementing new procedures to reduce this difference is warranted.
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Affiliation(s)
- A Villarmé
- Institut Universitaire de la Face et du Cou, Head and neck department, 31 avenue de Valombrose, Nice, France.
| | - Tanguy Pace-Loscos
- Epidemiology and Biostatistic Unit, Centre Antoine Lacassagne, Nice, France
| | - Renaud Schiappa
- Epidemiology and Biostatistic Unit, Centre Antoine Lacassagne, Nice, France
| | - Gilles Poissonnet
- Institut Universitaire de la Face et du Cou, Head and neck department, 31 avenue de Valombrose, Nice, France
| | - Olivier Dassonville
- Institut Universitaire de la Face et du Cou, Head and neck department, 31 avenue de Valombrose, Nice, France
| | - Emmanuel Chamorey
- Epidemiology and Biostatistic Unit, Centre Antoine Lacassagne, Nice, France
| | - Alexandre Bozec
- Institut Universitaire de la Face et du Cou, Head and neck department, 31 avenue de Valombrose, Nice, France
| | - Dorian Culié
- Institut Universitaire de la Face et du Cou, Head and neck department, 31 avenue de Valombrose, Nice, France
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