Document Detail

The development of a virtual simulator for training neurosurgeons to perform and perfect endoscopic endonasal transsphenoidal surgery.
MedLine Citation:
PMID:  24051889     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: A virtual reality (VR) neurosurgical simulator with haptic feedback may provide the best model for training and perfecting surgical techniques for transsphenoidal approaches to the sella turcica and cranial base. Currently there are 2 commercially available simulators: NeuroTouch (Cranio and Endo) developed by the National Research Council of Canada in collaboration with surgeons at teaching hospitals in Canada, and the Immersive Touch. Work in progress on other simulators at additional institutions is currently unpublished.
OBJECTIVE: This article describes a newly developed application of the NeuroTouch simulator that facilitates the performance and assessment of technical skills for endoscopic endonasal transsphenoidal surgical procedures as well as plans for collecting metrics during its early use.
METHODS: The main components of the NeuroTouch-Endo VR neurosurgical simulator are a stereovision system, bimanual haptic tool manipulators, and high-end computers. The software engine continues to evolve, allowing additional surgical tasks to be performed in the VR environment. Device utility for efficient practice and performance metrics continue to be developed by its originators in collaboration with neurosurgeons at several teaching hospitals in the United States. Training tasks are being developed for teaching 1- and 2-nostril endonasal transsphenoidal approaches. Practice sessions benefit from anatomic labeling of normal structures along the surgical approach and inclusion (for avoidance) of critical structures, such as the internal carotid arteries and optic nerves.
CONCLUSION: The simulation software for NeuroTouch-Endo VR simulation of transsphenoidal surgery provides an opportunity for beta testing, validation, and evaluation of performance metrics for use in neurosurgical residency training.
ABBREVIATIONS: CTA, cognitive task analysisVR, virtual reality.
Gail Rosseau; Julian Bailes; Rolando Del Maestro; Anne Cabral; Nusrat Choudhury; Olivier Comas; Patricia Debergue; Gino De Luca; Jordan Hovdebo; Di Jiang; Denis Laroche; Andre Neubauer; Valerie Pazos; Francis Thibault; Robert Diraddo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  73 Suppl 1     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-09-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S85-93     Citation Subset:  IM    
*Department of Neurosurgery, NorthShore University Health System, Evanston, Illinois; ‡Neurosurgical Simulation Research Centre, Montreal Neurological Institute and Hospital, Montreal, Quebec, Canada; §National Research Council Canada, Boucherville, Quebec, Canada; ¶National Research Council Canada, Winnipeg, Manitoba, Canada.
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