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The Effect of Augmented Reality Training on Percutaneous Needle Placement in Spinal Facet Joint Injections

Published on Jul 1, 2011in IEEE Transactions on Biomedical Engineering4.491
· DOI :10.1109/TBME.2011.2132131
Caitlin T. Yeo5
Estimated H-index: 5
(Queen's University),
Tamas Ungi15
Estimated H-index: 15
(Queen's University)
+ 3 AuthorsGabor Fichtinger42
Estimated H-index: 42
(Queen's University)
Abstract
The purpose of this study was to determine if augmented reality image overlay and laser guidance systems can assist medical trainees in learning the correct placement of a needle for percutaneous facet joint injection. The Perk Station training suite was used to conduct and record the needle insertion procedures. A total of 40 volunteers were randomized into two groups of 20. 1) The Overlay group received a training session that consisted of four insertions with image and laser guidance, followed by two insertions with laser overlay only. 2) The Control group received a training session of six classical freehand insertions. Both groups then conducted two freehand insertions. The movement of the needle was tracked during the series of insertions. The final insertion procedure was assessed to determine if there was a benefit to the overlay method compared to the freehand insertions. The Overlay group had a better success rate (83.3% versus 68.4%, p = 0.002), and potential for less tissue damage as measured by the amount of needle movement inside the phantom (3077.6 mm2 versus 5607.9 mm2, p = 0.01). These results suggest that an augmented reality overlay guidance system can assist medical trainees in acquiring technical competence in a percutaneous needle insertion procedure.
  • References (20)
  • Citations (39)
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References20
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#1Gerard P. Varlotta (Rusk Institute of Rehabilitation Medicine)H-Index: 3
#2Todd R. Lefkowitz (Rusk Institute of Rehabilitation Medicine)H-Index: 2
Last. Leon D. Rybak (NYU: New York University)H-Index: 14
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This article is the second article in a two-part review on lumbar facet joint pathology. In this review, we discuss the current concepts and controversies regarding the proper diagnosis and management of patients presenting with presumed facet-mediated lower back pain. All efforts were made to include the most relevant literature from the fields of radiology, orthopaedics, physiatry, and pain management. Our focus in this article is on presenting the evidence supporting or refuting the most comm...
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#1Brian Wheeler (UWO: University of Western Ontario)H-Index: 1
#2Philip C. Doyle (UWO: University of Western Ontario)H-Index: 17
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A virtual-reality simulator was developed for the training of Otolaryngology (Ear-Nose-Throat) surgical residents to perform myringotomy, a relatively common surgical procedure in which an incision is made in the eardrum mainly to treat middle-ear infections. The simulator presents the trainee with a three-dimensional (3D) virtual model of the ear that can be viewed through a mock surgical microscope consisting of a stereo visor mounted on a custom-designed stand. The trainee interacts with the ...
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#1Barbara M.A. Schout (VU: VU University Amsterdam)H-Index: 12
#2Ad J.M. Hendrikx (UM: Maastricht University)H-Index: 15
Last. Albert J. J. A. Scherpbier (UM: Maastricht University)H-Index: 56
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Background In the past 20 years the surgical simulator market has seen substantial growth. Simulators are useful for teaching surgical skills effectively and with minimal harm and discomfort to patients. Before a simulator can be integrated into an educational program, it is recommended that its validity be determined. This study aims to provide a critical review of the literature and the main experiences and efforts relating to the validation of simulators during the last two decades.
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Introduction: The objective of this study was to determine whether simulation was more effective than traditional didactic instruction to train crisis management skills to labor and delivery teams. Methods: Participants were nurses and obstetric residents ( Results: There was no statistical difference found between the groups on the pretraining and pretesting multiple-choice questionnaire scores. Performance testing performed as a labor and delivery drill showed statistically significant higher ...
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Abstract Motivation Image-guided percutaneous (through the skin) needle-based surgery has become part of routine clinical practice in performing procedures such as biopsies, injections and therapeutic implants. A novice physician typically performs needle interventions under the supervision of a senior physician; a slow and inherently subjective training process that lacks objective, quantitative assessment of the surgical skill and performance. Shortening the learning curve and increasing proce...
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Image-guided percutaneous needle-based surgery has become part of routine clinical practice in performing procedures such as biopsies, injections and therapeutic implants. A novice physician typically performs needle interventions under the supervision of a senior physician; a slow and inherently subjective training process that lacks objective, quantitative assessment of the surgical skill and performance. Current evaluations of needle-based surgery are also rather simplistic: usually only need...
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Surgical education has dramatically changed in response to numerous constraints placed on residency programs, but a substantial gap in uniform practices exist, especially in the area of skills laboratory availability and usage. Simulation-based training has gained significant momentum and will be a requirement for residencies in the near future. In response, the American College of Surgeons and the Association of Program Directors in Surgery have formed a Surgical Skills Curriculum Task Force wi...
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#1Roberta L. Klatzky (CMU: Carnegie Mellon University)H-Index: 66
#2Bing Wu (CMU: Carnegie Mellon University)H-Index: 9
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The present study examined the impact of augmented-reality visualization, in comparison to conventional ultrasound (CUS), on the learning of ultrasound-guided needle insertion. Whereas CUS requires cognitive processes for localizing targets, our augmented-reality device, called the “sonic flashlight” (SF) enables direct perceptual guidance. Participants guided a needle to an ultrasound-localized target within opaque fluid. In three experiments, the SF showed higher accuracy and lower variability...
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#1Nikolai Bogduk (University of Newcastle)H-Index: 91
Abstract Editors' preface The management of chronic low back pain (CLBP) has proven to be very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing amongst available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaning...
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The aim of this systematic review is to provide an update on the current state of augmented reality (AR) in surgical training and to further report on any described benefits compared with traditional techniques. A PICO (Population, Intervention, Comparison, Outcome) strategy was adopted to formulate an appropriate research question and define strict search terms to be entered into MEDLINE, CENTRAL and Google Scholar. The search was returned on 12/09/2019. All returned results were screened first...
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Education has benefited from augmented reality’s (AR) potential to promote interactive experiences both inside and outside the classroom. A systematic review was conducted on how AR’s impact in the learning process has been evaluated. We selected papers from 2009 to 2017 in three databases, IEEE, ACM, and Science Direct, using an open-source crawler, and in one Brazilian Conference, SBIE. We followed the PRISMA protocol. Forty-five works were selected and used to extract data for our research. T...
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