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3D 打印模型提高了外科医生对解剖结构的临床评估水平。

3D-printed model improves clinical assessment of surgeons on anatomy.

机构信息

Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 162 Heritage Medical Research Centre, 8440 112 St. NW., Edmonton, AB, T6G 2E1, Canada.

Department of Paediatric Surgery, Tongji Hospital, Huazhong University of Science & Technology, Wuhan, China.

出版信息

J Robot Surg. 2019 Feb;13(1):61-67. doi: 10.1007/s11701-018-0809-2. Epub 2018 Apr 24.

Abstract

Performing surgical procedures often requires a surgeon to develop a skill to create 3-dimensional (3D) mental model on patient's anatomy. Question remains whether the touching on the 3D printed model can facilitate learning of patient anatomy than viewing the rendered virtual on-screen model. The printed and the virtual 3D model were developed from CT films taken from a 4-year-old girl, who had dysplasia of the hip in the left hip. Eleven subjects were called to report measures on six key anatomical features on the hips. The reporting time and the accuracy were compared between the two models, along with the gaze characteristics of subjects while inspecting the models. The variables were analysed using a 2 × 2 within subject ANOVA to examine the difference between viewing the models (on-screen vs. printed-out) and the side of the hip (right vs. left). Interacting with the printed 3D model required shorter times and yielded more accurate visual judgments than viewing the virtual models on most of the anatomical features. Subjects performed a fewer number of fixations but with a longer mean fixation duration when interacting the printed than inspecting the virtual on-screen 3D model. Results confirmed the value of the printed 3D model on improving the clinical judgement on patient anatomy. Confidence in collecting information from the physical world and the cross-model sensor integration may explain why participants performed better with the printed model compared to the virtual model.

摘要

进行外科手术通常需要外科医生培养一种技能,以便在患者解剖结构上创建三维(3D)心理模型。目前仍存在疑问,即触摸 3D 打印模型是否比查看屏幕上呈现的虚拟模型更有助于学习患者解剖结构。打印和虚拟 3D 模型均由从一名 4 岁女孩的 CT 胶片开发而来,该女孩左侧髋关节发育不良。有 11 名受试者被要求报告髋关节上六个关键解剖特征的测量值。比较了两种模型之间的报告时间和准确性,以及受试者在检查模型时的注视特征。使用 2×2 被试内方差分析来分析变量,以检查模型(屏幕上查看与打印出查看)和髋关节侧之间的差异(右侧与左侧)。在大多数解剖特征上,与查看虚拟模型相比,与打印的 3D 模型交互需要更短的时间,并且产生更准确的视觉判断。与检查虚拟的屏幕上 3D 模型相比,与打印的 3D 模型交互时,受试者进行的注视次数更少,但平均注视持续时间更长。结果证实了打印 3D 模型在提高对患者解剖结构的临床判断方面的价值。从物理世界收集信息的信心和跨模型传感器集成可能解释了为什么与虚拟模型相比,参与者使用打印模型的表现更好。

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