Department of Mechanical Engineering, Stanford University, Stanford, CA, USA.
Department of Clinical Neurosciences, Division of Neurosurgery, University of Calgary, Calgary, AB, Canada.
Int J Comput Assist Radiol Surg. 2023 Jan;18(1):85-93. doi: 10.1007/s11548-022-02727-8. Epub 2022 Aug 7.
Virtual reality (VR) simulation has the potential to advance surgical education, procedural planning, and intraoperative guidance. "SurgiSim" is a VR platform developed for the rehearsal of complex procedures using patient-specific anatomy, high-fidelity stereoscopic graphics, and haptic feedback. SurgiSim is the first VR simulator to include a virtual operating room microscope. We describe the process of designing and refining the VR microscope user experience (UX) and user interaction (UI) to optimize surgical rehearsal and education.
Human-centered VR design principles were applied in the design of the SurgiSim microscope to optimize the user's sense of presence. Throughout the UX's development, the team of developers met regularly with surgeons to gather end-user feedback. Supplemental testing was performed on four participants.
Through observation and participant feedback, we made iterative design upgrades to the SurgiSim platform. We identified the following key characteristics of the VR microscope UI: overall appearance, hand controller interface, and microscope movement.
Our design process identified challenges arising from the disparity between VR and physical environments that pertain to microscope education and deployment. These roadblocks were addressed using creative solutions. Future studies will investigate the efficacy of VR surgical microscope training on real-world microscope skills as assessed by validated performance metrics.
虚拟现实(VR)模拟具有推进外科教育、手术规划和术中指导的潜力。“SurgiSim”是一个开发的 VR 平台,用于使用患者特定的解剖结构、高保真立体图形和触觉反馈来排练复杂的手术。SurgiSim 是第一个包含虚拟手术室显微镜的 VR 模拟器。我们描述了设计和完善 VR 显微镜用户体验(UX)和用户交互(UI)的过程,以优化手术排练和教育。
人本主义 VR 设计原则应用于 SurgiSim 显微镜的设计中,以优化用户的存在感。在整个 UX 的开发过程中,开发团队定期与外科医生会面,收集最终用户的反馈。对四名参与者进行了补充测试。
通过观察和参与者的反馈,我们对 SurgiSim 平台进行了迭代设计升级。我们确定了 VR 显微镜 UI 的以下关键特征:整体外观、手控器界面和显微镜运动。
我们的设计过程确定了与显微镜教育和部署相关的源于 VR 和物理环境之间差异的挑战。这些障碍通过创造性的解决方案得到了解决。未来的研究将通过验证的绩效指标来调查 VR 手术显微镜培训对真实世界显微镜技能的效果。