UConn School of Medicine, Farmington, Connecticut, USA.
Division of Neurosurgery, Connecticut Children's, Hartford, Connecticut, USA; Department of Surgery, UConn School of Medicine, Farmington, Connecticut, USA.
World Neurosurg. 2022 Nov;167:37-43. doi: 10.1016/j.wneu.2022.08.042. Epub 2022 Aug 14.
Virtual reality (VR) and augmented reality (AR) are rapidly growing technologies. Both have been applied within neurosurgery for presurgical planning and intraoperative navigation, but VR and AR technology is particularly promising for the education of neurosurgical trainees. With the increasing demand for high impact yet efficient educational strategies, VR- and AR-based simulators allow neurosurgical residents to practice technical skills in a low-risk setting. Initial studies have confirmed that such simulators increase trainees' confidence, improve their understanding of operative anatomy, and enhance surgical techniques. Knowledge of the history and conceptual underpinnings of these technologies is useful to understand their current and future applications towards neurosurgical training. The technological precursors for VR and AR were introduced as early as the 1800s, and draw from the fields of entertainment, flight simulation, and education. However, computer software and processing speeds are needed to develop widespread VR- and AR-based surgical simulators, which have only been developed within the last 15 years. During that time, several devices had become rapidly adopted by neurosurgeons, and some programs had begun to incorporate them into the residency curriculum. With ever-improving technology, VR and AR are promising additions to a multi-modal training program, enabling neurosurgical residents to maximize their efforts in preparation for the operating room. In this review, we outline the historical development of the VR and AR systems that are used in neurosurgical training and discuss representative examples of the current technology.
虚拟现实 (VR) 和增强现实 (AR) 是迅速发展的技术。这两种技术都已应用于神经外科手术的术前规划和术中导航,但 VR 和 AR 技术在神经外科培训生的教育中尤其具有前景。随着对高影响力但高效教育策略的需求不断增加,基于 VR 和 AR 的模拟器使神经外科住院医师能够在低风险环境中练习技术技能。初步研究证实,这些模拟器可以提高学员的信心,增强他们对手术解剖结构的理解,并提高手术技术。了解这些技术的历史和概念基础对于理解它们在神经外科培训中的当前和未来应用非常有用。VR 和 AR 的技术先驱早在 19 世纪就已经引入,并借鉴了娱乐、飞行模拟和教育领域的技术。然而,需要计算机软件和处理速度来开发广泛使用的基于 VR 和 AR 的手术模拟器,这些模拟器仅在过去 15 年内才开发出来。在此期间,一些设备已迅速被神经外科医生采用,一些程序已开始将其纳入住院医师课程。随着技术的不断改进,VR 和 AR 是多模式培训计划的有前途的补充,可以使神经外科住院医师在为手术室做准备时最大程度地提高效率。在这篇综述中,我们概述了用于神经外科培训的 VR 和 AR 系统的历史发展,并讨论了当前技术的代表性实例。
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