Jensen J, Mussmann B R, Pedersen M R V, Brage K, England A, Precht H, Mørup S D, Kusk M W, Bollerup C N, Lysdahlgaard S, Dietrich A V, Hansen K E, Pietersen P I
Research and Innovation Unit of Radiology, University of Southern Denmark, Denmark; Department of Radiology, Odense University Hospital, Denmark.
Research and Innovation Unit of Radiology, University of Southern Denmark, Denmark; Department of Radiology, Odense University Hospital, Denmark; Department of Life Sciences and Health, Radiography, Oslo Metropolitan University, Oslo, Norway.
Radiography (Lond). 2024 Dec;30 Suppl 2:10-16. doi: 10.1016/j.radi.2024.09.002. Epub 2024 Sep 16.
Virtual reality (VR) simulation is a technology that empowers students and radiographers to practice radiography in a virtual environment that resembles real-life clinical scenarios. The purpose of this randomised study was to examine the relationship between clinical specialty and the ability to assess and obtain a lateral wrist radiograph using a VR simulator.
Radiographers and radiography students were recruited from the EFRS Research Hub at the 2024 European Congress of Radiology. After completing a background questionnaire, participants entered a VR simulator where they assessed lateral wrist radiographs and, if necessary, attempted a retake. Fisher's exact test was used to evaluate the relationship between specialties and participants' ability to assess positioning and perform retakes. Rank-biserial correlation estimated the relationship between participants' ability to reposition the VR patient and their VR experience and self-perceived confidence in wrist radiograph positioning.
The cohort included 173 participants from 14 specialties across 21 countries. There was a borderline significant trend between clinical specialty and correct positioning assessment (p = 0.052) and between self-perceived confidence in acquiring wrist radiographs and repositioning for a retake (p = 0.052). Neither clinical specialty (p = 0.480) nor previous VR experience (p = 0.409) correlated with ability to reposition for a retake.
While results indicated a potential correlation between participants' ability to position a VR patient and both clinical specialty and confidence in wrist radiography, these trends were not statistically significant. Nevertheless, the findings suggest that VR holds promise for radiography training, though further research is necessary to explore the factors that influence performance and learning.
The incorporation of VR technology into standard radiography training programs could potentially improve patient outcomes by ensuring that radiography students are more skilled at acquiring quality radiographs prior to their first clinical practice. It should be noted though, that knowledge on positioning criteria and anatomy is an advantage when practicing correct positioning in a VR simulator.
虚拟现实（VR）模拟是一种技术，它使学生和放射技师能够在类似于现实临床场景的虚拟环境中练习放射摄影。这项随机研究的目的是探讨临床专业与使用VR模拟器评估和获取腕部侧位X线片能力之间的关系。
从2024年欧洲放射学会的EFRS研究中心招募放射技师和放射摄影专业学生。完成背景调查问卷后，参与者进入VR模拟器，在那里他们评估腕部侧位X线片，并在必要时尝试重新拍摄。采用Fisher精确检验来评估专业与参与者评估定位和进行重新拍摄能力之间的关系。等级双列相关估计了参与者重新定位VR患者的能力与其VR经验以及对腕部X线片定位的自我感知信心之间的关系。
该队列包括来自21个国家14个专业的173名参与者。临床专业与正确定位评估之间存在边缘显著趋势（p = 0.052），以及在获取腕部X线片的自我感知信心与重新定位进行重新拍摄之间存在边缘显著趋势（p = 0.052）。临床专业（p = 0.480）和先前的VR经验（p = 0.409）均与重新定位进行重新拍摄的能力无关。
虽然结果表明参与者对VR患者进行定位的能力与临床专业以及腕部放射摄影信心之间存在潜在相关性，但这些趋势在统计学上并不显著。尽管如此，研究结果表明VR在放射摄影培训方面具有潜力，不过需要进一步研究以探索影响表现和学习的因素。
将VR技术纳入标准放射摄影培训计划可能会通过确保放射摄影专业学生在首次临床实践之前更熟练地获取高质量X线片来改善患者结局。不过应该注意的是，在VR模拟器中练习正确定位时，了解定位标准和解剖学知识是一项优势。
