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三维建模和虚拟现实在后路脊柱内固定教育中的应用。

Use of 3- Dimensional Modeling and Virtual Reality in the Education of Posterior Spinal Instrumentation.

机构信息

Koc University Hospital, Department of Neurosurgery, Istanbul, Türkiye.

出版信息

Turk Neurosurg. 2024;34(6):958-965. doi: 10.5137/1019-5149.JTN.46204-24.1.

Abstract

AIM

To assess the effectiveness and safety of Virtual Reality (VR) simulations for education of posterior spinal instrumentation.

MATERIAL AND METHODS

Participants were instructed to apply Cervical-Thoracic-Lumbar and Sacral posterior instrumentation techniques using the VR. Each participant underwent a qualitative assessment of the use of the VR. Patient-specific computed tomography (CT) studies were obtained to build a whole spinal model. Bone segmentation was performed upon the CT images. The participants can easily interact with the spinal model and evaluates the outcome from all the angles.

RESULTS

A total of 63 participants who used VR stimulation as a primary application during the 4-day course were included in this study. The majority of our participants agreed with the benefit of the VR spinal instrumentation module, stating that it was useful for learning the 3D anatomy of the spinal region. Overall, according to the questionnaire and evaluations, the participants stated that this application was most beneficial in the education and preoperative planning.

CONCLUSION

VR-based surgical training is a promising solution for surgical education, particularly for junior residents, for improving the understanding of spinal instrumentation. In addition, modelling of patient-specific CT scans on VR provides a unique opportunity for improving pre-operative planning and preventing surgical complications.

摘要

目的

评估虚拟现实 (VR) 模拟在后脊柱器械教育中的效果和安全性。

材料与方法

参与者被指示使用 VR 进行颈椎-胸椎-腰椎和骶骨后器械技术。每位参与者都对 VR 的使用进行了定性评估。获取患者特定的计算机断层扫描 (CT) 研究以建立整个脊柱模型。对 CT 图像进行骨分割。参与者可以轻松地与脊柱模型进行交互,并从各个角度评估结果。

结果

共有 63 名参与者在为期 4 天的课程中主要使用 VR 刺激,他们被纳入本研究。我们的大多数参与者都同意 VR 脊柱器械模块的益处,称其对学习脊柱区域的 3D 解剖结构很有用。总体而言,根据问卷调查和评估,参与者表示该应用程序在教育和术前规划方面最有益。

结论

基于 VR 的手术培训是一种有前途的手术教育解决方案,特别是对于初级住院医师来说,有助于提高对脊柱器械的理解。此外,在 VR 上对患者特定的 CT 扫描进行建模为改善术前规划和预防手术并发症提供了独特的机会。

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