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The use of virtual reality and haptic simulators for training and education of surgical skills
KTH, School of Industrial Engineering and Management (ITM), Machine Design (Dept.).
KTH, School of Industrial Engineering and Management (ITM), Machine Design (Dept.).ORCID iD: 0000-0002-7550-3134
KTH, School of Technology and Health (STH), Neuronic Engineering.
2006 (English)In: Simulation in Healthcare: journal of the society for simulation in healthcare, ISSN 1559-2332Article in journal (Other academic) Submitted
Place, publisher, year, edition, pages
2006.
National Category
Biomedical Laboratory Science/Technology
Identifiers
URN: urn:nbn:se:kth:diva-5999OAI: oai:DiVA.org:kth-5999DiVA: diva2:10563
Note
QS 20120316Available from: 2006-06-14 Created: 2006-06-14 Last updated: 2012-03-16Bibliographically approved
In thesis
1. Haptic and visual simulation of material cutting process: a study focused on bone surgery and the use of simulators for education and training
Open this publication in new window or tab >>Haptic and visual simulation of material cutting process: a study focused on bone surgery and the use of simulators for education and training
2006 (English)Licentiate thesis, comprehensive summary (Other scientific)
Abstract [en]

A prototype of a haptic and virtual reality simulator has been developed for simulation of the bone milling and material removal process occurring in several operations, e.g. temporal bone surgery or dental milling. The milling phase of an operation is difficult, safety critical and very time consuming. Reduction of operation time by only a few percent would in the long run save society large expenses. In order to reduce operation time and to provide surgeons with an invaluable practicing environment, this licentiate thesis discusses the introduction of a simulator system to be used in both surgeon curriculum and in close connection to the actual operations.

The virtual reality and haptic feedback topics still constitute a young and unexplored area. It has only been active for about 10-15 years for medical applications. High risk training on real patients and the change from open surgery to endoscopic procedures have enforced the introduction of haptic and virtual reality simulators for training of surgeons. Increased computer power and the similarity to the successful aviation simulators also motivate to start using simulators for training of surgical skills.

The research focus has been twofold: 1) To develop a well working VR-system for realistic graphical representation of the skull itself including the changes resulting from milling, and 2) to find an efficient algorithm for haptic feedback to mimic the milling procedure using the volumetric Computer Tomography (CT) data of the skull. The developed haptic algorithm has been verified and tested in the simulator. The visualization of the milling process is rendered at a graphical frame rate of 30 Hz and the haptic rendering loop is updated at 1000 Hz. Test results show that the real-time demands are fulfilled. The visual and haptic implementations have been the two major steps to reach the over all goal with this research project.

A survey study is also included where the use of VR and haptic simulators in the surgical curriculum is investigated. The study starts with a historical perspective of the VR and haptic topics and is built up by answering different questions related to this topic and the implementation of simulators at the medical centres. The questions are of general concern for those developing surgical VR and haptic simulators.

Suggested future work includes modelling, development and validation of the haptic forces occurring in the milling process and, based on this, implementation in the simulator system. Also, further development of the simulator should be done in close cooperation with surgeons in order to get appropriate feedback for further improvements of the functionality and performance of the simulator.

Place, publisher, year, edition, pages
Haninge: KTH Syd, 2006. ix, 28 p.
Series
Trita-STH : report, ISSN 1653-3836 ; 2006:3
Keyword
surgical simulation, virtual reality, haptic feedback, surgical training, medical simulators, metrics, 3D visualization
National Category
Biomedical Laboratory Science/Technology
Identifiers
urn:nbn:se:kth:diva-4052 (URN)
Presentation
2006-06-09, B442, KTH, Brinellvägen 83, Stockholm, 10:15
Opponent
Supervisors
Note
QC 20101112Available from: 2006-06-14 Created: 2006-06-14 Last updated: 2010-11-12Bibliographically approved

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Wikander, Jan

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