gms | German Medical Science

73. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Griechischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

29.05. - 01.06.2022, Köln

Article

Send article

VR-based training of craniotomy for intracranial aneurysm surgery

Virtuelle Wirklichkeit in der neurochirurgischen Ausbildung bei der Platzierung der Kraniotomie

Meeting Abstract

Search Medline for

  • presenting/speaker Amir Amini - Universitätsklinikum Magdeburg, Klinik für Neurochirurgie, Magdeburg, Deutschland
  • presenting/speaker Belal Neyazi - Universitätsklinikum Magdeburg, Klinik für Neurochirurgie, Magdeburg, Deutschland
  • Klaus-Peter Stein - Universitätsklinikum Magdeburg, Klinik für Neurochirurgie, Magdeburg, Deutschland
  • Karl Hartmann - Universitätsklinikum Magdeburg, Klinik für Neurochirurgie, Magdeburg, Deutschland
  • Mareen Allgaier - Universitätsklinikum Magdeburg, Faculty of Computer Science, Magdeburg, Deutschland; Otto-von-Guericke University Magdeburg, Forschungscampus STIMULATE, Magdeburg, Germany, Magdeburg, Deutschland
  • Bernhard Preim - Universitätsklinikum Magdeburg, Faculty of Computer Science, Magdeburg, Deutschland; Otto-von-Guericke University Magdeburg, Forschungscampus STIMULATE, Magdeburg, Germany, Magdeburg, Deutschland
  • Sylvia Saalfeld - Universitätsklinikum Magdeburg, Faculty of Computer Science, Magdeburg, Deutschland; Otto-von-Guericke University Magdeburg, Forschungscampus STIMULATE, Magdeburg, Germany, Magdeburg, Deutschland
  • I. Erol Sandalcioglu - Universitätsklinikum Magdeburg, Klinik für Neurochirurgie, Magdeburg, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 73. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Griechischen Gesellschaft für Neurochirurgie. Köln, 29.05.-01.06.2022. Düsseldorf: German Medical Science GMS Publishing House; 2022. DocV329

doi: 10.3205/22dgnc313, urn:nbn:de:0183-22dgnc3139

Published: May 25, 2022

© 2022 Amini et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objective: The microsurgical treatment of intracranial aneurysms poses a major challenge in the field of vascular neurosurgery. One important step involves an appropriate positioning of the patient’s head and the proper placement of the craniotomy in dependence of aneurysm location. Here, we present a VR-based training model as an effective tool for training.

Methods: We designed and implemented an immersive VR access simulation, where the user is surrounded by a virtual operating room, including medical equipment and virtual staff. The patient's head can be positioned via hand rotation and an arbitrary craniotomy contour can be drawn. The chosen access can be evaluated by exposing the aneurysm using a microscopic view.

Results: The evaluation of the simulation took place in three stages: testing the simulation using the think-aloud method, conducting a survey and examining the precision of drawing the contour. Although there are differences between the virtual interactions and their counterparts in reality, the participants liked the immersion and felt present in the operating room. The calculated surface dice similarity coefficient, Hausdorff distance and feedback of the participants show that the difficulty of drawing the craniotomy is appropriate.

Conclusion: The presented training simulation for head positioning and access planning benefits from the immersive environment. Thus, it is an appropriate training for novice neurosurgeons and medical students with the goal to improve anatomical understanding and to become aware of the importance of the right craniotomy hole.