Development of a lumbar puncture virtual simulator for medical students training: A preliminary evaluation.
haptic simulator
lumbar puncture
medical training
user experience
virtual simulator
Journal
The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
revised:
21
08
2023
received:
26
02
2023
accepted:
24
08
2023
medline:
6
11
2023
pubmed:
6
9
2023
entrez:
6
9
2023
Statut:
ppublish
Résumé
Lumbar puncture is an essential medical procedure whose objective is to obtain cerebrospinal fluid. Lumbar puncture is considered a complex procedure, mainly for novice residents who suffer from stress and low confidence, which may result in harm to the patient. The LPVirSim, has been developed in four stages: i) requirements analysis through user-centred design; ii) prototyping of the virtual environment and the haptic component; iii) preliminary tests with Ph.D. students and physicians using two haptic devices (Omega.7 and Sigma.7); iv) a user study where physicians evaluated the usability and user experience. The LPVirSim integrates non-technical skills and the possibility of representing different patients for training. Usability increased from 61.76 to 68.75 in the preliminary tests to 71.43 in the user study. All the results showed good usability and demonstrated that the simulator arouses interest and realistically represents a Lumbar puncture, through the force and visual feedback.
Sections du résumé
BACKGROUND
BACKGROUND
Lumbar puncture is an essential medical procedure whose objective is to obtain cerebrospinal fluid. Lumbar puncture is considered a complex procedure, mainly for novice residents who suffer from stress and low confidence, which may result in harm to the patient.
METHODS
METHODS
The LPVirSim, has been developed in four stages: i) requirements analysis through user-centred design; ii) prototyping of the virtual environment and the haptic component; iii) preliminary tests with Ph.D. students and physicians using two haptic devices (Omega.7 and Sigma.7); iv) a user study where physicians evaluated the usability and user experience.
RESULTS
RESULTS
The LPVirSim integrates non-technical skills and the possibility of representing different patients for training. Usability increased from 61.76 to 68.75 in the preliminary tests to 71.43 in the user study.
CONCLUSIONS
CONCLUSIONS
All the results showed good usability and demonstrated that the simulator arouses interest and realistically represents a Lumbar puncture, through the force and visual feedback.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2572Subventions
Organisme : Universidad Autónoma del Estado de México
ID : 6482/2022CIB
Informations de copyright
© 2023 John Wiley & Sons Ltd.
Références
Haro-Mendoza D, Pérez-Escamirosa F, Pineda-Martínez D, Gonzalez-Villela VJ. Needle path planning in semiautonomous and teleoperated robot-assisted epidural anaesthesia procedure: a proof of concept. Int J Med Robotics+ Comput Assisted Surg. 2022;18(6). https://doi.org/10.1002/rcs.2434
von Cranach M, Backhaus T, Brich J. Medical students’ attitudes toward lumbar puncture-and how to change. Brain Behav. 2019;9(6):e01310. https://doi.org/10.1002/brb3.1310
Ellenby MS, Tegtmeyer K, Lai S, Braner DA. Lumbar puncture. N Engl J Med. 2006;355(13):e12. https://doi.org/10.1056/nejmvcm054952
Roos KL. Lumbar puncture. Seminars neurology. 2003:105-114. vol. 23, no. 01. Copyright ⓒ 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New .
Henriksen MJV, Wienecke T, Thagesen H, et al. Assessment of residents readiness to perform lumbar puncture: a validation study. J Gen Intern Med. 2017;32(6):610-618. https://doi.org/10.1007/s11606-016-3981-y
Moghtaderi A, Alavi-Naini R, Sanatinia S. Lumbar Puncture: Techniques, Complications and Csf Analyses,” Emergency Medicine-An International Perspective. InTech; 2012:43-48.
Henriksen MJV, Wienecke T, Kristiansen J, Park YS, Ringsted C, Konge L. Opinion and special articles: stress when performing the first lumbar puncture may compromise patient safety. Neurology. 2018;90(21):981-987. https://doi.org/10.1212/wnl.0000000000005556
Vrillon A, Gonzales-Marabal L, Ceccaldi P-F, et al. Using virtual reality in lumbar puncture training improves students learning experience. BMC Med Educ. 2022;22(1):1-8. https://doi.org/10.1186/s12909-022-03317-7
Sun C, Qi X. Evaluation of problem-and simulator-based learning in lumbar puncture in adult neurology residency training. World neurosurgery. 2018;109:e807-e811. -e811. https://doi.org/10.1016/j.wneu.2017.10.093
Barsuk JH, Cohen ER, Caprio T, McGaghie WC, Simuni T, Wayne DB. Simulation-based education with mastery learning improves residents’ lumbar puncture skills. Neurology. 2012;79(2):132-137. https://doi.org/10.1212/wnl.0b013e31825dd39d
Jiang Z, Gao Z, Chen X, Sun W. Remote haptic collaboration for virtual training of lumbar puncture. J Comput. 2013;8(12):3103-3110. https://doi.org/10.4304/jcp.8.12.3103-3110
Vaughan N, Dubey VN, Wee MY, Isaacs R. A review of epidural simulators: where are we today? Med Eng Phys. 2013;35(9):1235-1250. https://doi.org/10.1016/j.medengphy.2013.03.003
Mirbagheri A, Owlia M, Khabbazan M, Moradi M, Mohandesi F. Introducing a robotic lumbar puncture simulator with force feedback: Lp sim. Frontiers in Biomedical Technologies. 2020;7(1):74-81.
Ros M, Neuwirth LS, Ng S, et al. The effects of an immersive virtual reality application in first person point-of-view (ivra-fpv) on the learning and generalized performance of a lumbar puncture medical procedure. Educ Technol Res Dev. 2021;69(3):1529-1556. https://doi.org/10.1007/s11423-021-10003-w
Singh SK, Bostrom M, Popa DO, Wiley CW. Design of an interactive lumbar puncture simulator with tactile feedback. In: Proceedings of the 1994 IEEE International Conference on Robotics and Automation. IEEE; 1994:1734-1739.
Gorman P, Krummel T, Webster R, Smith M, Hutchens D. A prototype haptic lumbar puncture simulator. In: Medicine meets virtual reality 2000. IOS Press; 2000:106-109.
Jose J, Bhavani RR. Bimanual haptic simulator for training hand palpation and lumbar puncture. In: International AsiaHaptics conference. Springer; 2016:345-351.
Jiang Z, Gao Z, Chen X, Sun W. Remote haptic collaboration for virtual training of lumbar puncture. J Clin Psychol. 2013;8(12):3103-3110. https://doi.org/10.4304/jcp.8.12.3103-3110
Wang R, Yao J, Wang L, Liu X, Wang H, Zheng L. A surgical training system for four medical punctures based on virtual reality and haptic feedback. In: 2017 IEEE symposium on 3D user interfaces (3DUI). IEEE, 2017:215-216.
InSimo. Lumbar puncture simulator. 2020. [Online]. https://www.insimo.com/projects/lumbar-puncture-simulator/
Färber M, Hummel F, Gerloff C, Handels H. Virtual reality simulator for the training of lumbar punctures. Methods Inf Med. 2009;48(05):493-501. https://doi.org/10.3414/me0566
Day TW. Lumbar Puncture Trainer. Babgor University Technical Report CS-TR-001; 2014.
Ali S, Qandeel M, Ramakrishna R, Yang CW. Virtual simulation in enhancing procedural training for fluoroscopy-guided lumbar puncture: a pilot study. Acad Radiol. 2018;25(2):235-239. https://doi.org/10.1016/j.acra.2017.08.002
Mirbagheri A, Owlia M, Khabbazan M, Moradi M, Mohandesi F. Introducing a robotic lumbar puncture simulator with force feedback: Lp sim. Frontiers in Biomedical Technologies. 2020;7(1):74-81.
Ríos-Hernández M, Jacinto-Villegas JM, Zemiti N, Vilchis-González AH, Pallida-Castañeda MA. Virtual lumbar puncture simulators: where are we today? In: 2022 IEEE Mexican International Conference on Computer Science (ENC). IEEE; 2022.
Ríos-Hernández M, Jacinto-Villegas JM, Portillo-Rodríguez O, Vilchis-González AH. User-centered design and evaluation of an upper limb rehabilitation system with a virtual environment. Appl Sci. 2021;11(20):9500. https://doi.org/10.3390/app11209500
Imbesi S, Corzani M, Lopane G, Mincolelli G, Chiari L. User-centered design methodologies for the prototype development of a smart harness and related system to provide haptic cues to persons with Parkinson’s disease. Sensors. 2022;22(21):8095. https://doi.org/10.3390/s22218095
Vailland G, Grzeskowiak F, Devigne L, et al. User-centered design of a multisensory power wheelchair simulator: towards training and rehabilitation applications. In: 2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR). IEEE; 2019:77-82.
Brunner J, Chuang E, Goldzweig C, Cain CL, Sugar C, Yano EM. User-centered design to improve clinical decision support in primary care. Int J Med Inf. 2017;104:56-64. https://doi.org/10.1016/j.ijmedinf.2017.05.004
Sanderson B, Field JD, Kocaballi AB, et al; 2023.Multicenter, multidisciplinary user-centered design of a clinical decision-support and simulation system for massive transfusion
Miranda C, Altermatt F, Villagrán I, Goñi J. Developing an innovative medical training simulation device for peripheral venous access: a user-centered design approach. Healthcare. 2020; Vol 8(4). 420, MDPI.
Colman N, Saldana C, Craig K, et al. Simulation-based user-centered design: an approach to device development during covid-19. Pediatric quality & safety. 2021;6(4):e427. https://doi.org/10.1097/pq9.0000000000000427
Rüdel MO, Ganser J, Weller R, Zachmann G. Unrealhaptics: a plugin-system for high fidelity haptic rendering in the unreal engine. In: International Conference on Virtual Reality and Augmented Reality. Springer; 2018:128-147.
Vaughan N, Dubey VN, Wee MY, Isaacs R. A review of epidural simulators: where are we today? Med Eng Phys. 2013;35(9):1235-1250. https://doi.org/10.1016/j.medengphy.2013.03.003
Moore K, Dalley A, Agur A. Clinically Oriented Anatomy. Lippincott Williams & Wilkins; 2018. [Online]. https://books.google.fr/books?id=jHXwswEACAAJ
Cheng L-K, Chieng M-H, Chieng W-H. Measuring virtual experience in a three-dimensional virtual reality interactive simulator environment: a structural equation modeling approach. Virtual Real. 2014;18(3):173-188. https://doi.org/10.1007/s10055-014-0244-2
Bangor A, Kortum PT, Miller JT. An empirical evaluation of the system usability scale. Intl. J Human-Computer Interact. 2008;24(6):574-594. https://doi.org/10.1080/10447310802205776