Haiyang Yu1, Zhi Zhou1, Xuefeng Lei1, Huaqing Liu2, Guoxin Fan3, Shisheng He4. 1. Orthopedic Department, Shanghai Tenth People's Hospital, Shanghai, China. 2. Spinal Pain Research Institute, Tongji University School of Medicine, Shanghai, China. 3. Orthopedic Department, Shanghai Tenth People's Hospital, Shanghai, China; Spinal Pain Research Institute, Tongji University School of Medicine, Shanghai, China. 4. Orthopedic Department, Shanghai Tenth People's Hospital, Shanghai, China; Spinal Pain Research Institute, Tongji University School of Medicine, Shanghai, China. Electronic address: tjhss7418@tongji.edu.cn.
Abstract
OBJECTIVE: To explore the effect of preoperative planning using mixed reality (MR) on training of percutaneous transforaminal endoscopic discectomy (PTED). METHODS: Before the training, we invited an experienced chief physician to plan the puncture path of PTED on the X-ray films of the lumbar spine model and the 3D Slicer platform, respectively, and used this as the standard to guide trainees. In the aggregate, 60 young residents were randomly divided into Group A (N = 30) and Group B (N = 30). Group A learned the 2-dimensional standard planning route, whereas Group B learned the standard route planning based on MR through the 3D Slicer platform. Then, trainees were asked to conduct PTED puncture on a lumbar spine model. Questionnaires were distributed to trainees before and after the training. During the training, puncture times, operating time (minutes), and fluoroscopy times were recorded. RESULTS: After the training, it was obvious that more trainees showed their recognition of MR, believing that MR could help preoperative planning and training of PTED. Their high satisfaction with the training indicated the success of our training. Moreover, puncture times, operating time (minutes), and fluoroscopy times of Group B were significantly lower than those of Group A. CONCLUSIONS: MR technology contributes to preoperative planning of PTED and is beneficial in the training of PTED. It significantly reduces puncture times and fluoroscopy times, providing a standardized method for the training of PTED.
RCT Entities:
OBJECTIVE: To explore the effect of preoperative planning using mixed reality (MR) on training of percutaneous transforaminal endoscopic discectomy (PTED). METHODS: Before the training, we invited an experienced chief physician to plan the puncture path of PTED on the X-ray films of the lumbar spine model and the 3D Slicer platform, respectively, and used this as the standard to guide trainees. In the aggregate, 60 young residents were randomly divided into Group A (N = 30) and Group B (N = 30). Group A learned the 2-dimensional standard planning route, whereas Group B learned the standard route planning based on MR through the 3D Slicer platform. Then, trainees were asked to conduct PTED puncture on a lumbar spine model. Questionnaires were distributed to trainees before and after the training. During the training, puncture times, operating time (minutes), and fluoroscopy times were recorded. RESULTS: After the training, it was obvious that more trainees showed their recognition of MR, believing that MR could help preoperative planning and training of PTED. Their high satisfaction with the training indicated the success of our training. Moreover, puncture times, operating time (minutes), and fluoroscopy times of Group B were significantly lower than those of Group A. CONCLUSIONS: MR technology contributes to preoperative planning of PTED and is beneficial in the training of PTED. It significantly reduces puncture times and fluoroscopy times, providing a standardized method for the training of PTED.
Authors: Bryan Zheng; Elias Shaaya; Josh Feler; Owen P Leary; Matthew J Hagan; Ankush Bajaj; Jared S Fridley; Frank Hassel; Raymond Gardocki; Ricardo Casal Grau; Kai-Uwe Lewandrowski; Albert E Telfeian Journal: Biomed Res Int Date: 2022-03-19 Impact factor: 3.411
Authors: Matthew J Hagan; Thibault Remacle; Owen P Leary; Joshua Feler; Elias Shaaya; Rohaid Ali; Bryan Zheng; Ankush Bajaj; Erik Traupe; Michael Kraus; Yue Zhou; Jared S Fridley; Kai-Uwe Lewandrowski; Albert E Telfeian Journal: Biomed Res Int Date: 2022-08-29 Impact factor: 3.246