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Personalized planning and training system for brachytherapy based on virtual reality

  • S.I. : VR in Education
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Abstract

This paper presents a virtual planning and training system for brachytherapy based on virtual reality (VR). The purpose of this system is to facilitate preplanning and help doctors to more quickly and easily improve their skills in brachytherapy surgery. For unskilled doctors, this system can increase confidence and support the successful completion of surgery. The system is based on a VR system that can deliver a fully immersive training environment and involves three functions: simulation of the relocation template, arrangement of the puncture needles and the implantation of the seeds. We used Student’s t test to verify the efficiency of the system. Participants were required to complete both the training and a questionnaire to supply feedback. The participants subsequently performed simulation surgery on a dummy and reviewed their cumulative errors compared with the ideal condition. The results demonstrate that this VR system is able to effectively train unskilled doctors, especially young doctors. This system is appreciated by a variety of people, especially inexperienced and younger users, as it is easy to use and provides an enjoyable learning experience.

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References

  • Bhagat KK, Liou W-K, Chang C-Y (2016) A cost-effective interactive 3D virtual reality system applied to military live firing training. Virtual Real 20:127–140. https://doi.org/10.1007/s10055-016-0284-x

    Article  Google Scholar 

  • Bouhelal AA, Patel HRH, Farhanandfar RM, Benjamin AM, AlAraimi BS, Addala M, Patel B (2012) Minimal invasive surgery skills acquisition in novices using virtual reality. Brit J Surg 99:62

    Google Scholar 

  • Bruno F, Barbieri L, Lagudi A, Cozza M, Cozza A, Peluso R, Muzzupappa M (2017) Virtual dives into the underwater archaeological treasures of South Italy. Virtual Real. https://doi.org/10.1007/s10055-017-0318-z

    Article  Google Scholar 

  • Buckley H, Wilson C, Ajithkumar T (2017) High-dose-rate brachytherapy in the management of operable rectal cancer: a systematic review. Int J Radiat Oncol Biol Phys 99:111–127

    Article  Google Scholar 

  • Chen W et al (2016) Cancer statistics in China, 2015. CA Cancer J Clin 66:115–132. https://doi.org/10.3322/caac.21338

    Article  Google Scholar 

  • Cubo N, Garcia M, Del Canizo JF, Velasco D, Jorcano JL (2016) 3D bioprinting of functional human skin: production and in vivo analysis. Biofabrication 9:015006

    Article  Google Scholar 

  • DiRaddo R, Tomanek B, Laroche D, Delorme S, Del Maestro R (2009) Patient-specific virtual reality systems for brain tumor surgery. Neuro-Oncology 11:698

    Google Scholar 

  • Dou H, Jiang S, Yang Z, Sun LQ, Ma XD, Huo B (2017) Design and validation of a CT-guided robotic system for lung cancer brachytherapy. Med Phys 44:4828–4837

    Article  Google Scholar 

  • Eschwege F (1998) Radiotherapy for head and neck cancers in the elderly. Ann Oncol 9:31–31

    Google Scholar 

  • Fleischman EH, Kagan AR, Streeter OE, Tyrell J, Wollin M, Leagre CA, Harvey JC (1992) Iodine125 interstitial brachytherapy in the treatment of carcinoma of the lung. J Surg Oncol 49:25–28. https://doi.org/10.1002/jso.2930490107

    Article  Google Scholar 

  • Gherman B, Girbacia T, Cocorean D et al (2016) Virtual planning of needle guidance for a parallel robot used in brachytherapy. New Trends Med Serv Robots 1:109

    Article  Google Scholar 

  • Goksel O, Sapchuk K, Salcudean SE (2011) Haptic simulator for prostate brachytherapy with simulated needle and probe interaction. IEEE Trans Haptics 4(3):188–198

    Article  Google Scholar 

  • Gu Q, Hao J, Lu YJ, Wang L, Wallace GG, Zhou Q (2015) Three-dimensional bio-printing. Sci China Life Sci 58:411–419. https://doi.org/10.1007/s11427-015-4850-3

    Article  Google Scholar 

  • Halabi T, Craft D, Bortfeld T (2006) Dose-volume histogram objectives in multi-criteria IMRT optimization. Med Phys 33:2089. https://doi.org/10.1118/1.2241101

    Article  Google Scholar 

  • Hocking GC et al (2000) Withdrawal from a fluid of finite depth through a line sink, including surface-tension effects. J Eng Math 38(1):91–100

    Article  MathSciNet  Google Scholar 

  • Huo X et al (2016) Effectiveness and safety of CT-guided (125)I seed brachytherapy for postoperative locoregional recurrence in patients with non-small cell lung cancer. Brachytherapy 15:370–380

    Article  Google Scholar 

  • Kanzaki H, Kataoka M, Nishikawa A, Uwatsu K, Nagasaki K, Nishijima N, Hashine K (2015) Kinetics differences between PSA bounce and biochemical failure in patients treated with 125I prostate brachytherapy. Jpn J Clin Oncol 45:688–694

    Article  Google Scholar 

  • Lawson G, Salanitri D, Waterfield B (2016) Future directions for the development of virtual reality within an automotive manufacturer. Appl Ergon 53:323–330

    Article  Google Scholar 

  • Li Z, Jiang S, Yang Z et al (2014) SU-E-T-279: realization of three-dimensional conformal dose planning in prostate brachytherapy. Med Phys 41(6):288

    Article  Google Scholar 

  • Luha J (2003) Statistic simply explained. Ekonomicky Casopis 51(6):778–779

    Google Scholar 

  • Lv Z, Li X, Li W (2017) Virtual reality geographical interactive scene semantics research for immersive geography learning. Neurocomputing 254:71–78

    Article  Google Scholar 

  • Miller S, Berndt A, Bews J, Mccurdy B, Kinsner W (1998) An implementation of a virtual reality interstitial brachytherapy system. Electr Comput Eng 2:870–873

    Google Scholar 

  • Miller S, Jeffrey C, Bews J (1999) Advances in the virtual reality interstitial brachytherapy system. Electr Comput Eng IEEE 1:349–354

    Google Scholar 

  • Mohan R, Schellhammer PF (2011) Treatment options for localized prostate cancer. Am Fam Physician 84:413–420

    Google Scholar 

  • Nakayama Y (2009) Brachytherapy. J Thorac Oncol 4(9):S174–S175

    Google Scholar 

  • Regis J (2010) Conformity index for radiosurgery reply. Neurosurgery 67:2. https://doi.org/10.1227/01.neu.0000384045.64917.0d

    Article  Google Scholar 

  • Roy E, Bakr MM, George R (2017) The need for virtual reality simulators in dental education: a review. Saudi Dent J 29:41–47. https://doi.org/10.1016/j.sdentj.2017.02.001

    Article  Google Scholar 

  • Saxena SK, Sharma SD, Dash A, Venkatesh M (2009) Development of a new design I-125-brachytherapy seed for its application in the treatment of eye and prostate cancer. Appl Radiat Isot 67:1421–1425. https://doi.org/10.1016/j.apradiso.2009.02.040

    Article  Google Scholar 

  • Stout R, Barber P, Burt P, Hopwood P, Swindell R, Hodgetts J, Lomax L (2000) Clinical and quality of life outcomes in the first United Kingdom randomized trial of endobronchial brachytherapy (intraluminal radiotherapy) vs. external beam radiotherapy in the palliative treatment of inoperable non-small cell lung cancer. Radiother Oncol 56:323–327. https://doi.org/10.1016/s0167-8140(00)00252-8

    Article  Google Scholar 

  • Sutherland JGH, Furutani KM, Thomson RM (2013) A Monte Carlo investigation of lung brachytherapy treatment planning. Phys Med Biol 58:4763–4780

    Article  Google Scholar 

  • Tanderup K, Ménard C, Polgar C, Lindegaard JC, Kirisits C, Pötter R (2017) Advancements in brachytherapy. Adv Drug Deliv Rev 109:15–25

    Article  Google Scholar 

  • Wang Z-M, Lu J, Liu T, Chen K-M, Huang G, Liu F-J (2011) CT-guided interstitial brachytherapy of inoperable non-small cell lung cancer. Lung Cancer 74:253–257

    Article  Google Scholar 

  • Wu C-M, Hsu C-W, Lee T-K, Smith S (2016) A virtual reality keyboard with realistic haptic feedback in a fully immersive virtual environment. Virtual Real 21:19–29. https://doi.org/10.1007/s10055-016-0296-6

    Article  Google Scholar 

  • Zhang S, Jiang S, Yang Z et al (2015) 2D ultrasound and 3D MR image registration of the prostate for brachytherapy surgical navigation. Medicine 94(40):e1643

    Article  Google Scholar 

  • Zhang G, Sun Q, Jiang S, Yang Z, Ma X, Jiang H (2017) Automatic seed picking for brachytherapy postimplant validation with 3D CT images. Int J Comput Assist Radiol Surg 12(11):1985–1993

    Article  Google Scholar 

  • Zheng M, Zhu J, Xiong X, Zhou S, Zhang Y (2016) 3D model reconstruction with common hand-held cameras. Virtual Real 20:221–235. https://doi.org/10.1007/s10055-016-0297-5

    Article  Google Scholar 

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Acknowledgements

The authors gratefully acknowledge the research team at the School of Mechanical Engineering,Tianjin University, for providing technical assistance. Additionally, the Department of Oncology at The Second Hospital of Tianjin Medical University provided considerable support with the clinical experimental environment and equipment. This research was partially supported by the National Natural Science Foundation of China (Grant No. 51775368), National Natural Science Foundation of China (Grant No. 5171101938) and the Technology Planning Project of Guangdong Province, China (Grant No. 2017B020210004).

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Correspondence to Shan Jiang.

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Zhou, Z., Jiang, S., Yang, Z. et al. Personalized planning and training system for brachytherapy based on virtual reality. Virtual Reality 23, 347–361 (2019). https://doi.org/10.1007/s10055-018-0350-7

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  • DOI: https://doi.org/10.1007/s10055-018-0350-7

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