Skip to main content

Advertisement

Log in

The user experience design of a novel microscope within SurgiSim, a virtual reality surgical simulator

  • Original Article
  • Published:
International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Virtual reality (VR) simulation has the potential to advance surgical education, procedural planning, and intraoperative guidance. “SurgiSim” is a VR platform developed for the rehearsal of complex procedures using patient-specific anatomy, high-fidelity stereoscopic graphics, and haptic feedback. SurgiSim is the first VR simulator to include a virtual operating room microscope. We describe the process of designing and refining the VR microscope user experience (UX) and user interaction (UI) to optimize surgical rehearsal and education.

Methods

Human-centered VR design principles were applied in the design of the SurgiSim microscope to optimize the user’s sense of presence. Throughout the UX’s development, the team of developers met regularly with surgeons to gather end-user feedback. Supplemental testing was performed on four participants.

Results

Through observation and participant feedback, we made iterative design upgrades to the SurgiSim platform. We identified the following key characteristics of the VR microscope UI: overall appearance, hand controller interface, and microscope movement.

Conclusion

Our design process identified challenges arising from the disparity between VR and physical environments that pertain to microscope education and deployment. These roadblocks were addressed using creative solutions. Future studies will investigate the efficacy of VR surgical microscope training on real-world microscope skills as assessed by validated performance metrics.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Explore related subjects

Discover the latest articles and news from researchers in related subjects, suggested using machine learning.

References

  1. Villanueva C, Xiong J, Rajput S (2020) Simulation-based surgical education in cardiothoracic training. ANZ J Surg 90:978–983. https://doi.org/10.1111/ans.15593

    Article  Google Scholar 

  2. Lui JT, Hoy MY (2017) Evaluating the effect of virtual reality temporal bone simulation on mastoidectomy performance: a meta-analysis. Otolaryngol Neck Surg 156:1018–1024. https://doi.org/10.1177/0194599817698440

    Article  Google Scholar 

  3. Pelargos PE, Nagasawa DT, Lagman C et al (2017) Utilizing virtual and augmented reality for educational and clinical enhancements in neurosurgery. J Clin Neurosci 35:1–4. https://doi.org/10.1016/j.jocn.2016.09.002

    Article  Google Scholar 

  4. Chan S, Li P, Locketz G et al (2016) High-fidelity haptic and visual rendering for patient-specific simulation of temporal bone surgery. Comput Assist Surg 21:85–101. https://doi.org/10.1080/24699322.2016.1189966

    Article  Google Scholar 

  5. Locketz GD, Lui JT, Chan S et al (2017) Anatomy-specific virtual reality simulation in temporal bone dissection: perceived utility and impact on surgeon confidence. Otolaryngol Neck Surg 156:1142–1149. https://doi.org/10.1177/0194599817691474

    Article  Google Scholar 

  6. Compton EC, Agrawal SK, Ladak HM et al (2020) Assessment of a virtual reality temporal bone surgical simulator: a national face and content validity study. J Otolaryngol - Head Neck Surg 49:17. https://doi.org/10.1186/s40463-020-00411-y

    Article  Google Scholar 

  7. Rubio RR, Shehata J, Kournoutas I et al (2019) Construction of neuroanatomical volumetric models using 3-dimensional scanning techniques: technical note and applications. World Neurosurg 126:359–368. https://doi.org/10.1016/j.wneu.2019.03.099

    Article  Google Scholar 

  8. Vigo V, Pastor-Escartín F, Doniz-Gonzalez A et al (2021) The smith-robinson approach to the subaxial cervical spine: a stepwise microsurgical technique using volumetric models from anatomic dissections. Oper Neurosurg 20:83–90. https://doi.org/10.1093/ons/opaa265

    Article  Google Scholar 

  9. Neves C, Tran E, Kessler I, Blevins N (2021) Fully automated preoperative segmentation of temporal bone structures from clinical CT scans. Sci Rep 11:116. https://doi.org/10.1038/s41598-020-80619-0

    Article  CAS  Google Scholar 

  10. Dedeilia A, Sotiropoulos MG, Hanrahan JG et al (2020) Medical and surgical education challenges and innovations in the COVID-19 era: a systematic review. In Vivo 34:1603–1611. https://doi.org/10.21873/invivo.11950

    Article  CAS  Google Scholar 

  11. Margulies IG, Xu H, Henderson PW (2020) Microsurgery training in the digital era: a systematic review of accessible digital resources. Ann Plast Surg 85:337–343. https://doi.org/10.1097/SAP.0000000000002214

    Article  CAS  Google Scholar 

  12. Mavrogenis AF, Markatos K, Saranteas T et al (2019) The history of microsurgery. Eur J Orthop Surg Traumatol 29:247–254. https://doi.org/10.1007/s00590-019-02378-7

    Article  Google Scholar 

  13. Wickens B, Shamsil A, Husein M et al (2021) Comprehensive metrics for evaluating surgical microscope use during tympanostomy tube placement. Int J Comput Assist Radiol Surg 16:1587–1594. https://doi.org/10.1007/s11548-021-02428-8

    Article  Google Scholar 

  14. Sayadi LR, Fligor JE, Couchois S et al (2020) A novel application of digital microscope for microsurgery training. J Reconstr Microsurg Open 05:e32–e35. https://doi.org/10.1055/s-0040-1710346

    Article  Google Scholar 

  15. Pafitanis G, Hadjiandreou M, Miller R et al (2019) The use of mobile computing devices in microsurgery. Arch Plast Surg 46:102–107. https://doi.org/10.5999/aps.2018.00150

    Article  Google Scholar 

  16. Huang TC-T, Sabbagh MD, Adabi K et al (2018) Compact and economical microsurgical training made possible with virtual reality. Plast Reconstr Surg 142:993e. https://doi.org/10.1097/PRS.0000000000005059

    Article  CAS  Google Scholar 

  17. Choque-Velasquez J, Colasanti R, Collan J et al (2018) Virtual reality glasses and “eye-hands blind technique” for microsurgical training in neurosurgery. World Neurosurg 112:126–130. https://doi.org/10.1016/j.wneu.2018.01.067

    Article  Google Scholar 

  18. Ro C, Toumpoulis I, Ashton R et al (2005) The LapSim: a learning environment for both experts and novices. Stud Health Technol Inform 111:414–417

    Google Scholar 

  19. Lungu AJ, Swinkels W, Claesen L et al (2021) A review on the applications of virtual reality, augmented reality and mixed reality in surgical simulation: an extension to different kinds of surgery. Expert Rev Med Devices 18:47–62. https://doi.org/10.1080/17434440.2021.1860750

    Article  CAS  Google Scholar 

  20. Abbas JR, Kenth JJ, Bruce IA (2020) The role of virtual reality in the changing landscape of surgical training. J Laryngol Otol 134:863–866. https://doi.org/10.1017/S0022215120002078

    Article  Google Scholar 

  21. Musbahi O, Aydin A, Al Omran Y et al (2017) Current status of simulation in otolaryngology: a systematic review. J Surg Educ 74:203–215. https://doi.org/10.1016/j.jsurg.2016.09.007

    Article  Google Scholar 

  22. Alwani M, Bandali E, Larsen M et al (2019) Current state of surgical simulation training in otolaryngology: systematic review of simulation training models. Arch Otorhinolaryngol-Head Neck Surg AOHNS. https://doi.org/10.24983/scitemed.aohns.2019.00109

    Article  Google Scholar 

  23. Zhao YC, Kennedy G, Hall R, O’Leary S (2010) Differentiating levels of surgical experience on a virtual reality temporal bone simulator. Otolaryngol Neck Surg 143:30–35. https://doi.org/10.1177/019459981014305S02

    Article  Google Scholar 

  24. Arora A, Khemani S, Tolley N et al (2012) Face and content validation of a virtual reality temporal bone simulator. Otolaryngol Neck Surg 146:497–503. https://doi.org/10.1177/0194599811427385

    Article  Google Scholar 

  25. Wiet GJ, Stredney D, Kerwin T et al (2012) Virtual temporal bone dissection system: OSU virtual temporal bone system. Laryngoscope 122:S1–S12. https://doi.org/10.1002/lary.22499

    Article  Google Scholar 

  26. Ho AK, Alsaffar H, Doyle PC et al (2012) Virtual reality myringotomy simulation with real-time deformation: development and validity testing. Laryngoscope 122:1844–1851. https://doi.org/10.1002/lary.23361

    Article  Google Scholar 

  27. Huang C, Cheng H, Bureau Y et al (2015) Face and content validity of a virtual-reality simulator for myringotomy with tube placement. J Otolaryngol - Head Neck Surg 44:40. https://doi.org/10.1186/s40463-015-0094-2

    Article  Google Scholar 

  28. Wheeler B, Doyle PC, Chandarana S et al (2010) Interactive computer-based simulator for training in blade navigation and targeting in myringotomy. Comput Methods Progr Biomed 98:130–139. https://doi.org/10.1016/j.cmpb.2009.09.010

    Article  Google Scholar 

  29. Zirkle M, Roberson DW, Leuwer R, Dubrowski A (2007) Using a virtual reality temporal bone simulator to assess otolaryngology trainees. Laryngoscope 117:258–263. https://doi.org/10.1097/01.mlg.0000248246.09498.b4

    Article  Google Scholar 

  30. Sutcliffe AG, Poullis C, Gregoriades A et al (2019) Reflecting on the design process for virtual reality applications. Int J Human-Comput Interact 35:168–179. https://doi.org/10.1080/10447318.2018.1443898

    Article  Google Scholar 

  31. Jerald J (2015) The VR book: human-centered design for virtual reality. Morgen & Claypool, United States

    Book  Google Scholar 

  32. Slater M, Wilbur S (1997) A framework for immersive virtual environments (FIVE): speculations on the role of presence in virtual environments. Presence Teleoper Virtual Environ 6:603–616. https://doi.org/10.1162/pres.1997.6.6.603

    Article  Google Scholar 

Download references

Acknowledgements

This research was supported by the Ohlson Research Initiative and the Karren Family Endowment at the Cumming School of Medicine, University of Calgary.

Funding

No funding was received to assist with the preparation of this manuscript.

Author information

Authors and Affiliations

Authors

Contributions

Material preparation was performed by MdLB, AVB, and TEC. MdLB, AVB, CL, TEC, JD, NB, and JL were involved in project conception and design. The first draft of the manuscript was written by MdLB, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Madeleine de Lotbiniere-Bassett.

Ethics declarations

Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

de Lotbiniere-Bassett, M., Volpato Batista, A., Lai, C. et al. The user experience design of a novel microscope within SurgiSim, a virtual reality surgical simulator. Int J CARS 18, 85–93 (2023). https://doi.org/10.1007/s11548-022-02727-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11548-022-02727-8

Keywords

Profiles

  1. Madeleine de Lotbiniere-Bassett