Abstract:
The placement of an external ventricular drain is one of the most commonly performed neurosurgical procedures, and consequently, is an essential skill to be mastered by n...Show MoreMetadata
Abstract:
The placement of an external ventricular drain is one of the most commonly performed neurosurgical procedures, and consequently, is an essential skill to be mastered by neurosurgical trainees. The optimal placement of the drain involves choosing an appropriate burr hole on the skull and blindly placing a catheter through the burr hole to intersect a lateral ventricle in order to drain cerebrospinal fluid and relieve intracranial pressure. Undesirable trajectories lead to multiple tries in order to hit the ventricle, with potential risk of damaging eloquent brain areas. In this paper, we describe the development of a simulation environment to train residents on the acquisition of these targeting skills before attempting the placement on live patients. The platform is coupled with an augmented reality image-guidance tool, developed in our lab, to help with the visualization of the ventricles in the patient's head. Performance is evaluated using Fitts' methodology (Fitts, 1954), which respects the users ability to trade-off speed and accuracy.
Published in: 2015 IEEE Virtual Reality (VR)
Date of Conference: 23-27 March 2015
Date Added to IEEE Xplore: 27 August 2015
Electronic ISBN:978-1-4799-1727-3