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Augmented-reality-driven medical simulation platform for percutaneous nephrolithotomy with cybersecurity awareness

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收录情况: ◇ SCIE ◇ EI

机构: [1]Yunnan Normal Univ, Yunnan Key Lab Optoelect Informat Technol, Kunming 650500, Yunnan, Peoples R China [2]Deakin Univ, Inst Intelligent Syst Res & Innovat, Geelong, Vic, Australia [3]Yunnan First Peoples Hosp, Dept Urol Surg, Kunming, Yunnan, Peoples R China
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关键词: Cybersecurity percutaneous renal access precise surgical training augmented reality security awareness

摘要:
With cybersecurity guaranteed, a novel augmented-reality-driven medical simulation platform was designed for percutaneous renal access, which can overcome the limitations of conventional bench simulators and existing augmented reality models. This article presents a new framework design and establishes validations for the simulator for percutaneous nephrolithotomy (SimPCNL) assessment with the consideration of cybersecurity in the implementation. In particular, the new cybersecurity awareness design includes code security and hardware security. SimPCNL is mainly composed of a personal computer and two PHANTOM Omni (three-dimensional haptic device) with one stylus that mimics the percutaneous needle. A database storing clinical fluoroscopic images of percutaneous nephrolithotomy and a reproduced visual-haptic environment mimicking actual surgical performance consist of the training interface. In total, 54 professors comprising 36 medical students and 18 urologists were employed to evaluate the simulator we designed, which performed in the surgical department of Yunnan First People's Hospital. Objective metrics and Global Rating Scale questionnaire are used to record the face and content validities, skills improvement validity, construct validity, and criterion validity. The median appraisal value of the face and content was 4 (1-5) by 18 urologists. Professors' results demonstrated extremely better than medical students' in total evaluation results. After a training group of medical students, SimPCNL showed a better result than the commercial training framework, especially for the quantitative feedbacks group. SimPCNL Global Rating Scale scores and objective assessment demonstrated a better result than PERC Mentor in percutaneous renal access surgical training. Training percutaneous renal access on SimPCNL is reliable and versatile through the face, content, improvement construct, and criterion validations. Furthermore, we also consider cybersecurity when implementing our novel platform.

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出版当年[2019]版:
大类 | 4 区 工程技术
小类 | 4 区 计算机:信息系统 4 区 电信学
最新[2023]版:
大类 | 4 区 计算机科学
小类 | 4 区 计算机:信息系统 4 区 电信学
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出版当年[2018]版:
Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Q3 TELECOMMUNICATIONS
最新[2023]版:
Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Q3 TELECOMMUNICATIONS

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Yunnan Normal Univ, Yunnan Key Lab Optoelect Informat Technol, Kunming 650500, Yunnan, Peoples R China [2]Deakin Univ, Inst Intelligent Syst Res & Innovat, Geelong, Vic, Australia
通讯作者:
通讯机构: [1]Yunnan Normal Univ, Yunnan Key Lab Optoelect Informat Technol, Kunming 650500, Yunnan, Peoples R China [*1]Jun Zhang, Yunnan Key Laboratory of Opto-electronic Information Technology, Yunnan Normal University, Kunming 650500, China. [*2]Yunnan Key Laboratory of Opto-electronic Information Technology, Yunnan Normal University, Kunming 650500, China.
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