Virtual reality cerebral aneurysm clipping simulation with real-time haptic feedback.

Abstract:

BACKGROUND:With the decrease in the number of cerebral aneurysms treated surgically and the increase of complexity of those treated surgically, there is a need for simulation-based tools to teach future neurosurgeons the operative techniques of aneurysm clipping. OBJECTIVE:To develop and evaluate the usefulness of a new haptic-based virtual reality simulator in the training of neurosurgical residents. METHODS:A real-time sensory haptic feedback virtual reality aneurysm clipping simulator was developed using the ImmersiveTouch platform. A prototype middle cerebral artery aneurysm simulation was created from a computed tomographic angiogram. Aneurysm and vessel volume deformation and haptic feedback are provided in a 3-dimensional immersive virtual reality environment. Intraoperative aneurysm rupture was also simulated. Seventeen neurosurgery residents from 3 residency programs tested the simulator and provided feedback on its usefulness and resemblance to real aneurysm clipping surgery. RESULTS:Residents thought that the simulation would be useful in preparing for real-life surgery. About two-thirds of the residents thought that the 3-dimensional immersive anatomic details provided a close resemblance to real operative anatomy and accurate guidance for deciding surgical approaches. They thought the simulation was useful for preoperative surgical rehearsal and neurosurgical training. A third of the residents thought that the technology in its current form provided realistic haptic feedback for aneurysm surgery. CONCLUSION:Neurosurgical residents thought that the novel immersive VR simulator is helpful in their training, especially because they do not get a chance to perform aneurysm clippings until late in their residency programs.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Alaraj A,Luciano CJ,Bailey DP,Elsenousi A,Roitberg BZ,Bernardo A,Banerjee PP,Charbel FT

doi

10.1227/NEU.0000000000000583

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

52-8

eissn

0148-396X

issn

1524-4040

journal_volume

11 Suppl 2

pub_type

杂志文章
  • Intraparenchymal and intratumoral interstitial infusion of anti-glioma monoclonal antibody 8H9.

    abstract:OBJECTIVE:Interstitial infusion, a form of local delivery that bypasses the blood-brain barrier, has been shown to afford high regional concentrations of a therapeutic molecule while avoiding systemic exposure. The distribution of monoclonal antibodies administered via interstitial infusion has not been characterized, ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000334052.60634.84

    authors: Luther N,Cheung NK,Dunkel IJ,Fraser JF,Edgar MA,Gutin PH,Souweidane MM

    更新日期:2008-12-01 00:00:00

  • Comparison of the mini-open versus laparoscopic approach for anterior lumbar interbody fusion: a retrospective review.

    abstract:OBJECTIVE:The anterior lumbar interbody fusion (ALIF) procedure has become an accepted fusion technique for treating patients with degenerative disorders of the lumbar spine. Many consider laparoscopic ALIF to be the least invasive approach. A modification of the open laparotomy--the "mini-open" approach--is an attract...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200207000-00015

    authors: Kaiser MG,Haid RW Jr,Subach BR,Miller JS,Smith CD,Rodts GE Jr

    更新日期:2002-07-01 00:00:00

  • Modulation of the cerebello-thalamo-cortical network in thalamic deep brain stimulation for tremor: a diffusion tensor imaging study.

    abstract:BACKGROUND:Deep brain stimulation alleviates tremor of various origins. Several regions like the ventralis intermediate nucleus of thalamus, the caudal zona incerta, and the posterior subthalamic region are generally targeted. Previous work with fiber tractography has shown the involvement of the cerebello-thalamo-cort...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000540

    authors: Coenen VA,Allert N,Paus S,Kronenbürger M,Urbach H,Mädler B

    更新日期:2014-12-01 00:00:00

  • Awake Craniotomy vs Craniotomy Under General Anesthesia for Perirolandic Gliomas: Evaluating Perioperative Complications and Extent of Resection.

    abstract:BACKGROUND:A craniotomy with direct cortical/subcortical stimulation either awake or under general anesthesia (GA) present 2 approaches for removing eloquent region tumors. With a reported higher prevalence of intraoperative seizures occurring during awake resections of perirolandic lesions, oftentimes, surgery under G...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx023

    authors: Eseonu CI,Rincon-Torroella J,ReFaey K,Lee YM,Nangiana J,Vivas-Buitrago T,Quiñones-Hinojosa A

    更新日期:2017-09-01 00:00:00

  • Resective Epilepsy Surgery for Tuberous Sclerosis in Children: Determining Predictors of Seizure Outcomes in a Multicenter Retrospective Cohort Study.

    abstract:BACKGROUND:There are no established variables that predict the success of curative resective epilepsy surgery in children with tuberous sclerosis complex (TSC). OBJECTIVE:We performed a multicenter observational study to identify preoperative factors associated with seizure outcome in children with TSC undergoing rese...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0000000000000875

    authors: Fallah A,Rodgers SD,Weil AG,Vadera S,Mansouri A,Connolly MB,Major P,Ma T,Devinsky O,Weiner HL,Gonzalez-Martinez JA,Bingaman WE,Najm I,Gupta A,Ragheb J,Bhatia S,Steinbok P,Witiw CD,Widjaja E,Snead OC,Rutka JT

    更新日期:2015-10-01 00:00:00

  • Cancer after spinal fusion: the role of bone morphogenetic protein.

    abstract:BACKGROUND:Bone morphogenetic protein (BMP) is used in tens of thousands of spinal fusions each year. A trial evaluating a high-dose BMP formulation demonstrated that its use may be associated with an increased risk of cancer. OBJECTIVE:To evaluate whether BMP, as commonly used today, is associated with an increased r...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000018

    authors: Lad SP,Bagley JH,Karikari IO,Babu R,Ugiliweneza B,Kong M,Isaacs RE,Bagley CA,Gottfried ON,Patil CG,Boakye M

    更新日期:2013-09-01 00:00:00

  • Modifications of the transoral approach to the craniovertebral junction: anatomic study and clinical correlations.

    abstract:OBJECTIVE:This study was designed to more precisely characterize the changes in exposure achieved by modifying the standard transoral approach by sequential mandibulotomy and mandibuloglossotomy with or without palatotomy. METHODS:A series of cadaveric dissections was performed and the operative distance and angle of ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000317386.99055.3f

    authors: Youssef AS,Guiot B,Black K,Sloan AE

    更新日期:2008-03-01 00:00:00

  • Volumetric follow-up of meningiomas: a quantitative method to evaluate treatment outcome of gamma knife radiosurgery.

    abstract:OBJECTIVE:The most important treatment options for meningiomas are microsurgery, radiotherapy, and gamma knife radiosurgery (GKRS). The efficacy of GKRS in terms of local tumor control and tumor volume (TV) reduction can best be determined by accurate analysis of changes in tumor size in pre- and post-GKRS images. In t...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000279999.95953.EA

    authors: Feigl GC,Samii M,Horstmann GA

    更新日期:2007-08-01 00:00:00

  • Radiation-Induced Changes After Stereotactic Radiosurgery for Brain Arteriovenous Malformations: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:Radiation-induced changes (RICs) are the most common complication of stereotactic radiosurgery (SRS) for brain arteriovenous malformations (AVMs), and they appear as perinidal T2-weighted hyperintensities on magnetic resonance imaging, with or without associated neurological symptoms. OBJECTIVE:To determine...

    journal_title:Neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.1093/neuros/nyx502

    authors: Ilyas A,Chen CJ,Ding D,Buell TJ,Raper DMS,Lee CC,Xu Z,Sheehan JP

    更新日期:2018-09-01 00:00:00

  • Brain mapping techniques to maximize resection, safety, and seizure control in children with brain tumors.

    abstract::Intraoperative brain mapping techniques were used to localize language cortex, sensorimotor pathways, and seizure foci in children with supratentorial brain tumors. The methods of direct cortical and subcortical stimulation, in addition to electrocorticography, enabled us to maximize tumor resection, minimize morbidit...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198911000-00015

    authors: Berger MS,Kincaid J,Ojemann GA,Lettich E

    更新日期:1989-11-01 00:00:00

  • Accessing the recesses of the fourth ventricle: comparison of tonsillar retraction and resection in the telovelar approach.

    abstract:OBJECTIVE:To compare the effectiveness of the telovelar approach with tonsillar manipulation for approaching the recesses of the fourth ventricle. METHODS:A telovelar approach was performed in 8 injected cadaveric heads. Areas of exposure were measured for the superolateral and lateral recesses. Horizontal angles were...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000348558.35921.4E

    authors: Jittapiromsak P,Sabuncuoglu H,Deshmukh P,Spetzler RF,Preul MC

    更新日期:2010-03-01 00:00:00

  • Involvement of the external carotid arteries in moyamoya disease: neuroradiological evaluation of 66 patients.

    abstract::Arterial stenoses and/or occlusions in moyamoya disease are mainly localized intracranially, although some instances of stenotic lesions of the extracranial arteries have been reported in some autopsy cases. We have reviewed the angiograms of 66 patients with moyamoya disease to investigate whether stenotic lesions ar...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199209000-00002

    authors: Hoshimaru M,Kikuchi H

    更新日期:1992-09-01 00:00:00

  • Hemianopia: a presenting feature of acute epidural hematomas.

    abstract::Visual field abnormalities were studied in a retrospective analysis of 199 patients with epidural hematomas. One hundred three patients had been alert enough at the time of hospital admission to have had their visual fields examined, but in only 27 patients were visual fields documented in the charts. Six of the 27 pa...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198208000-00007

    authors: Matwijecky C,Steinbok P

    更新日期:1982-08-01 00:00:00

  • Image-guided robotic radiosurgery

    abstract::PURPOSE: To describe the design and performance of a novel frameless system for radiosurgery. This technology, called image-guided radiosurgery (IGR), eliminates the need for stereotactic frame fixation by relating the identified lesion to radiographic landmarks. CONCEPT: IGR uses a lightweight x-band linear accelerat...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Adler JR Jr,Murphy MJ,Chang SD,Hancock SL

    更新日期:1999-06-01 00:00:00

  • Retained language in dysgenic cortex: case report.

    abstract::Since the advent of magnetic resonance imaging, there has been renewed interest in disorders of cortical migration in the cause of focal epilepsy. The function of dysplastic cortex is poorly understood. We report a 46-year-old woman in whom this was assessed by intraoperative stimulation. This left-handed patient had ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199511000-00020

    authors: Leblanc R,Robitaille Y,Andermann F,Ptito A

    更新日期:1995-11-01 00:00:00

  • Chiari I malformation associated with ventral compression and instability: one-stage posterior decompression and fusion with a new instrumentation technique.

    abstract:OBJECTIVE AND IMPORTANCE:We describe an alternative surgical technique for treatment of Chiari I malformation associated with ventral compression and instability of the region. An expansive suboccipital cranioplasty and a rigid occipitocervical fixation are performed in one stage. METHODS:The occipitocervical fixation...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000125326.15525.b8

    authors: Nishikawa M,Ohata K,Baba M,Terakawa Y,Hara M

    更新日期:2004-06-01 00:00:00

  • Endovascular treatment of innominate artery occlusion with simultaneous vertebral and carotid artery distal protection: case report.

    abstract:OBJECTIVE:Atherosclerotic stenosis or obstruction of the innominate artery is rare. Traditional surgical management is a technically demanding intervention with acceptable, but not negligible, rates of morbidity and mortality. Endovascular approaches to supraaortic lesions have been successful and are now the preferred...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000367549.33541.34

    authors: Stiefel MF,Park MS,McDougall CG,Albuquerque FC

    更新日期:2010-04-01 00:00:00

  • Extensive spinal cord infarction after posterior fossa surgery in the sitting position: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Spinal cord injury is a rare complication of neurosurgery performed with the patient in the sitting position. Previous reports showed that the level of injury is usually located at or near the C5 segmental spinal level, and the term midcervical quadriplegia has been proposed. Extensive spinal c...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000125008.93625.5e

    authors: Morandi X,Riffaud L,Amlashi SF,Brassier G

    更新日期:2004-06-01 00:00:00

  • Image-Guided Navigation and Robotics in Spine Surgery.

    abstract::Image guidance (IG) and robotics systems are becoming more widespread in their utilization and can be invaluable intraoperative adjuncts during spine surgery. Both are highly reliant upon stereotaxy and either pre- or intraoperative radiographic imaging. While user-operated IG systems have been commercially available ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyy630

    authors: Kochanski RB,Lombardi JM,Laratta JL,Lehman RA,O'Toole JE

    更新日期:2019-06-01 00:00:00

  • Contribution of magnetic resonance spectroscopic imaging and L-[1-11C]tyrosine positron emission tomography to localization of cerebral gliomas for biopsy.

    abstract::Proton magnetic resonance spectroscopic imaging (1H-MRSI) and positron emission tomography with the tracer L-[1-11C]tyrosine (11C-TYR) were used to localize gliomas for biopsy or resection. This is especially helpful in cases of low-grade gliomas, if these lesions are not visualized by contrast-enhanced computed tomog...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199406000-00007

    authors: Go KG,Keuter EJ,Kamman RL,Pruim J,Metzemaekers JD,Staal MJ,Paans AM,Vaalburg W

    更新日期:1994-06-01 00:00:00

  • Traumatic indirect carotid-cavernous fistula: report of two cases.

    abstract:UNLABELLED:OBJECTIVE AND CLINICAL IMPORTANCE: We present two cases of post-traumatic indirect carotid-cavernous fistulas. Trauma produces the direct type of carotid-cavernous fistula in almost all cases, and recognition that trauma may induce the indirect type has been rarely reported. CLINICAL PRESENTATION:Both patie...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199612000-00033

    authors: Jacobson BE,Nesbit GM,Ahuja A,Barnwell SL

    更新日期:1996-12-01 00:00:00

  • Endoscopic Third Ventriculostomy in 250 Adults With Hydrocephalus: Patient Selection, Outcomes, and Complications.

    abstract:BACKGROUND:Endoscopic third ventriculostomy (ETV) has been used predominantly in the pediatric population in the past. Application in the adult population has been less extensive, even in large neurosurgical centers. To our knowledge, this report is one of the largest adult ETV series reported and has the consistency o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000994

    authors: Grand W,Leonardo J,Chamczuk AJ,Korus AJ

    更新日期:2016-01-01 00:00:00

  • Occurrence, Risk Factors, and Time Trends for Late Reoperations due to Degenerative Cervical Spine Disease: A Finnish National Register Study of 19 377 Patients Operated on Between 1999 and 2015.

    abstract:BACKGROUND:Surgery for degenerative cervical spine disease has escalated since the 1990s. Fusion has become the mainstay of surgery despite concerns regarding adjacent segment degeneration. The patient-specific trends in reoperations have not been studied previously. OBJECTIVE:To analyze the occurrence, risk factors, ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa464

    authors: Kotkansalo A,Leinonen V,Korajoki M,Korhonen K,Rinne J,Malmivaara A

    更新日期:2020-12-28 00:00:00

  • Use of the telescopic plate spacer in treatment of cervical and cervicothoracic spine tumors.

    abstract:OBJECTIVE:We investigated the mechanical and in vivo properties of a novel device, called the telescopic plate spacer (TPS), designed to promote restoration of height, alignment, and stability after cervical corpectomy for tumor. METHODS:The device first underwent mechanical testing. Comparisons were made with a comme...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:

    authors: Coumans JV,Marchek CP,Henderson FC

    更新日期:2002-08-01 00:00:00

  • Thoracoscopic microdiscectomy.

    abstract::The thorascopic approach for the microsurgical removal of herniated thoracic discs is described, and perioperative management is also discussed. The microsurgical techniques used for decompression of the spinal canal in the thoracic spine are presented in detail. The diagnostic imaging, surgical positioning, approach,...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200201000-00018

    authors: Oskouian RJ Jr,Johnson JP,Regan JJ

    更新日期:2002-01-01 00:00:00

  • The molecular basis of brain injury and brain edema: the role of oxygen free radicals.

    abstract::This review article outlines basic concepts and pathophysiological aspects of the chemistry of oxygen free radicals in all forms of brain injury and brain edema. Recent experimental studies have demonstrated that oxygen free radicals may be important mediators of brain injury and brain edema, and pharmacological antag...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199007000-00001

    authors: Ikeda Y,Long DM

    更新日期:1990-07-01 00:00:00

  • Biomechanical evaluation of Caspar cervical screws: comparative stability under cyclical loading.

    abstract::Anterior cervical instrumentation is used as an adjunct to bone fusion; however, definitive biomechanical data to support some applications and techniques are lacking. In the absence of supportive experimental data, posterior cortical penetration has been recommended with the Caspar system. Previously, we compared the...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199312000-00013

    authors: Gallagher MR,Maiman DJ,Reinartz J,Pintar F,Yoganandan N

    更新日期:1993-12-01 00:00:00

  • Costs of vasospasm in patients with aneurysmal subarachnoid hemorrhage.

    abstract:OBJECTIVE:To assess the impact of vasospasm on costs, length of stay, and mortality among inpatients with aneurysmal subarachnoid hemorrhage. METHODS:We combined hospital accounting and physician billing data for a consecutive cohort of 198 patients who underwent surgical clipping or endovascular coiling for subarachn...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000371980.08391.71

    authors: Chou CH,Reed SD,Allsbrook JS,Steele JL,Schulman KA,Alexander MJ

    更新日期:2010-08-01 00:00:00

  • Multiple meningiomas evaluated by computed tomography.

    abstract::There were 15 cases of multiple meningiomas in a consecutive series of 168 cases of meningioma studied by computed tomography during the last 5 years. This incidence of 8.9% is significantly higher than the 1 to 3% incidence reported previously. A brief clinical survey of the 15 cases and a description of the location...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198108000-00004

    authors: Lusins JO,Nakagawa H

    更新日期:1981-08-01 00:00:00

  • Mechanisms of disease: the blood-brain barrier.

    abstract:OBJECTIVE:The blood-brain barrier (BBB) is often perceived as a passive membrane. However, evidence has demonstrated that the BBB plays an active role in normal homeostasis and in certain disease processes. METHODS:Approximately 300 peer-reviewed publications that discussed normal or abnormal BBB function were reviewe...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000097715.11966.8e

    authors: Neuwelt EA

    更新日期:2004-01-01 00:00:00