Positive Technology Journal

FROM THE PRESENCE-L LISTSERV:

[From E-Health Insider (<http://www.e-health-insider.com/news/item.cfm?ID=988>)...


Researchers at the University of Nottingham have developed a
virtual reality brain surgery simulator for trainee surgeons that
combines haptics with three-dimensional graphics to give what
they claim is the most realistic model in the world.

A 'map' of the brain surface is produced by the software, which
also renders the tweezers or other surgical implement and shows
any incisions made into the virtual brain. The simulator is
controlled by a device held by the user, which uses a robotic
mechanism to give the same pressure and resistance as it would
if it were touching a real brain.

Map of brain on virtual surgery simulator

Dr Michael Vloeberghs, senior lecturer in paediatric neurosurgery
at the University's School of Human Development, who led the
development team, said that the new system would benefit
trainees: "Traditionally a large amount of the training that
surgeons get is by observing and performing operations under

supervision. However, pressures on resources, staff shortages
and new EU directives on working hours mean that this teaching
time is getting less and less.

"This simulator will allow surgeons to become familiar with
instruments and practice brain surgery techniques with
absolutely no risk to the patient whatsoever."

The pilot software was developed with the Queen's Medical
Centre, in Nottingham, which contains a Simulation Centre in
which dummies are often used for surgical training.

Dr Vloeberghs says that the haptic system is an improvement on
the existing system: "Dummies can only go so far – you're still
limited by the physical precense, and you can't do major surgery
on dummies... you can simulate electrically and phonetically what
is happening, but nothing more than that."

Adib Becker, Professor of Mechanical Engineering at the
university, said that the technology could be developed for the
future, and that brain surgery online could even be possible: "If
you project maybe four or five years from now, it may be possible
for a surgeon to operate on a patient totally remotely.

"So the surgeons would be located somewhere else in the world
and can communicate through the internet, and can actually feel
the operation as they are seeing it on the screen."

The team hopes that the piloted software, which was funded by a
grant of £300,000 from the Engineering and Physical Sciences
Research Council (EPSRC), will help train surgeons to a higher
level before their first operation on live patients, thereby
increasing safety.