OP0075 EVALUATION OF A VIRTUAL REALITY TEACHING CONCEPT FOR MEDICAL STUDENTS DURING THE SARS-COV-2 PANDEMIC

Background:The ongoing COVID-19 pandemic has disrupted face-to-face teaching of medical students and forced efforts in finding alternative approaches. In order to help maintain high-quality education, a new virtual reality (VR)-based concept for training medical students in rheumatic and musculoskeletal diseases (RMD) has been developed. This VR training concept is based on the integration of real patient data with two- and three-dimensional visualized pathological joints from X-ray and computed tomography generated images.Objectives:To evaluate the practicability and acceptance of the VR training application in the digital curricular education of medical students during the COVID-19 pandemic.Methods:A short refresher lecture on rheumatic diseases (duration 60 minutes) was followed by presenting the VR training concept to the students. The VR training concept included the demonstration of three virtual patients with early rheumatoid arthritis, rheumatoid arthritis psoriatic arthritis regarding the symptoms, current medical problems, disease patterns at the imaging (conventional radiographs and high-resolution computed tomography) and therapy options. The practicability and acceptance of the VR was evaluated by medical students using a survey.Results:The study encompassed 237 medical students (163 female, 73 male, one diverse, age range 20 to 40 years). 72 % of the participants rated the virtual teaching as good or very good. 87 % presented an expanded knowledge for rheumatoid arthritis and psoriatic arthritis through the VR. Moreover, 91 % reported that the lecture provided a deeper understanding of RMD. Furthermore, 60 % of the students asked for additional courses by VR.Conclusion:The study highlighted the usefulness of innovative VR tools for teaching medical students digitally about RMD. VR applications can be a complementary educational modality for medical students, especially during the COVID-19 pandemic, to provide students with the best possible clinical experience while ensuring that patient, student, and staff safety is not compromised.Figure 1.A Screen view of virtual reality included three virtual patients with early rheumatoid arthritis (RA), RA, and psoriatic arthritis (PsA) and B demonstration of structural damage in RA and PsA using hand X-ray and high-resolution quantitative computed tomography images.Disclosure of Interests:Alexander Pfeil Speakers bureau: Lilly Pharma Deutschland GmbH, Franz Marcus: None declared, Tobias Hoffmann: None declared, Philipp Klemm Consultant of: Lilly Pharma Deutschland GmbH, Peter Oelzner: None declared, Ulf Müller-Ladner Consultant of: Lilly Pharma Deutschland GmbH, Axel Hueber Consultant of: Lilly Pharma Deutschland GmbH, Uwe Lange: None declared, Gunter Wolf: None declared, Georg Schett: None declared, David Simon Consultant of: Lilly Pharma Deutschland GmbH, Arnd Kleyer Consultant of: Lilly Pharma Deutschland GmbH

Download Full-text

POS1492-HPR EVALUATION OF A VIRTUAL REALITY-BASED APPLICATION TO EDUCATE HEALTHCARE PROFESSIONALS AND MEDICAL STUDENTS ABOUT INFLAMMATORY ARTHRITIS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.1452 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1030.1-1031

Author(s):

P. Klemm ◽

A. Kleyer ◽

K. Tascilar ◽

L. Schuster ◽

T. Meinderink ◽

...

Keyword(s):

Computed Tomography ◽

Health Care ◽

Virtual Reality ◽

Medical Students ◽

Health Care Professionals ◽

Healthcare Professionals ◽

Three Dimensional ◽

Research Support ◽

X Ray ◽

Deutschland Gmbh

Background:Inflammatory arthritides (IA), such as rheumatoid arthritis or psoriatic arthritis, are disorders that can be difficult to comprehend for health professionals and students in terms of the heterogeneity of clinical symptoms and pathologies. New didactic approaches using innovative technologies such as Virtual Reality (VR) applications could be helpful to demonstrate disease manifestations as well as joint pathologies in a more comprehensive way. However, the potential of using a VR education concept in IA has not yet been evaluated.Objectives:We evaluated the feasibility of a VR application to educate healthcare professionals and medical students about IA.Methods:We developed a VR application using IA patients data as well as two- and three-dimensional visualized pathological joints from X-ray and computed tomography generated images (1). This VR application (called Rheumality) allows the user to interact with representative arthritic joint and bone pathologies of IA patients (Figure 1 A, B). In a consensus meeting an online questionnaire was designed to collect basic demographic data (age, sex), profession of the participants, and their feedback on the general impression, knowledge gain and potential areas of application of the VR application. The VR application was subsequently tested and evaluated by healthcare professionals (physicians, researchers, and other healthcare professionals) and medical students at predefined events (two annual rheumatology conferences and academic teaching seminars at two sites in Germany).Results:125 individuals participated in this study (56% female, 43% male, 1% non-binary). 59% of the participants were between 18-30 years of age, 18% between 31-40, 10% between 41-50, 8% between 51-60 and 5% were between 61-70. Of the participants, 50 were physicians, five researchers and four other health care professionals, the remaining were medical students (66). The participants rated the application as excellent (Figure 1 C, D), the mean rating of the VR application was 9.0/10 (SD 1.2) and many participants would recommend the use of the application, with a mean recommendation score of 3.2/4 (SD 1.1). A large majority stated that the presentation of pathological bone formation improves the understanding of the disease (120 out of 125 (96%)).Conclusion:The data show that IA-targeting innovative teaching approaches based on VR technology are feasible. The use of VR applications enables a disease-specific knowledge visualization and may add a new educational pillar to conventional educational approaches.References:[1]Kleyer A et al. Z Rheumatol 78, 112–115 (2019)Figure 1.Illustration of the VR application and evaluation resultsTwo- and three-dimensional visualized pathological joints from X-ray and computed tomography generated images in a patient with long-standing (inadequately treated) RA (A) and a patient with early RA (B). Overall rating (range 0-10) on the VR application divided into four different professional subgroups (C); recommendations of VR application in the four different professional subgroups (D). HC, health care professionals; Boxplot explanation: Crossbars represent medians, whiskers represent 5-95 percentiles (points below the whiskers are drawn as individual points), box always extends from the 25th to 75th percentiles (hinges of the plot).Disclosure of Interests:Philipp Klemm Consultant of: Lilly Deutschland GmbH, Arnd Kleyer Speakers bureau: Lilly Deutschland GmbH, Consultant of: Lilly Deutschland GmbH, Grant/research support from: Lilly Deutschland GmbH, Koray Tascilar: None declared, Louis Schuster: None declared, Timo Meinderink: None declared, Florian Steiger: None declared, Uwe Lange: None declared, Ulf Müller-Ladner: None declared, Johannes Knitza Speakers bureau: Lilly Deutschland GmbH, Philipp Sewerin Speakers bureau: Lilly Deutschland GmbH, Paid instructor for: Lilly Deutschland GmbH, Johanna Mucke Consultant of: Lilly Deutschland GmbH, Alexander Pfeil Speakers bureau: Lilly Deutschland GmbH, Paid instructor for: Lilly Deutschland GmbH, Consultant of: Lilly Deutschland GmbH, Georg Schett: None declared, Fabian Hartmann Consultant of: Lilly Deutschland GmbH, Axel Hueber Consultant of: Lilly Deutschland GmbH, Grant/research support from: Lilly Deutschland GmbH, David Simon Speakers bureau: Lilly Deutschland GmbH, Paid instructor for: Lilly Deutschland GmbH, Consultant of: Lilly Deutschland GmbH, Grant/research support from: Lilly Deutschland GmbH

Download Full-text

SAT0269 Periarticular Bone Gain in Early Psoriatic Arthritis but not in Rheumatoid Arthritis Following Anti-Rheumatic Treatment Assessed By Digital X-Ray Radiogrammetry

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2013-eular.1994 ◽

2013 ◽

Vol 72 (Suppl 3) ◽

pp. A673.3-A674

Author(s):

A. Szentpetery ◽

M. Haroon ◽

P. Gallagher ◽

E. Heffernan ◽

O. FitzGerald

Keyword(s):

Rheumatoid Arthritis ◽

Psoriatic Arthritis ◽

X Ray ◽

Bone Gain ◽

Early Psoriatic Arthritis

Download Full-text

A4.12 Hand bone loss in early rheumatoid arthritis but not in psoriatic arthritis after 1 year of treatment as measured by digital x-ray radiogrammetry

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2015-207259.94 ◽

2015 ◽

Vol 74 (Suppl 1) ◽

pp. A41.1-A41

Author(s):

A Szentpetery ◽

M Haroon ◽

P Gallagher ◽

E Heffernan ◽

O FitzGerald

Keyword(s):

Rheumatoid Arthritis ◽

Psoriatic Arthritis ◽

Bone Loss ◽

Early Rheumatoid Arthritis ◽

X Ray

Download Full-text

Learning and Usability within a Virtual Reality Trainer for Medical Students

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/154193120504902602 ◽

2005 ◽

Vol 49 (26) ◽

pp. 2226-2230 ◽

Cited By ~ 1

Author(s):

Susan M. Stevens ◽

Timothy E. Goldsmith ◽

Thomas P. Caudell ◽

Dale C. Alverson

Keyword(s):

Virtual Reality ◽

Medical Students ◽

Head Injury ◽

Expert Knowledge ◽

Medical Curriculum ◽

Knowledge Structure ◽

Knowledge Structures ◽

Before And After ◽

Vr Training ◽

The University

Virtual reality (VR) offers the potential to train medical students on high-risk situations. The current study investigated VR training of medical students to diagnose and treat a patient avatar experiencing a serious head injury. The user interface was investigated, including use of tools, comfort and VR locomotion, and found to be sufficiently high to warrant training within a medical curriculum. In addition, actual learning as a function of VR training was assessed by comparing medical students' knowledge structures to an expert knowledge structure before and after training. Students' knowledge structures became more similar to an expert's knowledge structure indicating that their conceptual understanding of core head-injury concepts increased as a result of VR training. The study was carried out under the auspices of Project TOUCH (Telehealth Outreach for Unified Community Health), a multi-year collaboration between The University of Hawaii (UH) and The University of New Mexico (UNM).

Download Full-text

Golimumab therapy-induced indicators of X-ray inflammation progression and magnitude according to magnetic resonance imaging evidence in patients with rheumatoid arthritis, ankylosing spondylitis, or psoriatic arthritis

Modern Rheumatology Journal ◽

10.14412/1996-7012-2013-2387 ◽

2013 ◽

Vol 0 (2) ◽

pp. 75

Author(s):

Aleksandr Viktorovich Smirnov

Keyword(s):

Rheumatoid Arthritis ◽

Magnetic Resonance Imaging ◽

Psoriatic Arthritis ◽

Ankylosing Spondylitis ◽

Magnetic Resonance ◽

Resonance Imaging ◽

X Ray ◽

Magnetic Resonance Imaging Evidence

Download Full-text

Striking difference of periarticular bone density change in early psoriatic arthritis and rheumatoid arthritis following anti-rheumatic treatment as measured by digital X-ray radiogrammetry

Rheumatology ◽

10.1093/rheumatology/kev443 ◽

2016 ◽

Vol 55 (5) ◽

pp. 891-896 ◽

Cited By ~ 6

Author(s):

Agnes Szentpetery ◽

Eric Heffernan ◽

Muhammad Haroon ◽

Mark Kilbane ◽

Phil Gallagher ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Psoriatic Arthritis ◽

Bone Density ◽

Density Change ◽

Striking Difference ◽

X Ray ◽

Early Psoriatic Arthritis

Download Full-text

Acceptance and Image Quality of High-Resolution Peripheral Quantitative Computed Tomography of the Metacarpophalangeal Joints in Rheumatoid Arthritis.

10.21203/rs.3.rs-142169/v1 ◽

2021 ◽

Author(s):

Rasmus Klose Jensen ◽

Kresten Krarup Keller ◽

Bente Langdahl ◽

Ellen-Margrethe Hauge

Keyword(s):

Rheumatoid Arthritis ◽

Computed Tomography ◽

Quantitative Computed Tomography ◽

Peripheral Quantitative Computed Tomography ◽

Motion Artefacts ◽

Visual Grading ◽

X Ray ◽

Custom Made ◽

Positioning Devices ◽

Immobilization Device

Abstract Objective: To investigate the acceptance of the high-resolution peripheral quantitative computed tomography (HR-pQCT) in rheumatoid arthritis (RA). The second objective was to investigate the motion artefacts of the metacarpophalangeal (MCP) joints with two different custom-made positioning devices. Methods: Fifty patients with established RA had their MCP joints scanned by HR-pQCT with two different custom-made positioning devices and examined by conventional X-ray. Afterwards, the patients answered a questionnaire of imaging experience. The comparability of the erosion measures was investigated between the two different custom-made positioning devices by Bland-Altman plot, and intrareader repeatability by intraclass correlation coefficient. The motion artefacts were graded for each acquisition, and intrareader repeatability was investigated by Cohen's kappa coefficient.Results: Forty percent of the patients preferred HR-pQCT imaging, only 6% preferred conventional X-ray. Seventy-four percent found it difficult to keep their fingers steady during the scan. Fifty percent of the patients reported the inflatable immobilization device helped to keep their fingers steady while only 6% reported that it impaired their ability to do so. However, this difference was not reflected in the visual grading, as motion artefacts were sparse, and no clinically relevant difference could be observed. The intrareader repeatability and comparability for the erosion measures were excellent.Conclusion: The high acceptance among patients adds to the feasibility of HR-pQCT imaging of MCP joints in patients with RA. The inflatable immobilization device did not reduce motion-induced image degradation, as the overall visual grading for motion artefacts was low for imaging of the MCP joints in both acquisitions.

Download Full-text

X-ray microtomography

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100107058 ◽

1988 ◽

Vol 46 ◽

pp. 998-999

Author(s):

H.W. Deckman ◽

B.F. Flannery ◽

J.H. Dunsmuir ◽

K.D' Amico

Keyword(s):

Computed Tomography ◽

Internal Structure ◽

Imaging Technique ◽

Three Dimensional ◽

Tissue Structure ◽

Individual Element ◽

X Ray ◽

Non Invasive ◽

Panoramic Imaging ◽

Three Dimensional Images

We have developed a new X-ray microscope which produces complete three dimensional images of samples. The microscope operates by performing X-ray tomography with unprecedented resolution. Tomography is a non-invasive imaging technique that creates maps of the internal structure of samples from measurement of the attenuation of penetrating radiation. As conventionally practiced in medical Computed Tomography (CT), radiologists produce maps of bone and tissue structure in several planar sections that reveal features with 1mm resolution and 1% contrast. Microtomography extends the capability of CT in several ways. First, the resolution which approaches one micron, is one thousand times higher than that of the medical CT. Second, our approach acquires and analyses the data in a panoramic imaging format that directly produces three-dimensional maps in a series of contiguous stacked planes. Typical maps available today consist of three hundred planar sections each containing 512x512 pixels. Finally, and perhaps of most import scientifically, microtomography using a synchrotron X-ray source, allows us to generate maps of individual element.

Download Full-text