Validation of the portable virtual reality training system for robotic surgery (PoLaRS): a randomized controlled trial

Background As global use of surgical robotic systems is steadily increasing, surgical simulation can be an excellent way for robotic surgeons to acquire and retain their skills in a safe environment. To address the need for training in less wealthy parts of the world, an affordable surgical robot simulator (PoLaRS) was designed. Methods The aim of this pilot study is to compare learning curve data of the PoLaRS prototype with those of Intuitive Surgical’s da Vinci Skills Simulator (dVSS) and to establish face- and construct validity. Medical students were divided into two groups; the test group (n = 18) performing tasks on PoLaRS and dVSS, and the control group (n = 20) only performing tasks on the dVSS. The performance parameters were Time, Path length, and the number of collisions. Afterwards, the test group participants filled in a questionnaire regarding both systems. Results A total of 528 trials executed by 38 participants were measured and included for analyses. The test group significantly improved in Time, Path Length and Collisions during the PoLaRS test phase (P ≤ 0.028). No differences was found between the test group and the control group in the dVSS performances during the post-test phase. Learning curves showed similar shapes between both systems, and between both groups. Participants recognized the potential benefits of simulation training on the PoLaRS system. Conclusions Robotic surgical skills improved during training with PoLaRS. This shows the potential of PoLaRS to become an affordable alternative to current surgical robot simulators. Validation with similar tasks and different expert levels is needed before implementing the training system into robotic training curricula.

The Visualization Representation of Space-Time-Path in The Space-Time-Cube

Map is a traditional visualization tool to represent distribution and interaction of spatial objects or spatial phenomenon. However, with the continuous development of acquisition and processing technologies for spatio-temporal data, traditional map can hardly meet the visualization requirement for this type of data. In other words, the dynamic information about spatial object or phenomenon cannot be expressed fully by traditional map. The Space-Time-Cube (STC), as a three-dimensional visualization environment, whose base represents the two-dimensional geographical space and whose height represents the temporal dimension, can simultaneously represent the spatial distribution as well as the temporal changes of spatio-temporal data. For some spatial object or phenomenon, its moving trajectory can be visualized in STC as a Space-Time-Path (STP), by which the speed and state of motion can be clearly reflected. Noticeably, the problem of visual clutter about STP is inevitably due to the complexity of three-dimensional visualization. In order to reduce the impact of visual clutter, this paper discusses different aspects about visualization representation of STP in the STC. The multiple scales representation and the multiple views display can promote interactive experience of users, and the application of different visual variables can help to represent different kinds of attribute information of STP. With the visualization of STP, spatio-temporal changes and attributive characters of spatial object or phenomenon can be represented and analysed.