ABSTRACT
Two-dimensional (2D) echocardiography is a user-dependent technique that poses some inherent problems to the beginner. The first problem for beginners is spatial orientation, especially the orientation of the scan plane in reference to the 3-dimensional (3D) geometry of the heart. The second problem for beginners is steering of the ultrasound probe. We have designed a simulator to teach these skills. On a computer screen a side-by-side presentation of a 3D virtual reality scene on the right side and a 2D echocardiographic view on the left side is given. The virtual scene consists of a 3D heart and an ultrasound probe with scan plane. The 2D echocardiographic image is calculated from 3D echocardiographic data sets that are registered with the heart model to achieve spatial and temporal congruency. The displayed 2D echocardiographic image is defined and controlled by the orientation of the virtual scan plane. To teach hand-eye coordination we equipped a dummy transducer with a 3D tracking system and placed it on a dummy torso. We have evaluated the usability of the simulator in an introductory course for final-year medical students. The simulator was graded realistic and easy to use. According to a subjective self-assessment by a standardized questionnaire the aforementioned skills were imparted effectively.
Subject(s)
Cardiology/education , Computer-Assisted Instruction , Echocardiography , Education, Medical, Undergraduate/methods , Adult , Female , Humans , Male , User-Computer InterfaceABSTRACT
Intra-operative ultrasound (iUS) can generate 2D images in real-time as well as near real-time 3D datasets of the current situation during an intervention. Tracked ultrasound can locate the images in 3D space and relate them to patient, devices, andpre-operative planning data. Therefore, tracked US is an efficient means for controlling the validity of pre-operative planning, recognition of changes (brain shift) during the intervention, replanning of the operational path due to situational changes (iterative navigation), and finally, controlling the results (residual tumor). This paper describes a neuronavigation system exploiting this potential of interventional tracked US for permanent control of intervention progress and iterative adaptation of the planned procedure to the current situation.
Subject(s)
Brain Mapping/methods , Echoencephalography/methods , Image Processing, Computer-Assisted/methods , Imaging, Three-Dimensional/methods , Brain Mapping/instrumentation , Breast Neoplasms/pathology , Carcinoma/secondary , Carcinoma/ultrastructure , Cerebellar Neoplasms/diagnostic imaging , Cerebellar Neoplasms/secondary , Cerebellum/diagnostic imaging , Cerebellum/pathology , Echoencephalography/instrumentation , Female , Humans , Image Processing, Computer-Assisted/instrumentation , Imaging, Three-Dimensional/instrumentation , Middle Aged , Reproducibility of ResultsABSTRACT
Virtual reality (VR) is one of the latest developments in cardiac three-dimensional (3-D) ultrasound. A VR heart model linked to 3-D echocardiographic image datasets provides the observers spatial information regarding a 3-D image dataset and prevents the "lost in space effect" in difficult and relevant coupled diseases when integrated into 3-D reconstruction software. Standardized echocardiographic views can be selected within the integrated developed VR heart model, and this is the first step to automatic 3-D computations with minimal operator interaction. VR heart models open exciting opportunities in the field of teaching echocardiographic cardiology, diagnosis, and examinable states.
