Dr. Brian Vianney is the first neurosurgeon to host a virtual reality spine surgery education session in the Metaverse

January 2, 2023 /OrthoSpineNews/ – In December 2022, Dr. Brian Viani made historical past when he hosted a Digital Actuality Backbone Surgical procedure Symposium within the Metaverse for 50 backbone surgeons from 10 completely different nations. The demonstration was a powerful success. Dr. Vianney was one of many first neurosurgeons to publish articles on digital actuality when he printed his paper, Digital Actuality in Neurosurgery: Can You See It? “- A overview of present purposes and future potential” in early 2020, a paper with over 20,000 views and has been cited greater than 1,600 occasions to this point. Since then, he has continued to pioneer the event of surgical know-how and advocate for its use within the working room. Dr. Vianney has all the time been fascinated by the ability of innovation and what it brings to surgeons and sufferers. As a boy, he was a artistic thinker creating new innovations and credit this ardour as one in all his motivations to pursue backbone surgical procedure. He has labored with many firms over time to develop software program and {hardware} elements for intraoperative know-how which were breaking down limitations within the working room and increasing capabilities. Dr. Vianney’s patented, final purpose of surgical know-how is to enhance affected person care within the working room.

Dr. Vianney says that know-how and innovation are consistently evolving and that new developments make it fascinating to modernize medication. For him, digital actuality is the place creativity and science meet. Digital actuality provides individuals the power to do issues we won’t do in the true world. Among the particular surgical instructing options embrace visualization of preoperative 3D reconstructions, surgical planning, surgical simulations, and postoperative evaluation, all whereas decentralizing surgical schooling in order that individuals might be anyplace on this planet at that individual time.

The Digital Actuality Symposium was held on the New York Metropolis Minimally Invasive Backbone Surgical procedure Symposium (NYC-MISS) in New York Metropolis, New York, USA from December 15-17, 2022. Throughout the two-day lesson plan, individuals activated headphones that 3D visualization capabilities and handbook controls yielded limitless movement and motion options.

50 backbone surgeons from 10 completely different nations joined! Greater than 30 of the world’s prime backbone surgical procedure professors joined the Metaverse and 20 different backbone surgeons selected to look at with out headphones as a result of the digital actuality world was concurrently broadcast on the auditorium screens in the true world by an actor contained in the Metaverse.

In preparation, Dr. Vianney labored with an organization referred to as Non Nocere from Germany. The corporate will get its identify from the phrase “primum non nocere” which in Latin means “first, do no hurt”. They shipped all of their current headsets and controllers to New York Metropolis for the occasion. They despatched him an in a single day headset and controls to observe one week earlier than the occasion. Software program technicians and gross sales representatives from Germany and Turkey skilled and helped him observe utilizing the Metaverse’s options for a number of days. It was a clue to the producer that they met within the Metaverse from three completely different nations on the similar time to realize a purpose. The corporate made the method very user-friendly for him. They downloaded pre- and post-operative photos, in addition to presentation slides, from 4 surgical instances. The 4 surgical procedures had been categorized as degenerative backbone surgical procedure, spinal tumor surgical procedure, deformity surgical procedure, and revision surgical procedure. Inside a number of days of preparation, he turned comfy with the Metaverse Surgical Auditorium which serves as a Lecture Theatre, a Digital Anatomy Lab and likewise a Digital Actuality Working Room which serves as a Surgical Simulation Lab.

Dr. Vianney commented that the system was very intuitive and after a couple of minutes you’re feeling at one with the world of digital actuality and its attendants. Hand controls make maneuvering easy and provides actions haptic suggestions. The system responds immediately with none glitches or delays.

Dr. Vianney says digital actuality is reworking backbone surgical procedure schooling. Throughout the Covid-19 pandemic and even after, individuals have been gathering on Zoom as a platform for conferences. He believes that digital actuality is the pure evolution of enhancing engagement by creating an area for discussions and interplay. The decentralization of surgical schooling permits for worldwide participation, which is especially necessary within the fields of drugs and surgical procedure. Metaverse digital actuality permits surgeons to simulate surgical procedures earlier than they’re carried out.

Digital actuality permits the presenter and individuals to take part in a single place whereas logging in from anyplace on this planet internationally. Reconstructed fashions based mostly on affected person imaging permit higher visualization of simulated backbone fashions and preoperative surgical observe. Surgical simulations will help present frequent coaching in a protected setting to create sooner and extra environment friendly real-world workflows for youthful surgeons and decrease studying curves with new merchandise for knowledgeable surgeons.

Digital actuality periods came about over two days. On the primary day, individuals gathered in a digital ballroom right here in New York Metropolis and logged in with headphones and hand controls and realized the fundamentals of maneuvering to get comfy with the Metaverse. Two technicians and gross sales representatives had been current within the auditorium room to help the individuals. He was one of many programmers contained in the Metaverse to assist on the market. He gave two case exhibits, every containing an in depth slideshow downloaded into the Metaverse and projected onto what gave the impression to be a 100-foot display screen with real-world estimation. Preoperative imaging together with X-rays, CT scans, and MRI scans had been proven with scrolling. One case was cervical spondylopathy and the opposite was a lumbar deformity. This system constructed giant 30-foot fashions utilizing preoperative imaging. Imaging was additionally superimposed on the mannequin and we used options to pick or pick components of the anatomy to raised view what was behind or round it, for instance, eradicating a bone to see strain on the spinal wire. These two instances had been introduced in order that individuals may carry out their required surgical plan in a real-world cadaver lab the subsequent morning. On the second day, the individuals had been now extra comfy with the Metaverse which allowed for a wonderful tutorial dialogue. He hosted two further case shows with slideshow shows together with intraoperative footage. The tumor-built pre-operative mannequin displayed nice specificity and the postop mannequin displayed excision and instrumentation for our tumor case. The revision surgical procedure case demonstrated the power of VR to measure preoperative screw and penis sizes and examine them to a postoperative mannequin generated from imaging.

The individuals had been in awe. The very best grasp degree backbone surgeons on this planet had been having the occasions of their lives. Individuals loved the audiovisual high quality with haptic suggestions, life-like spinal anatomy fashions, imported CT and MRI projection, and surgical simulation options. Surgeons had been like kids discovering new toys on Christmas morning. Smiles, the sound of laughter, and the looks of curiosity crammed the corridor.

Dr. Vianney is worked up about the way forward for Digital Actuality (VR) and Augmented Actuality (AR) for backbone surgical procedure. Digital actuality will proceed to be extra life-like as the pc and mind sync and headsets will turn into so lighter that they turn into glasses and perhaps even contact lenses. VR hand controls will doubtlessly turn into gauntlets for extra practical actions and management for simulated procedures and surgical simulations. By way of augmented actuality, headsets will even turn into lighter and smaller and rework into glasses or contact lenses. Extra firms will probably be created and competitors will develop. With regards to the long run, Dr. Vianney says “Within the very close to future, very seemingly in 2023, I will probably be internet hosting the primary annual digital actuality backbone surgical procedure convention. Keep tuned, the planning has already began.”

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Dr.. Brian Vianney
bwv9004@med.cornell.edu

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