Role of Virtual Reality in Gastrointestinal Endoscopy Training and Teaching

FAN Xiaoli, LUO Binyang, YANG Li

Abstract

Gastrointestinal (GI) endoscope is one of the instruments used extensively in the diagnosis and treatment of digestive tract disorders. China is confronted with a great demand for endoscopists working in grassroots healthcare facilities. Furthermore, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasonography (EUS), and endoscopic submucosal dissection (ESD) are becoming the prevailing methods of endoscopic treatment of digestive diseases. Therefore, there is a growing demand for senior endoscopists. Currently, an important focus of GI endoscopy training is the acceleration of standardized training for endoscopists working in grassroots health facilities and advanced training for senior endoscopists. Simulation devices based on virtual reality technology exhibit strengths in objectivity, authenticity, and an immersive experience. These devices show advantages in the training method, the number of participants, and assessment over traditional training programs for GI endoscopy. Their application provides a new approach to the training and teaching of GI endoscopy. Herein, we summarized the explorations and practices of using virtual reality technology in the training and teaching of GI endoscopy, analyzed its application status in China, and discussed its prospects for future application.

 

Keywords: Medical education, Standardized training, Virtual reality technology, Gastrointestinal endoscopy

 

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References


International Agency for Research on Cancer. Latest global cancer data: cancer burden rises to 19.3 million new cases and 10.0 million cancer deaths in 2020. World Health Organization. (2020-12-15)[2024-01-30]. https://www.iarc.who.int/news-events/latest-global-cancer-data-cancer-burden-rises-to-19-3-million-new-cases-and-10-0-million-cancer-deaths-in-2020.

Y L, MAO L L, SONG Z Y. New progress in the screening of common digestive tract tumors. Chin J Health Manage,2021,15(6): 4. doi: 10.3760/cma.j.cn115624-20211012-00603.

GAO Y, FENG Y P, LIU Y, et al. Training of gastrointestinal endoscopy and endoscopists in the new era. Chin J Dis Endosc,2020,37(1): 8. doi: 10.3760/cma.j.issn.1007-5232.2020.01.002.

GAO Y, ZHAO Q P, ZHOU X D, et al. The role of virtual reality technology in medical education in the context of emerging medical discipline. J Sichuan Univ (Med Sci),2021,52(2): 182–187. doi: 10.12182/ 20210260301.

FINOCCHIARO M, CORTEGOSO VALDIVIA P, HERNANSANZ A, et al. Training simulators for gastrointestinal endoscopy: current and future perspectives. Cancers (Basel),2021,13(6): 1427. doi: 10.3390/cancers13061427.

WANG X L, HONG J G, HE X J, et al. Current research in simulation training of gastrointestinal endoscopic technology. Chin J Dis Endosc, 2022,39(9): 5. doi: 10.3760/cma.j.cn321463-20211008-00253.

GI Mentor. The gold standard simulator for GI endoscopy. [2024-01-27]. https://surgicalscience.com/simulators/gi-mentor/.

Di GIULIO E, FREGONESE D, CASETTI T, et al. Training with a computer-based simulator achieves basic manual skills required for upper endoscopy: a randomized controlled trial. Gastrointest Endosc,2004, 60(2): 196–200. doi: 10.1016/s0016-5107(04)01566-4.

ENDE A, ZOPF Y, KONTUREK P, et al. Strategies for training in diagnostic upper endoscopy: a prospective, randomized trial. Gastrointest Endosc,2012,75(2): 254–260. doi: 10.1016/j.gie.2011.07.063.

FERLITSCH A, SCHOEFL R, PUESPOEK A, et al. Effect of virtual endoscopy simulator training on performance of upper gastrointestinal endoscopy in patients: a randomized controlled trial. Endoscopy,2010, 42(12): 1049–1056. doi: 10.1055/s-0030-1255818.

SEDLACK R E. Validation of computer simulation training for esophagogastroduodenoscopy: pilot study. J Gastroenterol Hepatol,2007, 22(8): 1214–1219. doi: 10.1111/j.1440-1746.2007.04841.x.

SHIRAI Y, YOSHIDA T, SHIRAISHI R, et al. Prospective randomized study on the use of a computer-based endoscopic simulator for training in esophagogastroduodenoscopy. J Gastroenterol Hepatol,2008,23(7 Pt 1): 1046–1050. doi: 10.1111/j.1440-1746.2008.05457.

YU L, LI P, CHEN B Q, et al. Upper gastrointestinal endoscopy training with a computer-based simulator: a randomized controlled trial. Chin J Dig Endosc,2008,25(7): 359–361. doi: 10.3760/cma.j.issn.1007-5232. 2008.07.006.

GROVER S C, SCAFFIDI M A, KHAN R, et al. Progressive learning in endoscopy simulation training improves clinical performance: a blinded randomized trial. Gastrointest Endosc,2017,86(5): 881–889. doi: 10. 1016/j.gie.2017.03.1529.

AHLBERG G, HULTCRANTZ R, JARAMILLO E, et al. Virtual reality colonoscopy simulation: a compulsory practice for the future colonoscopist? Endoscopy,2005,37(12): 1198–1204. doi: 10.1055/s-2005-921049.

ZUPANC C M, WALLIS G M, HILL A, et al. Assessing colonoscopic inspection skill using a virtual withdrawal simulation: a preliminary validation of performance metrics. BMC Med Educ,2017,17(1): 118. doi: 10.1186/s12909-017-0948-6.

HAYCOCK A, KOCH A D, FAMILIARI P, et al. Training and transfer of colonoscopy skills: a multinational, randomized, blinded, controlled trial of simulator versus bedside training. Gastrointest Endosc,2010, 71(2): 298–307. doi: 10.1016/j.gie.2009.07.017.

KOCH A D, EKKELENKAMP V E, HARINGSMA J, et al. Simulated colonoscopy training leads to improved performance during patient-based assessment. Gastrointest Endosc,2015,81(3): 630–636. doi: 10. 1016/j.gie.2014.09.014.

COHEN J, COHEN S A, VORA K C, et al. Multicenter, randomized, controlled trial of virtual-reality simulator training in acquisition of competency in colonoscopy. Gastrointest Endosc,2006,64(3): 361–368. doi: 10.1016/j.gie.2005.11.062.

GROVER S C, GARG A, SCAFFIDI M A, et al. Impact of a simulation training curriculum on technical and nontechnical skills in colonoscopy: a randomized trial. Gastrointest Endosc,2015,82(6): 1072–1079. doi: 10. 1016/j.gie.2015.04.008.


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