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Methods Inf Med 2008; 47(03): 270-278
DOI: 10.3414/ME0476
Original Article
Schattauer GmbH

virtX – Evaluation of a Computer-based Training System for Mobile C-arm Systems in Trauma and Orthopedic Surgery

O. J. Bott
1   Institute for Medical Informatics, Technical University of Braunschweig, Braunschweig, Germany
,
M. Teistler
3   Biomedical Imaging Lab, Agency for Science, Technology and Research (A*STAR), Singapore
,
C. Duwenkamp
1   Institute for Medical Informatics, Technical University of Braunschweig, Braunschweig, Germany
,
M. Wagner
1   Institute for Medical Informatics, Technical University of Braunschweig, Braunschweig, Germany
,
M. Marschollek
1   Institute for Medical Informatics, Technical University of Braunschweig, Braunschweig, Germany
,
M. Plischke
1   Institute for Medical Informatics, Technical University of Braunschweig, Braunschweig, Germany
,
B. W. Raab
4   Department of Diagnostic Radiology, Georg August University, Goettingen, Germany
,
K. M. Stürmer
5   Department of Trauma Surgery, Plastic and Reconstructive Surgery, Georg August University, Goettingen, Germany
,
D. P. Pretschner
1   Institute for Medical Informatics, Technical University of Braunschweig, Braunschweig, Germany
,
K. Dresing
5   Department of Trauma Surgery, Plastic and Reconstructive Surgery, Georg August University, Goettingen, Germany
› Author Affiliations
Further Information

Publication History

Received: 02 February 2007

accepted: 21 October 2007

Publication Date:
18 January 2018 (online)

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Summary

Objectives: Operating room personnel (ORP) operating mobile image intensifier systems (C-arms) need training to produce high quality radiographs with a minimum of time and X-ray exposure. Our study aims at evaluating acceptance, usability and learning effect of the CBT system virtX that simulates C-arm based X-ray imaging in the context of surgical case scenarios.

Methods: Prospective, interventional study conducted during an ORP course with three groups: intervention group 1 (training on a PC using virtX), and 2 (virtX with a C-arm as input device), and a control group (training without virtX) – IV1, IV2 and CG. All participants finished training with the same exercise. Time needed to produce an image of sufficient quality was recorded and analyzed using One-Way-ANOVA and Dunnett post hoc test (? = .05). Acceptance and usability of virtX have been evaluated using a questionnaire.

Results: CG members (n = 21) needed more time for the exercise than those of IV2 (n = 20): 133 ± 55 vs. 101 ± 37 sec. (p = .03). IV1 (n = 12) also performed better than CG (128 ± 48 sec.), but this was not statistically significant. Seventy-nine participants returned a questionnaire (81% female, age 34 ± 9 years, professional experience 8.3 ± 7.6 years; 77% regularly used a C-arm). 83% considered virtX a useful addition to conventional C-arm training. 91% assessed virtual radiography as helpful for understanding C-arm operation.

Conclusions: Trainees experienced virtX as substantial enhancement of C-arm training. Training with virtX can reduce the time needed to perform an imaging task.

Keywords

CBT - mobile image intensifier systems - C-arm - virtual operation theater - trauma surgery - orthopedic surgery
 

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