Simulation system for intraoperative neuromonitoring

This paper presents a simulation system (“patient model”) for intraoperative neuromonitoring (IONM) applied to mastoidectomy. IONM is an electrophysiological method for monitoring the integrity and localization of nerve tracts, which helps the surgeon to avoid injuries and damage to neural risk stru...

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Autores principales:	Thiel Robert, Haupt Peter, Jäkel Jens
Formato:	article
Lenguaje:	EN
Publicado:	De Gruyter 2020
Materias:	neuromonitoring simulation system ent surgery magnetic tracking localization of nerve tracts Medicine R
Acceso en línea:	https://doaj.org/article/bf42f8119f7d45fdba9ea2f9bf0fb697
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id	oai:doaj.org-article:bf42f8119f7d45fdba9ea2f9bf0fb697
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spelling	oai:doaj.org-article:bf42f8119f7d45fdba9ea2f9bf0fb6972021-12-05T14:10:43ZSimulation system for intraoperative neuromonitoring2364-550410.1515/cdbme-2020-3141https://doaj.org/article/bf42f8119f7d45fdba9ea2f9bf0fb6972020-09-01T00:00:00Zhttps://doi.org/10.1515/cdbme-2020-3141https://doaj.org/toc/2364-5504This paper presents a simulation system (“patient model”) for intraoperative neuromonitoring (IONM) applied to mastoidectomy. IONM is an electrophysiological method for monitoring the integrity and localization of nerve tracts, which helps the surgeon to avoid injuries and damage to neural risk structures (e.g. facial nerve) during surgery. To use the IONM successfully, the surgeon needs appropriate training and experience. The presented simulation system provides training possibilities in a realistic, cost-efficient and reproducible way. In the simulation system, the position of the probe during training is determined by a magnetic tracking method. Depending on the distance to the virtual nerve, a synthetic electromyogram (EMG) signal is sent to a real neuromonitor. The trainee learns to interpret the output of the neuromonitor. The trainer can choose different training scenarios, such as localization of the nerve, milling or coagulating, using a web application.Thiel RobertHaupt PeterJäkel JensDe Gruyterarticleneuromonitoringsimulation systement surgerymagnetic trackinglocalization of nerve tractsMedicineRENCurrent Directions in Biomedical Engineering, Vol 6, Iss 3, Pp 551-554 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	neuromonitoring simulation system ent surgery magnetic tracking localization of nerve tracts Medicine R
spellingShingle	neuromonitoring simulation system ent surgery magnetic tracking localization of nerve tracts Medicine R Thiel Robert Haupt Peter Jäkel Jens Simulation system for intraoperative neuromonitoring
description	This paper presents a simulation system (“patient model”) for intraoperative neuromonitoring (IONM) applied to mastoidectomy. IONM is an electrophysiological method for monitoring the integrity and localization of nerve tracts, which helps the surgeon to avoid injuries and damage to neural risk structures (e.g. facial nerve) during surgery. To use the IONM successfully, the surgeon needs appropriate training and experience. The presented simulation system provides training possibilities in a realistic, cost-efficient and reproducible way. In the simulation system, the position of the probe during training is determined by a magnetic tracking method. Depending on the distance to the virtual nerve, a synthetic electromyogram (EMG) signal is sent to a real neuromonitor. The trainee learns to interpret the output of the neuromonitor. The trainer can choose different training scenarios, such as localization of the nerve, milling or coagulating, using a web application.
format	article
author	Thiel Robert Haupt Peter Jäkel Jens
author_facet	Thiel Robert Haupt Peter Jäkel Jens
author_sort	Thiel Robert
title	Simulation system for intraoperative neuromonitoring
title_short	Simulation system for intraoperative neuromonitoring
title_full	Simulation system for intraoperative neuromonitoring
title_fullStr	Simulation system for intraoperative neuromonitoring
title_full_unstemmed	Simulation system for intraoperative neuromonitoring
title_sort	simulation system for intraoperative neuromonitoring
publisher	De Gruyter
publishDate	2020
url	https://doaj.org/article/bf42f8119f7d45fdba9ea2f9bf0fb697
work_keys_str_mv	AT thielrobert simulationsystemforintraoperativeneuromonitoring AT hauptpeter simulationsystemforintraoperativeneuromonitoring AT jakeljens simulationsystemforintraoperativeneuromonitoring
_version_	1718371805666738176

Simulation system for intraoperative neuromonitoring

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