Browsing by Author "Isikay, Ilkay"

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Citation - WoS: 2
Citation - Scopus: 3
Quantitative Assessment and Objective Improvement of the Accuracy of Neurosurgical Planning Through Digital Patient-Specific 3d Models
(Frontiers Media Sa, 2024) Hanalioglu, Sahin; Gurses, Muhammet Enes; Baylarov, Baylar; Tunc, Osman; Isikay, Ilkay; Cagiltay, Nergiz Ercil; Berker, Mustafa
Objective Neurosurgical patient-specific 3D models have been shown to facilitate learning, enhance planning skills and improve surgical results. However, there is limited data on the objective validation of these models. Here, we aim to investigate their potential for improving the accuracy of surgical planning process of the neurosurgery residents and their usage as a surgical planning skill assessment tool.Methods A patient-specific 3D digital model of parasagittal meningioma case was constructed. Participants were invited to plan the incision and craniotomy first after the conventional planning session with MRI, and then with 3D model. A feedback survey was performed at the end of the session. Quantitative metrics were used to assess the performance of the participants in a double-blind fashion.Results A total of 38 neurosurgical residents and interns participated in this study. For estimated tumor projection on scalp, percent tumor coverage increased (66.4 +/- 26.2%-77.2 +/- 17.4%, p = 0.026), excess coverage decreased (2,232 +/- 1,322 mm2-1,662 +/- 956 mm2, p = 0.019); and craniotomy margin deviation from acceptable the standard was reduced (57.3 +/- 24.0 mm-47.2 +/- 19.8 mm, p = 0.024) after training with 3D model. For linear skin incision, deviation from tumor epicenter significantly reduced from 16.3 +/- 9.6 mm-8.3 +/- 7.9 mm after training with 3D model only in residents (p = 0.02). The participants scored realism, performance, usefulness, and practicality of the digital 3D models very highly.Conclusion This study provides evidence that patient-specific digital 3D models can be used as educational materials to objectively improve the surgical planning accuracy of neurosurgical residents and to quantitatively assess their surgical planning skills through various surgical scenarios.
Citation - WoS: 12
Citation - Scopus: 13
The Effect of Training, Used-Hand, and Experience on Endoscopic Surgery Skills in an Educational Computer-Based Simulation Environment (ECE) for Endoneurosurgery Training
(Sage Publications inc, 2019) Cagiltay, Nergiz Ercil; Özçelik, Erol; Ozcelik, Erol; Isikay, Ilkay; Hanalioglu, Sahin; Suslu, Ahmet E.; Yucel, Taskin; Berker, Mustafa; 115500; Psikoloji
Today, virtual simulation environments create alternative hands-on practice opportunities for surgical training. In order to increase the potential benefits of such environments, it is critical to understand the factors that influence them. This study was conducted to determine the effects of training, used-hand, and experience, as well as the interactions between these variables, on endoscopic surgery skills in an educational computer-based surgical simulation environment. A 2-hour computer-based endoneurosurgery simulation training module was developed for this study. Thirty-one novice- and intermediate-level resident surgeons from the departments of neurosurgery and ear, nose, and throat participated in this experimental study. The results suggest that a 2-hour training during a 2-month period through computer-based simulation environment improves the surgical skills of the residents in both-hand tasks, which is necessary for endoscopic surgical procedures but not in dominant hand tasks. Based on the results of this study, it can be concluded that computer-based simulation environments potentially improve surgical skills; however, the scenarios for such training modules need to consider especially the bimanual coordination of hands and should be regularly adapted to the individual skill levels and progresses.