Scopus İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12416/8651
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Article A Metaverse-Based Fully Immersive Training for Temporomandibular Joint: A Pilot Study(Wiley, 2026) Ozcelik, Erol; Ekici, Saliha Zerdali; Basmaci, Fulya; Cagiltay, Nergiz Ercil; Kilicarslan, Mehmet AliObjective Understanding the temporomandibular joint (TMJ) can be challenging with conventional methods, as its complex anatomy, comprising the articular disc, mandibular condyle, and temporal bone, requires detailed visualisation. Traditional approaches like textbooks and static images often fall short, whereas modern tools such as 3D modelling and virtual reality (VR) offer more effective alternatives. Metaverse technology further enhances this by creating interactive, immersive and collaborative learning environments that simulate real-world experiences. While VR is increasingly used in dental education, research on fully immersive metaverse-based learning remains limited.Methods In this pilot study, a custom metaverse environment was developed to teach TMJ concepts. Then, the effectiveness of conventional and metaverse-based teaching methods in improving dental students' understanding of the TMJ was evaluated experimentally. A randomised trial was conducted with 120 first-year dental students, divided into three groups: classical lecturing, metaverse-based training and a combination of both.Results Findings indicate that students in the metaverse and combined groups outperformed those in the classical lecturing group, with no significant difference between the two metaverse-involved groups.Conclusions This suggests that for highly complex anatomical structures like the TMJ, metaverse-based training alone may be sufficient, eliminating the need for additional traditional instruction. The study highlights the metaverse's potential to enhance dental education by providing a fully 3D, interactive learning experience.Article Citation - WoS: 7Citation - Scopus: 8Quantitative 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, MustafaObjective 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.Article Citation - WoS: 3Citation - Scopus: 3Influence of Gamification on Skill-Based Training of Surgical Residents(Serious Games Soc, 2025) Topalli, Damla; Tokdemir, Gul; Cagiltay, Nergiz ErcilPotentially games increase motivation and thus support the learning process. Gamification effect on different skill levels of surgical residents was limitedly studied. This study aims to better understand the effect of motivation gained through gamification on simulation-based surgical training environments for novice and intermediate surgical residents' performances. An educational scenario with a haptic interface is designed in two versions: gamified and nongamified. The tasks are performed twice, with the dominant and non-dominant hands resemble the task difficulty. 26 novice and intermediate surgical residents were randomly assigned to one of the groups (gamified or nongamified). Gamification positively improved novice surgical residents' performances under both hand conditions. However, surprisingly, in some situations, results indicated lower performance by the intermediates compared to the novices. A flow model for this specific scenario is proposed. To benefit the gamification effect, learners' skill levels and content should be carefully assessed and balanced on simulation-based surgical skill training materials.Conference Object Citation - WoS: 6Citation - Scopus: 8Simulation-Based Environments for Surgical Practice(Ieee, 2017) Cagiltay, Nergiz Ercil; Ozcelik, Erol; Maras, Hakan; Dalveren, Gonca Gokce MenekseModeling and simulation environments provide several insights about the real situations such as endoscopic surgery. Endoscopic surgery requires both hand skills, so, understanding the effect of using dominant or non dominant hand on mental workload is important to better design, develop and implement modeling and simulation environments to support real-life implementations of surgical procedures. This experimental study presents a simulation application of eye-tracking approach to understand mental workload in different hand conditions: dominant hand, non-dominant hand and both hand. The results of the study show that, performing simulated surgical tasks by both hands compared to dominant hand, increases mental workload which is evident by higher pupil size. Accordingly, to manage the mental-load problems of surgeons while performing complex tasks that require both hand usage simulation-based environments can be used. Consequently, collection of detailed information such as eye-data, can give several insights about the behaviors of the surgeons. Also, their required skills can be improved by development of simulation and training environments.Article Citation - WoS: 23Citation - Scopus: 27Insights From Pupil Size To Mental Workload of Surgical Residents: Feasibility of an Educational Computer-Based Surgical Simulation Environment (Ece) Considering the Hand Condition(Sage Publications inc, 2018) Cagiltay, Nergiz Ercil; Ozcelik, Erol; Maras, Hakan; Dalveren, Gonca Gokce Menekse; Menekse Dalveren, Gonca GokceThe advantage of simulation environments is that they present various insights into real situations, where experimental research opportunities are very limited-for example, in endoscopic surgery. These operations require simultaneous use of both hands. For this reason, surgical residents need to develop several motor skills, such as eye-hand coordination and left-right hand coordination. While performing these tasks, the hand condition (dominant, nondominant, both hands) creates different degrees of mental workload, which can be assessed through mental physiological measures-namely, pupil size. Studies show that pupil size grows in direct proportion to mental workload. However, in the literature, there are very limited studies exploring this workload through the pupil sizes of the surgical residents under different hand conditions. Therefore, in this study, we present a computer-based simulation of a surgical task using eye-tracking technology to better understand the influence of the hand condition on the performance of skill-based surgical tasks in a computer-based simulated environment. The results show that under the both-hand condition, the pupil size of the surgical residents is larger than the one under the dominant and nondominant hand conditions. This indicates that when the computer-simulated surgical task is performed with both hands, it is considered more difficult than in the dominant and nondominant hand conditions. In conclusion, this study shows that pupil size measurements are sufficiently feasible to estimate the mental workload of the participants while performing surgical tasks. The results of this study can be used as a guide by instructional system designers of skill-based training programs.Article Citation - WoS: 9Citation - Scopus: 7The Underlying Reasons of the Navigation Control Effect on Performance in a Virtual Reality Endoscopic Surgery Training Simulator(Taylor & Francis inc, 2019) Ozcelik, Erol; Berker, Mustafa; Dalveren, Gonca Gokce Menekse; Cagiltay, Nergiz Ercil; Menekse Dalveren, Gonca GokceNavigation control skills of surgeons become very critical for surgical procedures. Strategies improving these skills are important for developing higher-quality surgical training programs. In this study, the underlying reasons of the navigation control effect on performance in a virtual reality-based navigation environment are evaluated. The participants' performance is measured in conditions: navigation control display and paper-map display. Performance measures were collected from 45 beginners and experienced residents. The results suggest that navigation display significantly improved performance of the participants. Also, navigation was more beneficial for beginners than experienced participants. The underlying reason of the better performance in the navigation condition was due to lower number of looks to the map, which causes attention shifts between information sources. Accordingly, specific training scenarios and user interfaces can be developed to improve the navigation skills of the beginners considering some strategies to lower their number of references to the information sources.