The virtual reality based motion simulation of the guide wire and the catheter inside specific vascular structures can benefit a lot for the endovascular intervention. A fast and well-performed collision cancellation ...The virtual reality based motion simulation of the guide wire and the catheter inside specific vascular structures can benefit a lot for the endovascular intervention. A fast and well-performed collision cancellation algorithm is proposed based on the geometric analysis and the angular propagation （AP）, and a 3-D real-time interactive system is developed for the motion simulation of the guide wire and the catheter inside the specific patient vascular. The guide wire or the catheter is modeled as the ＂multi-body＂ representation and properties are defined by its intrinsic characteristics. The motion of the guide wire or the catheter inside the vascular is guided by the collision detection and the collision cancellation algorithm. Finally, a relaxation procedure is used to achieve more realistic status. Experimental results show that the behavior of the guide wire or the catheter depends on the defined parameters. The real-time simulation can be achieved. The result shows that the simulation system is effective and promising.展开更多
Background:Submarine personnel often experience insomnia and reduced psychological resilience due to extended deployments in confined,high-stress environments.Effective non-pharmacological interventions are needed to ...Background:Submarine personnel often experience insomnia and reduced psychological resilience due to extended deployments in confined,high-stress environments.Effective non-pharmacological interventions are needed to improve sleep quality and resilience in this population.This study aimed to investigate the effect of virtual reality(VR)combined with forest therapy interventions on psychological resilience and sleep quality among submarine personnel with insomnia symptoms.Methods:Using convenience sampling,92 submarine personnel with insomnia symptoms undergoing recuperation at a PLA sanatorium between July 2023 and May 2025 were randomly allocated to experimental and control groups(n=46 each).The control group received forest therapy intervention,while the intervention group received combined VR and forest therapy interventions.Pre-and post-intervention assessments were conducted using the Pittsburgh Sleep Quality Index(PSQI)and Connor-Davidson Resilience Scale(CD-RISC).Results:There is no significant differences between two groups before the intervention on sleep or psychological resilience.Both groups showed significant pre-to post-intervention improvements in sleep and resilience;however,mixed-ANOVA results showed that the intervention(VR+forest therapy)group achieved significantly better outcomes than the control group at post-intervention after Bonferroni correction,including lower PSQI total and key component scores(subjective sleep quality,sleep efficiency,daytime dysfunction)and higher CD-RISC resilience scores.Conclusions:The integration of virtual reality and forest therapy effectively improved sleep quality and psychological resilience among submarine personnel with insomnia symptoms.This combined intervention shows promise as a non-pharmacological approach in military healthcare settings;however,further studies are needed to validate and generalize these findings.展开更多
Detector and event visualization are crucial components of high-energy physics(HEP)experimental software.Virtual reality(VR)technologies and multimedia development platforms,such as Unity,offer enhanced display effect...Detector and event visualization are crucial components of high-energy physics(HEP)experimental software.Virtual reality(VR)technologies and multimedia development platforms,such as Unity,offer enhanced display effects and flexible extensibility for visualization in HEP experiments.In this study,we present a VR-based method for detector and event displays in the Jiangmen Underground Neutrino Observatory(JUNO)experiment.This method shares the same detector geometry descriptions and event data model as those in the offline software and provides the necessary data conversion interfaces.The VR methodology facilitates an immersive exploration of the virtual environment in JUNO,enabling users to investigate the detector geometry,visualize event data,and tune the detector simulation and event reconstruction algorithms.Additionally,this approach supports applications in data monitoring,physics data analysis,and public outreach initiatives.展开更多
Objectives This scoping review aimed to identify and summarize the current research on virtual reality(VR)technologies used for health education in cancer patients,as well as to identify key areas of application.Metho...Objectives This scoping review aimed to identify and summarize the current research on virtual reality(VR)technologies used for health education in cancer patients,as well as to identify key areas of application.Methods In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines,a comprehensive literature search was performed across 11 electronic databases and gray literature sources from inception to 12 September 2025.Studies employing immersive VR tools to improve health education outcomes in cancer patients were included.Data extraction and thematic synthesis were conducted to map evidence regarding VR modalities,educational applications,and outcome measures.Results Twenty-eight studies met the inclusion criteria.VR was applied across four primary educational scenarios,including radiotherapy,chemotherapy,surgery,and healthy behavior(including rehabilitation,smoking cessation,and self-management).Eight distinct VR modalities were identified,namely VR videos,virtual environments,virtual environment for radiotherapy training(VERT),VR interactions,3D models,VR games,VR non-player characters(VR NPCs),and virtual libraries.Among these,VR videos(50.0%),virtual environments(46.4%),and VR interactions(28.6%)were the most frequently employed.The interventions led to significant improvements in patient knowledge,skills,attitudes,health behaviors,and psychological well-being.A clear evolution in VR educational approaches has been observed,shifting from static environmental familiarization toward interactive,gamified,and intelligence-driven experiences.Nevertheless,notable gaps remain regarding safety protocols and data privacy protections,with only a minority of studies addressing these issues.Conclusions VR technologies demonstrate considerable promise as an innovative educational tool in oncology care,enhancing patient understanding,psychological preparedness,and engagement throughout the cancer journey.Future implementation must address infrastructural,ethical,and user-centered design barriers to facilitate the scalable and sustainable integration of this approach into clinical practice.展开更多
Conventional surgical teaching techniques face several challenges,highlighting a necessity for ongoing innovation in ophthalmology education to align with the evolving demands of clinical practice.The recent rapid adv...Conventional surgical teaching techniques face several challenges,highlighting a necessity for ongoing innovation in ophthalmology education to align with the evolving demands of clinical practice.The recent rapid advancement of computer technology has enabled the integration of virtual reality(VR)into medical training,thereby revolutionizing ophthalmic surgical education through VRbased educational methods.VR technology offers a safe,risk-free environment for trainees to practice repeatedly,enhancing surgical skills and accelerating the learning curve without compromising patient safety.This research outlines the application of VR technology in ophthalmic surgical skills training,particularly in cataract and vitreoretinal surgery.Including assessing the effectiveness of intraocular surgery training systems,evaluating skills transfer to the operating room,comparing it with wet lab cataract surgery training,and enhancing non-dominant hand training for cataract surgery,among other aspects.Additionally,this paper will identify the limitations of VR technology in ocular surgical skills training,offer improvement strategies,and detail the advantages and prospects,with the objective of guiding subsequent researchers.展开更多
BACKGROUND Hepatobiliary surgery is complex and requires a thorough understanding of the liver’s anatomy,biliary system,and vasculature.Traditional imaging methods such as computed tomography(CT)and magnetic resonanc...BACKGROUND Hepatobiliary surgery is complex and requires a thorough understanding of the liver’s anatomy,biliary system,and vasculature.Traditional imaging methods such as computed tomography(CT)and magnetic resonance imaging(MRI),although helpful,fail to provide three-dimensional(3D)relationships of these structures,which are critical for planning and executing complicated surgeries.AIM To explore the use of 3D imaging and virtual surgical planning(VSP)technologies to improve surgical accuracy,reduce complications,and enhance patient recovery in hepatobiliary surgeries.METHODS A comprehensive review of studies published between 2017 and 2024 was conducted through PubMed,Scopus,Google Scholar,and Web of Science.Studies selected focused on 3D imaging and VSP applications in hepatobiliary surgery,assessing surgical precision,complications,and patient outcomes.Thirty studies,including randomized controlled trials,cohort studies,and case reports,were included in the final analysis.RESULTS Various 3D imaging modalities,including multidetector CT,MRI,and 3D rotational angiography,provide high-resolution views of the liver’s vascular and biliary anatomy.VSP allows surgeons to simulate complex surgeries,improving preoperative planning and reducing complications like bleeding and bile leaks.Several studies have demonstrated improved surgical precision,reduced complications,and faster recovery times when 3D imaging and VSP were used in complex surgeries.CONCLUSION 3D imaging and VSP technologies significantly enhance the accuracy and outcomes of hepatobiliary surgeries by providing individualized preoperative planning.While promising,further research,particularly randomized controlled trials,is needed to standardize protocols and evaluate long-term efficacy.展开更多
Artificial intelligence(AI)is the study of algorithms that enable machines to analyze and execute cognitive activities including problem solving,object and word recognition,reduce the inevitable errors to improve the ...Artificial intelligence(AI)is the study of algorithms that enable machines to analyze and execute cognitive activities including problem solving,object and word recognition,reduce the inevitable errors to improve the diagnostic accuracy,and decision-making.Hepatobiliary procedures are technically complex and the use of AI in perioperative management can improve patient outcomes as discussed below.Three-dimensional(3D)reconstruction of images obtained via ultrasound,computed tomography scan or magnetic resonance imaging,can help surgeons better visualize the surgical sites with added depth perception.Preoperative 3D planning is associated with lesser operative time and intraoperative complications.Also,a more accurate assessment is noted,which leads to fewer operative complications.Images can be converted into physical models with 3D printing technology,which can be of educational value to students and trainees.3D images can be combined to provide 3D visualization,which is used for preoperative navigation,allowing for more precise localization of tumors and vessels.Nevertheless,AI enables surgeons to provide better,personalized care for each patient.展开更多
This research studies the process of 3D reconstruction and dynamic concision based on 2D medical digital images using virtual reality modelling language (VRML) and JavaScript language, with a focus on how to realize t...This research studies the process of 3D reconstruction and dynamic concision based on 2D medical digital images using virtual reality modelling language (VRML) and JavaScript language, with a focus on how to realize the dynamic concision of 3D medical model with script node and sensor node in VRML. The 3D reconstruction and concision of body internal organs can be built with such high quality that they are better than those obtained from the traditional methods. With the function of dynamic concision, the VRML browser can offer better windows for man-computer interaction in real-time environment than ever before. 3D reconstruction and dynamic concision with VRML can be used to meet the requirement for the medical observation of 3D reconstruction and have a promising prospect in the fields of medical imaging.展开更多
Objective:This study aimed to explore the applications of three-dimensional (3D) technology, including virtual reality, augmented reality (AR), and 3D printing system, in the field of medicine, particularly in renal i...Objective:This study aimed to explore the applications of three-dimensional (3D) technology, including virtual reality, augmented reality (AR), and 3D printing system, in the field of medicine, particularly in renal interventions for cancer treatment.Methods:A specialized software transforms 2D medical images into precise 3D digital models, facilitating improved anatomical understanding and surgical planning. Patient-specific 3D printed anatomical models are utilized for preoperative planning, intraoperative guidance, and surgical education. AR technology enables the overlay of digital perceptions onto real-world surgical environments.Results:Patient-specific 3D printed anatomical models have multiple applications, such as preoperative planning, intraoperative guidance, trainee education, and patient counseling. Virtual reality involves substituting the real world with a computer-generated 3D environment, while AR overlays digitally created perceptions onto the existing reality. The advances in 3D modeling technology have sparked considerable interest in their application to partial nephrectomy in the realm of renal cancer. 3D printing, also known as additive manufacturing, constructs 3D objects based on computer-aided design or digital 3D models. Utilizing 3D-printed preoperative renal models provides benefits for surgical planning, offering a more reliable assessment of the tumor's relationship with vital anatomical structures and enabling better preparation for procedures. AR technology allows surgeons to visualize patient-specific renal anatomical structures and their spatial relationships with surrounding organs by projecting CT/MRI images onto a live laparoscopic video. Incorporating patient-specific 3D digital models into healthcare enhances best practice, resulting in improved patient care, increased patient satisfaction, and cost saving for the healthcare system.展开更多
Medical procedures are inherently invasive and carry the risk of inducing pain to the mind and body.Recently,efforts have been made to alleviate the discomfort associated with invasive medical procedures through the u...Medical procedures are inherently invasive and carry the risk of inducing pain to the mind and body.Recently,efforts have been made to alleviate the discomfort associated with invasive medical procedures through the use of virtual reality(VR)technology.VR has been demonstrated to be an effective treatment for pain associated with medical procedures,as well as for chronic pain conditions for which no effective treatment has been established.The precise mechanism by which the diversion from reality facilitated by VR contributes to the diminution of pain and anxiety has yet to be elucidated.However,the provision of positive images through VR-based visual stimulation may enhance the functionality of brain networks.The salience network is diminished,while the default mode network is enhanced.Additionally,the medial prefrontal cortex may establish a stronger connection with the default mode network,which could result in a reduction of pain and anxiety.Further research into the potential of VR technology to alleviate pain could lead to a reduction in the number of individuals who overdose on painkillers and contribute to positive change in the medical field.展开更多
Objectives:To explore the efficacy and safety of virtual reality(VR)in relieving negative emotions in patients with breast cancer with different personalities.Methods:A randomized controlled trial was conducted.Betwee...Objectives:To explore the efficacy and safety of virtual reality(VR)in relieving negative emotions in patients with breast cancer with different personalities.Methods:A randomized controlled trial was conducted.Between April 2023 and October 2023,we enrolled patients with breast cancer treated in the Department of Breast Cancer and Oncology at Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangdong Province.The patients were randomly divided into an intervention group(n=118)and a control group(n=119)using block randomization.The intervention group received the VR intervention 3-5 times over 5±2 weeks using natural landscapes with music or relaxation guidance,and the duration of each VR intervention was 15±3 min.The control group received routine nursing care,including disease education and psychological counseling.Patients were assessed using the Type D Scale,Positive and Negative Affect Scale,and Distress Thermometer,and adverse events during the intervention were recorded.Results:Overall,85 patients completed the study(44 in the intervention group and 41 in the control group).Patients with Type D personalities showed more negative emotions[25.0(21.5,27.5)vs.19.0(16.0,24.0),P=0.001]and distressed attitudes[4.0(2.0,5.0)vs.3.0(1.0,4.0),P=0.020]with fewer positive emotions(27.2±5.6 vs.31.0±5.9,P=0.014)than those with non-Type D personalities.Total population analysis revealed no significant differences between the groups.However,in the subgroup analysis,patients with Type D personalities in the intervention group showed greater relief from negative emotions than those in the control group[median difference,-5.0(-9.0,-2.5)vs.-2.0(-4.0,2.0),P=0.046].No significant differences were found between groups of patients with non-Type D personality traits.The proportion of adverse events was not significantly different between groups(P=0.110).Conclusions:Breast cancer patients with Type D personalities suffer more severe negative emotions and distress,and more attention should be paid to them.VR intervention significantly and safely reduced negative emotions in patients with Type D personalities.展开更多
To evaluate the feasibility and accuracy of a three-dimensional augmented reality system incorporating integral videography for imaging oral and maxillofacial regions, based on preoperative computed tomography data. T...To evaluate the feasibility and accuracy of a three-dimensional augmented reality system incorporating integral videography for imaging oral and maxillofacial regions, based on preoperative computed tomography data. Three-dimensional surface models of the jawbones, based on the computed tomography data, were used to create the integral videography images of a subject＇s maxillofacial area. The three-dimensional augmented reality system （integral videography display, computed tomography, a position tracker and a computer） was used to generate a three-dimensional overlay that was projected on the surgical site via a half-silvered mirror. Thereafter, a feasibility study was performed on a volunteer. The accuracy of this system was verified on a solid model while simulating bone resection. Positional registration was attained by identifying and tracking the patient/surgical instrument＇s position. Thus, integral videography images of jawbones, teeth and the surgical tool were superimposed in the correct position. Stereoscopic images viewed from various angles were accurately displayed. Change in the viewing angle did not negatively affect the surgeon＇s ability to simultaneously observe the three-dimensional images and the patient, without special glasses. The difference in three-dimensional position of each measuring point on the solid model and augmented reality navigation was almost negligible （〈1 mm）; this indicates that the system was highly accurate. This augmented reality system was highly accurate and effective for surgical navigation and for overlaying a three-dimensional computed tomography image on a patient＇s surgical area, enabling the surgeon to understand the positional relationship between the preoperative image and the actual surgical site, with the naked eye.展开更多
The objective of this work is to model the microstructure of asphalt mixture and build virtual test for asphalt mixture by using Particle Flow Code in three dimensions(PFC^(3D))based on three-dimensional discrete elem...The objective of this work is to model the microstructure of asphalt mixture and build virtual test for asphalt mixture by using Particle Flow Code in three dimensions(PFC^(3D))based on three-dimensional discrete element method.A randomly generating algorithm was proposed to capture the three-dimensional irregular shape of coarse aggregate.And then,modeling algorithm and method for graded aggregates were built.Based on the combination of modeling of coarse aggregates,asphalt mastic and air voids,three-dimensional virtual sample of asphalt mixture was modeled by using PFC^(3D).Virtual tests for penetration test of aggregate and uniaxial creep test of asphalt mixture were built and conducted by using PFC^(3D).By comparison of the testing results between virtual tests and actual laboratory tests,the validity of the microstructure modeling and virtual test built in this study was verified.Additionally,compared with laboratory test,the virtual test is easier to conduct and has less variability.It is proved that microstructure modeling and virtual test based on three-dimensional discrete element method is a promising way to conduct research of asphalt mixture.展开更多
The use of virtual reality to educate preoperative patients has a positive impact on nurses as well as patients undergoing treatment.It can help improve patient satisfaction and improve favorable outcomes by reducing ...The use of virtual reality to educate preoperative patients has a positive impact on nurses as well as patients undergoing treatment.It can help improve patient satisfaction and improve favorable outcomes by reducing patient anxiety and proving adequate knowledge about the procedure and possible outcomes to the patient.It also reduces burden on nursing staff and counsellors.Larger and more diverse cohort studies will help us understand the wider application of this tool on the patient population.It may be difficult to apply this tool on elderly patients with failing eyesight,multiple physical comorbidities.Also,there may be reduced acceptance of this modality by older nursing staff and practitioners who may prefer the traditional verbal version for counselling.We will benefit from a combined approach of using virtual reality apps with tradition one-on-one counselling to help alleviate patient concerns and improve patient and healthcare professional satisfaction.展开更多
A method of 3 D kinematics simulation of robot fighting platform （RFP） in virtual environment is proposed with the aim of enhancing vision telepresence. Based on the theory of space coordinate transformation, kinema...A method of 3 D kinematics simulation of robot fighting platform （RFP） in virtual environment is proposed with the aim of enhancing vision telepresence. Based on the theory of space coordinate transformation, kinematics equat!ons of RFP are formulated; followed by applying a method of modeling using 3DMAX software to build an RFP＇s 3D geometric model before a 3D kinematics simulation system of RFP is completed based on virtual reality technology and Open Inventor VC ＋ ＋. Test results have indicated that this system can perform RFP＇s kinematics simulation in virtual environment. It can also imitate RFP＇s motion states and environmental features well. Moreover, not only can better real-time performances and interactions be achieved but also operator＇s vision telepresence be enhanced, therefore this approach may help lay the foundation for the realization of RFP＇s teleoperation with vision telepresence.展开更多
This research pioneers the integration of geographic information systems(GIS)and 3D modeling within a virtual reality(VR)framework to assess the viability and planning of a 20 MW hybrid wind-solarphotovoltaic(PV)syste...This research pioneers the integration of geographic information systems(GIS)and 3D modeling within a virtual reality(VR)framework to assess the viability and planning of a 20 MW hybrid wind-solarphotovoltaic(PV)system connected to the local grid.The study focuses on Dakhla,Morocco,a region with vast untapped renewable energy potential.By leveraging GIS,we are innovatively analyzing geographical and environmental factors that influence optimal site selection and system design.The incorporation of VR technologies offers an unprecedented level of realism and immersion,allowing stakeholders to virtually experience the project's impact and design in a dynamic,interactive environment.This novel methodology includes extensive data collection,advanced modeling,and simulations,ensuring that the hybrid system is precisely tailored to the unique climatic and environmental conditions of Dakhla.Our analysis reveals that the region possesses a photovoltaic solar potential of approximately2400 k Wh/m^(2) per year,with an average annual wind power density of about 434 W/m^(2) at an 80-meter hub height.Productivity simulations indicate that the 20 MW hybrid system could generate approximately 60 GWh of energy per year and 1369 GWh over its 25-year lifespan.To validate these findings,we employed the System Advisor Model(SAM)software and the Global Solar Photovoltaic Atlas platform.This comprehensive and interdisciplinary approach not only provides a robust assessment of the system's feasibility but also offers valuable insights into its potential socio-economic and environmental impact.展开更多
Background This study aims at addressing the lack of closed-loop feedback optimization enabling tool in aircraft automatic spraying systems;we systematically analyze a three-dimensional(3D)virtual-real mapping techniq...Background This study aims at addressing the lack of closed-loop feedback optimization enabling tool in aircraft automatic spraying systems;we systematically analyze a three-dimensional(3D)virtual-real mapping technique,namely the digital twin technique,used by the automatic spraying system.Methods With the sensors installed in the spraying system,the spraying working parameters are collected online and are used for driving the 3D virtual spraying system to realize the total-factor monitoring of the spraying operation.Furthermore,the operation-evaluation model is applied for analyzing and managing the key indexes of the spraying quality;once the data value of the key indexes exceeds a threshold,the operation shall be optimized automatically.Results This approach can effectively support the high-efficiency analysis,evaluation,and optimization of the spraying process.展开更多
Purpose: This study aimed to investigate the immediate effects of optokinetic stimulation (OKS) using virtual reality (VR) on visual dependency and sensory reweighting in postural control during static standing. Speci...Purpose: This study aimed to investigate the immediate effects of optokinetic stimulation (OKS) using virtual reality (VR) on visual dependency and sensory reweighting in postural control during static standing. Specifically, it examined whether VR-based OKS could reduce visual dependency more effectively than visual deprivation through eye closure. Methods: Ten healthy adults participated in this study. A balance function meter was used to measure postural stability, including Romberg ratios before and after two conditions: VR-based OKS (VR + OKS) and eye closure (EC). Participants performed a two-minute standing task under each condition in random order, with adequate rest between tasks. In the VR + OKS condition, a smartphone-based VR headset presented a rotational OKS, while in the EC condition, participants stood with their eyes closed. Statistical analyses were conducted using paired t-tests to compare pre- and post-task Romberg ratios. Results: No significant differences were observed in the pre-task Romberg ratios between conditions. After the VR + OKS condition, significant reductions in Romberg A and Romberg V were observed. In contrast, no significant changes were noted in Romberg ratios after the EC condition. Conclusion: VR-based OKS significantly reduced visual dependency, as indicated by decreased Romberg ratios, suggesting its potential to facilitate sensory reweighting during postural control. These findings highlight the utility of low-cost VR devices in balance rehabilitation for conditions involving high visual dependency. Future studies should expand on this preliminary research by including larger sample sizes and diverse populations to confirm its clinical applicability.展开更多
Objective:We aimed to perform a systematic review and meta-analysis to assess the efficacy of virtual reality(VR)distraction technologies in managing pain and anxiety in patients undergoing cystoscopy procedures.Metho...Objective:We aimed to perform a systematic review and meta-analysis to assess the efficacy of virtual reality(VR)distraction technologies in managing pain and anxiety in patients undergoing cystoscopy procedures.Methods:We searched PubMed,Embase,and the Cochrane Central Register of Controlled Trials from inception to July 2024,for studies comparing the use of VR distraction technologies versus no VR distraction in patients undergoing cystoscopy.The primary endpoints evaluated were patient-reported anxiety and procedural pain scores,and post-procedural heart rate(HR).Standardized mean differences(SMDs)and their 95%confidence intervals(CIs)were computed with the use of a random-effects model.The statistical analysis was conducted using Review Manager 5.4.Results:A total of 575 patients from four randomized controlled trials were included,of whom 289(50%)underwent the cystoscopy procedure using VR distraction technologies.The mean age of all patients was 57.25 years old,and 395(69%)of them were male.In our pooled analysis,we did not observe a statistically significant reduction in patient-reported procedural pain(SMD=0.16;95%CI=0.32-0.00;p=0.060;I^(2)=0%),anxiety(SMD=0.37;95%CI=1.65-0.90;p=0.6;I^(2)=93%),or post-procedural HR(SMD=0.58;95%CI=1.62-0.45;p=0.3;I^(2)=97%).Conclusion:In this comprehensive meta-analysis comprising 575 patients who underwent cystoscopy,the use of VR was not associated with a significant difference in pain,anxiety,or HR levels.展开更多
Objective:Partial or segmental inferior vena cava(IVC)resection is indicated for tumor control in patients with renal tumors invading the IVC.This study aimed to introduce a virtual vascular endoscope to assist surgeo...Objective:Partial or segmental inferior vena cava(IVC)resection is indicated for tumor control in patients with renal tumors invading the IVC.This study aimed to introduce a virtual vascular endoscope to assist surgeons in locating IVC invasion,formulate a surgical plan for robot-assisted IVC thrombectomy(RA-IVCT),and evaluate its potential value.Methods:The reconstruction involves building the construction of deep learning models to predict IVC invasion,which were evaluated via intraoperative findings and pathological analysis.Thirty-six patients with renal tumors and IVC thrombi who underwent RA-IVCT between June 2016 and March 2022 were included in the study.A virtual vascular endoscopy was performed based on preoperative CT findings to identify IVC invasion.Based on the extent of IVC wall invasion and the collateral situation,surgeons could decide whether to perform partial or segmental IVC resection during RA-IVCT.Results:Twenty patients were retrospectively analysed for training in virtual vascular endoscopy(the training cohort),and 16 patients were prospectively analysed to evaluate the accuracy of this technique(the validation cohort).Sixteen patients with IVC invasion underwent cavectomy,whereas six patients underwent partial IVC resection.In the validation cohort,pathological analysis confirmed the exact location of IVC invasion in eight of the nine patients,as indicated by virtual vascular endoscopy.Patients who underwent partial IVC wall resection had less lower extremity edema than those who underwent cavectomy.Conclusion:Our initial experience showed that the virtual vascular endoscopy could assist surgeons in identifying IVC invasion and creating a surgical plan for RA-IVCT.展开更多
文摘The virtual reality based motion simulation of the guide wire and the catheter inside specific vascular structures can benefit a lot for the endovascular intervention. A fast and well-performed collision cancellation algorithm is proposed based on the geometric analysis and the angular propagation （AP）, and a 3-D real-time interactive system is developed for the motion simulation of the guide wire and the catheter inside the specific patient vascular. The guide wire or the catheter is modeled as the ＂multi-body＂ representation and properties are defined by its intrinsic characteristics. The motion of the guide wire or the catheter inside the vascular is guided by the collision detection and the collision cancellation algorithm. Finally, a relaxation procedure is used to achieve more realistic status. Experimental results show that the behavior of the guide wire or the catheter depends on the defined parameters. The real-time simulation can be achieved. The result shows that the simulation system is effective and promising.
文摘Background:Submarine personnel often experience insomnia and reduced psychological resilience due to extended deployments in confined,high-stress environments.Effective non-pharmacological interventions are needed to improve sleep quality and resilience in this population.This study aimed to investigate the effect of virtual reality(VR)combined with forest therapy interventions on psychological resilience and sleep quality among submarine personnel with insomnia symptoms.Methods:Using convenience sampling,92 submarine personnel with insomnia symptoms undergoing recuperation at a PLA sanatorium between July 2023 and May 2025 were randomly allocated to experimental and control groups(n=46 each).The control group received forest therapy intervention,while the intervention group received combined VR and forest therapy interventions.Pre-and post-intervention assessments were conducted using the Pittsburgh Sleep Quality Index(PSQI)and Connor-Davidson Resilience Scale(CD-RISC).Results:There is no significant differences between two groups before the intervention on sleep or psychological resilience.Both groups showed significant pre-to post-intervention improvements in sleep and resilience;however,mixed-ANOVA results showed that the intervention(VR+forest therapy)group achieved significantly better outcomes than the control group at post-intervention after Bonferroni correction,including lower PSQI total and key component scores(subjective sleep quality,sleep efficiency,daytime dysfunction)and higher CD-RISC resilience scores.Conclusions:The integration of virtual reality and forest therapy effectively improved sleep quality and psychological resilience among submarine personnel with insomnia symptoms.This combined intervention shows promise as a non-pharmacological approach in military healthcare settings;however,further studies are needed to validate and generalize these findings.
基金supported by the National Natural Science Foundation of China(Nos.12175321,W2443004,11975021,11675275,U1932101)Strategic Priority Research Program of the Chinese Academy of Sciences(No.XDA10010900)+2 种基金National Key Research and Development Program of China(Nos.2023YFA1606000 and 2020YFA0406400)National College Students Science and Technology Innovation ProjectUndergraduate Base Scientific Research Project of Sun Yat-sen University。
文摘Detector and event visualization are crucial components of high-energy physics(HEP)experimental software.Virtual reality(VR)technologies and multimedia development platforms,such as Unity,offer enhanced display effects and flexible extensibility for visualization in HEP experiments.In this study,we present a VR-based method for detector and event displays in the Jiangmen Underground Neutrino Observatory(JUNO)experiment.This method shares the same detector geometry descriptions and event data model as those in the offline software and provides the necessary data conversion interfaces.The VR methodology facilitates an immersive exploration of the virtual environment in JUNO,enabling users to investigate the detector geometry,visualize event data,and tune the detector simulation and event reconstruction algorithms.Additionally,this approach supports applications in data monitoring,physics data analysis,and public outreach initiatives.
基金supported by a project supported by Scientific Research Fund of Zhejiang Provincial Education Department(Grant number Y202457058).
文摘Objectives This scoping review aimed to identify and summarize the current research on virtual reality(VR)technologies used for health education in cancer patients,as well as to identify key areas of application.Methods In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines,a comprehensive literature search was performed across 11 electronic databases and gray literature sources from inception to 12 September 2025.Studies employing immersive VR tools to improve health education outcomes in cancer patients were included.Data extraction and thematic synthesis were conducted to map evidence regarding VR modalities,educational applications,and outcome measures.Results Twenty-eight studies met the inclusion criteria.VR was applied across four primary educational scenarios,including radiotherapy,chemotherapy,surgery,and healthy behavior(including rehabilitation,smoking cessation,and self-management).Eight distinct VR modalities were identified,namely VR videos,virtual environments,virtual environment for radiotherapy training(VERT),VR interactions,3D models,VR games,VR non-player characters(VR NPCs),and virtual libraries.Among these,VR videos(50.0%),virtual environments(46.4%),and VR interactions(28.6%)were the most frequently employed.The interventions led to significant improvements in patient knowledge,skills,attitudes,health behaviors,and psychological well-being.A clear evolution in VR educational approaches has been observed,shifting from static environmental familiarization toward interactive,gamified,and intelligence-driven experiences.Nevertheless,notable gaps remain regarding safety protocols and data privacy protections,with only a minority of studies addressing these issues.Conclusions VR technologies demonstrate considerable promise as an innovative educational tool in oncology care,enhancing patient understanding,psychological preparedness,and engagement throughout the cancer journey.Future implementation must address infrastructural,ethical,and user-centered design barriers to facilitate the scalable and sustainable integration of this approach into clinical practice.
基金Supported by the Key Special Project of“Cutting-Edge Biotechnology”in the National Key Research and Development Program of China(No.2024YFC3406200)Sanming Project of Medicine in Shenzhen(No.SZSM202411007)Shenzhen Science and Technology Program(No.JCYJ20240813152704006).
文摘Conventional surgical teaching techniques face several challenges,highlighting a necessity for ongoing innovation in ophthalmology education to align with the evolving demands of clinical practice.The recent rapid advancement of computer technology has enabled the integration of virtual reality(VR)into medical training,thereby revolutionizing ophthalmic surgical education through VRbased educational methods.VR technology offers a safe,risk-free environment for trainees to practice repeatedly,enhancing surgical skills and accelerating the learning curve without compromising patient safety.This research outlines the application of VR technology in ophthalmic surgical skills training,particularly in cataract and vitreoretinal surgery.Including assessing the effectiveness of intraocular surgery training systems,evaluating skills transfer to the operating room,comparing it with wet lab cataract surgery training,and enhancing non-dominant hand training for cataract surgery,among other aspects.Additionally,this paper will identify the limitations of VR technology in ocular surgical skills training,offer improvement strategies,and detail the advantages and prospects,with the objective of guiding subsequent researchers.
文摘BACKGROUND Hepatobiliary surgery is complex and requires a thorough understanding of the liver’s anatomy,biliary system,and vasculature.Traditional imaging methods such as computed tomography(CT)and magnetic resonance imaging(MRI),although helpful,fail to provide three-dimensional(3D)relationships of these structures,which are critical for planning and executing complicated surgeries.AIM To explore the use of 3D imaging and virtual surgical planning(VSP)technologies to improve surgical accuracy,reduce complications,and enhance patient recovery in hepatobiliary surgeries.METHODS A comprehensive review of studies published between 2017 and 2024 was conducted through PubMed,Scopus,Google Scholar,and Web of Science.Studies selected focused on 3D imaging and VSP applications in hepatobiliary surgery,assessing surgical precision,complications,and patient outcomes.Thirty studies,including randomized controlled trials,cohort studies,and case reports,were included in the final analysis.RESULTS Various 3D imaging modalities,including multidetector CT,MRI,and 3D rotational angiography,provide high-resolution views of the liver’s vascular and biliary anatomy.VSP allows surgeons to simulate complex surgeries,improving preoperative planning and reducing complications like bleeding and bile leaks.Several studies have demonstrated improved surgical precision,reduced complications,and faster recovery times when 3D imaging and VSP were used in complex surgeries.CONCLUSION 3D imaging and VSP technologies significantly enhance the accuracy and outcomes of hepatobiliary surgeries by providing individualized preoperative planning.While promising,further research,particularly randomized controlled trials,is needed to standardize protocols and evaluate long-term efficacy.
文摘Artificial intelligence(AI)is the study of algorithms that enable machines to analyze and execute cognitive activities including problem solving,object and word recognition,reduce the inevitable errors to improve the diagnostic accuracy,and decision-making.Hepatobiliary procedures are technically complex and the use of AI in perioperative management can improve patient outcomes as discussed below.Three-dimensional(3D)reconstruction of images obtained via ultrasound,computed tomography scan or magnetic resonance imaging,can help surgeons better visualize the surgical sites with added depth perception.Preoperative 3D planning is associated with lesser operative time and intraoperative complications.Also,a more accurate assessment is noted,which leads to fewer operative complications.Images can be converted into physical models with 3D printing technology,which can be of educational value to students and trainees.3D images can be combined to provide 3D visualization,which is used for preoperative navigation,allowing for more precise localization of tumors and vessels.Nevertheless,AI enables surgeons to provide better,personalized care for each patient.
基金Postdoctoral Fund of China (No. 2003034518), Fund of Health Bureau of Zhejiang Province (No. 2004B042), China
文摘This research studies the process of 3D reconstruction and dynamic concision based on 2D medical digital images using virtual reality modelling language (VRML) and JavaScript language, with a focus on how to realize the dynamic concision of 3D medical model with script node and sensor node in VRML. The 3D reconstruction and concision of body internal organs can be built with such high quality that they are better than those obtained from the traditional methods. With the function of dynamic concision, the VRML browser can offer better windows for man-computer interaction in real-time environment than ever before. 3D reconstruction and dynamic concision with VRML can be used to meet the requirement for the medical observation of 3D reconstruction and have a promising prospect in the fields of medical imaging.
文摘Objective:This study aimed to explore the applications of three-dimensional (3D) technology, including virtual reality, augmented reality (AR), and 3D printing system, in the field of medicine, particularly in renal interventions for cancer treatment.Methods:A specialized software transforms 2D medical images into precise 3D digital models, facilitating improved anatomical understanding and surgical planning. Patient-specific 3D printed anatomical models are utilized for preoperative planning, intraoperative guidance, and surgical education. AR technology enables the overlay of digital perceptions onto real-world surgical environments.Results:Patient-specific 3D printed anatomical models have multiple applications, such as preoperative planning, intraoperative guidance, trainee education, and patient counseling. Virtual reality involves substituting the real world with a computer-generated 3D environment, while AR overlays digitally created perceptions onto the existing reality. The advances in 3D modeling technology have sparked considerable interest in their application to partial nephrectomy in the realm of renal cancer. 3D printing, also known as additive manufacturing, constructs 3D objects based on computer-aided design or digital 3D models. Utilizing 3D-printed preoperative renal models provides benefits for surgical planning, offering a more reliable assessment of the tumor's relationship with vital anatomical structures and enabling better preparation for procedures. AR technology allows surgeons to visualize patient-specific renal anatomical structures and their spatial relationships with surrounding organs by projecting CT/MRI images onto a live laparoscopic video. Incorporating patient-specific 3D digital models into healthcare enhances best practice, resulting in improved patient care, increased patient satisfaction, and cost saving for the healthcare system.
文摘Medical procedures are inherently invasive and carry the risk of inducing pain to the mind and body.Recently,efforts have been made to alleviate the discomfort associated with invasive medical procedures through the use of virtual reality(VR)technology.VR has been demonstrated to be an effective treatment for pain associated with medical procedures,as well as for chronic pain conditions for which no effective treatment has been established.The precise mechanism by which the diversion from reality facilitated by VR contributes to the diminution of pain and anxiety has yet to be elucidated.However,the provision of positive images through VR-based visual stimulation may enhance the functionality of brain networks.The salience network is diminished,while the default mode network is enhanced.Additionally,the medial prefrontal cortex may establish a stronger connection with the default mode network,which could result in a reduction of pain and anxiety.Further research into the potential of VR technology to alleviate pain could lead to a reduction in the number of individuals who overdose on painkillers and contribute to positive change in the medical field.
基金supported by a project of the National Natural Science Foundation of China:Research on the integration of artificial intelligence and virtual reality technology to promote psychological rehabilitation of breast cancer patients with different personalities(project approval no.82073408).
文摘Objectives:To explore the efficacy and safety of virtual reality(VR)in relieving negative emotions in patients with breast cancer with different personalities.Methods:A randomized controlled trial was conducted.Between April 2023 and October 2023,we enrolled patients with breast cancer treated in the Department of Breast Cancer and Oncology at Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangdong Province.The patients were randomly divided into an intervention group(n=118)and a control group(n=119)using block randomization.The intervention group received the VR intervention 3-5 times over 5±2 weeks using natural landscapes with music or relaxation guidance,and the duration of each VR intervention was 15±3 min.The control group received routine nursing care,including disease education and psychological counseling.Patients were assessed using the Type D Scale,Positive and Negative Affect Scale,and Distress Thermometer,and adverse events during the intervention were recorded.Results:Overall,85 patients completed the study(44 in the intervention group and 41 in the control group).Patients with Type D personalities showed more negative emotions[25.0(21.5,27.5)vs.19.0(16.0,24.0),P=0.001]and distressed attitudes[4.0(2.0,5.0)vs.3.0(1.0,4.0),P=0.020]with fewer positive emotions(27.2±5.6 vs.31.0±5.9,P=0.014)than those with non-Type D personalities.Total population analysis revealed no significant differences between the groups.However,in the subgroup analysis,patients with Type D personalities in the intervention group showed greater relief from negative emotions than those in the control group[median difference,-5.0(-9.0,-2.5)vs.-2.0(-4.0,2.0),P=0.046].No significant differences were found between groups of patients with non-Type D personality traits.The proportion of adverse events was not significantly different between groups(P=0.110).Conclusions:Breast cancer patients with Type D personalities suffer more severe negative emotions and distress,and more attention should be paid to them.VR intervention significantly and safely reduced negative emotions in patients with Type D personalities.
基金supported by a Grant-in-Aid for Scientific Research (22659366) from the Japan Society for the Promotion of Science
文摘To evaluate the feasibility and accuracy of a three-dimensional augmented reality system incorporating integral videography for imaging oral and maxillofacial regions, based on preoperative computed tomography data. Three-dimensional surface models of the jawbones, based on the computed tomography data, were used to create the integral videography images of a subject＇s maxillofacial area. The three-dimensional augmented reality system （integral videography display, computed tomography, a position tracker and a computer） was used to generate a three-dimensional overlay that was projected on the surgical site via a half-silvered mirror. Thereafter, a feasibility study was performed on a volunteer. The accuracy of this system was verified on a solid model while simulating bone resection. Positional registration was attained by identifying and tracking the patient/surgical instrument＇s position. Thus, integral videography images of jawbones, teeth and the surgical tool were superimposed in the correct position. Stereoscopic images viewed from various angles were accurately displayed. Change in the viewing angle did not negatively affect the surgeon＇s ability to simultaneously observe the three-dimensional images and the patient, without special glasses. The difference in three-dimensional position of each measuring point on the solid model and augmented reality navigation was almost negligible （〈1 mm）; this indicates that the system was highly accurate. This augmented reality system was highly accurate and effective for surgical navigation and for overlaying a three-dimensional computed tomography image on a patient＇s surgical area, enabling the surgeon to understand the positional relationship between the preoperative image and the actual surgical site, with the naked eye.
基金Project(51378006) supported by National Natural Science Foundation of ChinaProject(141076) supported by Huoyingdong Foundation of the Ministry of Education of China+1 种基金Project(2242015R30027) supported by Excellent Young Teacher Program of Southeast University,ChinaProject(BK20140109) supported by the Natural Science Foundation of Jiangsu Province,China
文摘The objective of this work is to model the microstructure of asphalt mixture and build virtual test for asphalt mixture by using Particle Flow Code in three dimensions(PFC^(3D))based on three-dimensional discrete element method.A randomly generating algorithm was proposed to capture the three-dimensional irregular shape of coarse aggregate.And then,modeling algorithm and method for graded aggregates were built.Based on the combination of modeling of coarse aggregates,asphalt mastic and air voids,three-dimensional virtual sample of asphalt mixture was modeled by using PFC^(3D).Virtual tests for penetration test of aggregate and uniaxial creep test of asphalt mixture were built and conducted by using PFC^(3D).By comparison of the testing results between virtual tests and actual laboratory tests,the validity of the microstructure modeling and virtual test built in this study was verified.Additionally,compared with laboratory test,the virtual test is easier to conduct and has less variability.It is proved that microstructure modeling and virtual test based on three-dimensional discrete element method is a promising way to conduct research of asphalt mixture.
文摘The use of virtual reality to educate preoperative patients has a positive impact on nurses as well as patients undergoing treatment.It can help improve patient satisfaction and improve favorable outcomes by reducing patient anxiety and proving adequate knowledge about the procedure and possible outcomes to the patient.It also reduces burden on nursing staff and counsellors.Larger and more diverse cohort studies will help us understand the wider application of this tool on the patient population.It may be difficult to apply this tool on elderly patients with failing eyesight,multiple physical comorbidities.Also,there may be reduced acceptance of this modality by older nursing staff and practitioners who may prefer the traditional verbal version for counselling.We will benefit from a combined approach of using virtual reality apps with tradition one-on-one counselling to help alleviate patient concerns and improve patient and healthcare professional satisfaction.
基金Sponsored by Independent Research Projects of State Key Laboratory (ZDKT08-05)
文摘A method of 3 D kinematics simulation of robot fighting platform （RFP） in virtual environment is proposed with the aim of enhancing vision telepresence. Based on the theory of space coordinate transformation, kinematics equat!ons of RFP are formulated; followed by applying a method of modeling using 3DMAX software to build an RFP＇s 3D geometric model before a 3D kinematics simulation system of RFP is completed based on virtual reality technology and Open Inventor VC ＋ ＋. Test results have indicated that this system can perform RFP＇s kinematics simulation in virtual environment. It can also imitate RFP＇s motion states and environmental features well. Moreover, not only can better real-time performances and interactions be achieved but also operator＇s vision telepresence be enhanced, therefore this approach may help lay the foundation for the realization of RFP＇s teleoperation with vision telepresence.
文摘This research pioneers the integration of geographic information systems(GIS)and 3D modeling within a virtual reality(VR)framework to assess the viability and planning of a 20 MW hybrid wind-solarphotovoltaic(PV)system connected to the local grid.The study focuses on Dakhla,Morocco,a region with vast untapped renewable energy potential.By leveraging GIS,we are innovatively analyzing geographical and environmental factors that influence optimal site selection and system design.The incorporation of VR technologies offers an unprecedented level of realism and immersion,allowing stakeholders to virtually experience the project's impact and design in a dynamic,interactive environment.This novel methodology includes extensive data collection,advanced modeling,and simulations,ensuring that the hybrid system is precisely tailored to the unique climatic and environmental conditions of Dakhla.Our analysis reveals that the region possesses a photovoltaic solar potential of approximately2400 k Wh/m^(2) per year,with an average annual wind power density of about 434 W/m^(2) at an 80-meter hub height.Productivity simulations indicate that the 20 MW hybrid system could generate approximately 60 GWh of energy per year and 1369 GWh over its 25-year lifespan.To validate these findings,we employed the System Advisor Model(SAM)software and the Global Solar Photovoltaic Atlas platform.This comprehensive and interdisciplinary approach not only provides a robust assessment of the system's feasibility but also offers valuable insights into its potential socio-economic and environmental impact.
基金Sichuan Civil-Military Inosculation Special Fund(ZYF-2017-66).
文摘Background This study aims at addressing the lack of closed-loop feedback optimization enabling tool in aircraft automatic spraying systems;we systematically analyze a three-dimensional(3D)virtual-real mapping technique,namely the digital twin technique,used by the automatic spraying system.Methods With the sensors installed in the spraying system,the spraying working parameters are collected online and are used for driving the 3D virtual spraying system to realize the total-factor monitoring of the spraying operation.Furthermore,the operation-evaluation model is applied for analyzing and managing the key indexes of the spraying quality;once the data value of the key indexes exceeds a threshold,the operation shall be optimized automatically.Results This approach can effectively support the high-efficiency analysis,evaluation,and optimization of the spraying process.
文摘Purpose: This study aimed to investigate the immediate effects of optokinetic stimulation (OKS) using virtual reality (VR) on visual dependency and sensory reweighting in postural control during static standing. Specifically, it examined whether VR-based OKS could reduce visual dependency more effectively than visual deprivation through eye closure. Methods: Ten healthy adults participated in this study. A balance function meter was used to measure postural stability, including Romberg ratios before and after two conditions: VR-based OKS (VR + OKS) and eye closure (EC). Participants performed a two-minute standing task under each condition in random order, with adequate rest between tasks. In the VR + OKS condition, a smartphone-based VR headset presented a rotational OKS, while in the EC condition, participants stood with their eyes closed. Statistical analyses were conducted using paired t-tests to compare pre- and post-task Romberg ratios. Results: No significant differences were observed in the pre-task Romberg ratios between conditions. After the VR + OKS condition, significant reductions in Romberg A and Romberg V were observed. In contrast, no significant changes were noted in Romberg ratios after the EC condition. Conclusion: VR-based OKS significantly reduced visual dependency, as indicated by decreased Romberg ratios, suggesting its potential to facilitate sensory reweighting during postural control. These findings highlight the utility of low-cost VR devices in balance rehabilitation for conditions involving high visual dependency. Future studies should expand on this preliminary research by including larger sample sizes and diverse populations to confirm its clinical applicability.
文摘Objective:We aimed to perform a systematic review and meta-analysis to assess the efficacy of virtual reality(VR)distraction technologies in managing pain and anxiety in patients undergoing cystoscopy procedures.Methods:We searched PubMed,Embase,and the Cochrane Central Register of Controlled Trials from inception to July 2024,for studies comparing the use of VR distraction technologies versus no VR distraction in patients undergoing cystoscopy.The primary endpoints evaluated were patient-reported anxiety and procedural pain scores,and post-procedural heart rate(HR).Standardized mean differences(SMDs)and their 95%confidence intervals(CIs)were computed with the use of a random-effects model.The statistical analysis was conducted using Review Manager 5.4.Results:A total of 575 patients from four randomized controlled trials were included,of whom 289(50%)underwent the cystoscopy procedure using VR distraction technologies.The mean age of all patients was 57.25 years old,and 395(69%)of them were male.In our pooled analysis,we did not observe a statistically significant reduction in patient-reported procedural pain(SMD=0.16;95%CI=0.32-0.00;p=0.060;I^(2)=0%),anxiety(SMD=0.37;95%CI=1.65-0.90;p=0.6;I^(2)=93%),or post-procedural HR(SMD=0.58;95%CI=1.62-0.45;p=0.3;I^(2)=97%).Conclusion:In this comprehensive meta-analysis comprising 575 patients who underwent cystoscopy,the use of VR was not associated with a significant difference in pain,anxiety,or HR levels.
基金supported by the National Natural Science Foundation of China(No.82273412 to Huang Q).
文摘Objective:Partial or segmental inferior vena cava(IVC)resection is indicated for tumor control in patients with renal tumors invading the IVC.This study aimed to introduce a virtual vascular endoscope to assist surgeons in locating IVC invasion,formulate a surgical plan for robot-assisted IVC thrombectomy(RA-IVCT),and evaluate its potential value.Methods:The reconstruction involves building the construction of deep learning models to predict IVC invasion,which were evaluated via intraoperative findings and pathological analysis.Thirty-six patients with renal tumors and IVC thrombi who underwent RA-IVCT between June 2016 and March 2022 were included in the study.A virtual vascular endoscopy was performed based on preoperative CT findings to identify IVC invasion.Based on the extent of IVC wall invasion and the collateral situation,surgeons could decide whether to perform partial or segmental IVC resection during RA-IVCT.Results:Twenty patients were retrospectively analysed for training in virtual vascular endoscopy(the training cohort),and 16 patients were prospectively analysed to evaluate the accuracy of this technique(the validation cohort).Sixteen patients with IVC invasion underwent cavectomy,whereas six patients underwent partial IVC resection.In the validation cohort,pathological analysis confirmed the exact location of IVC invasion in eight of the nine patients,as indicated by virtual vascular endoscopy.Patients who underwent partial IVC wall resection had less lower extremity edema than those who underwent cavectomy.Conclusion:Our initial experience showed that the virtual vascular endoscopy could assist surgeons in identifying IVC invasion and creating a surgical plan for RA-IVCT.
