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Transforming Anatomy Education with Mixed Reality: A CurriculumBased Study Using a Holographic Anatomy Software Suite

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Introduction: Medical education faces increasing content demands, and digital anatomy atlases have become valuable adjuncts to traditional anatomy courses. However, most available atlases are limited to two-dimensional displays, restricting the interactive, spatial learning that is essential for deep anatomical understanding. In response, we developed and implemented a year-long anatomy course for first-year medical students at Jagiellonian University Medical College that integrated a mixed reality-based holographic anatomy software suite with mixed reality (MR) technology. This curriculum aimed to complement traditional anatomy education by offering interactive 3D holographic representations of anatomical structures, allowing realtime exploration and manipulation in a spatial context. Methods: A series of MR-enhanced anatomy lessons was created in alignment with the existing first-year anatomy curriculum. Sessions were conducted in a dedicated mixed reality laboratory, each led by an anatomy instructor trained in MR equipment and accommodating up to 9 students (with the instructor present as the 10th person). A total of 98 first-year medical students participated in the course. After each session, students were asked to complete a structured survey evaluating their experiences and perceptions of the MR learning environment. Ninety-four students (96% of participants) responded to at least one survey, and complete data from 85 students were included in the final analysis. Results: The vast majority of participants reported positive experiences with the MR- -based curriculum. Students indicated that the MR sessions enhanced their understanding of anatomical structures and spatial relationships. No significant differences in overall satisfaction were observed between student subgroups. For example, when grouped by prior anatomy coursework, 100% of students without prior anatomy experience and 95% of those with prior experience reported that they could identify anatomical structures after the MR sessions. Similarly, 90% vs. 93% of these groups, respectively, noted improved recognition of anatomical spatial relationships. When grouped by prior use of 3D visualization tools, some differences emerged in self-assessed proficiency: students with previous 3D experience reported greater ease in identifying structures (95% vs. 81%, p = 0.03) and understanding anatomical relationships (97% vs. 81%, p = 0.03), compared to those without such experience. In contrast, students without prior 3D experience found certain MR features more useful than did experienced students – for instance, 88% vs. 70% rated the layer toggle function as helpful (p = 0.048). Despite these subgroup variations, there was broad agreement on the value of MR: 71.8% of all respondents preferred a hybrid learning model combining MR with traditional methods, unanimously emphasizing that MR should supplement rather than replace cadaveric dissection. Discussion: Our findings suggest that MR technology is a valuable tool for enhancing anatomy education, particularly by enabling visualization of spatial relationships that are difficult to achieve with textbooks or cadaveric dissection alone. Students appreciated the interactive 3D features of the MR software, which fostered engagement and helped them explore complex anatomical details more intuitively. At the same time, participants recognized the continued importance of hands-on cadaveric labs for tactile learning experiences, indicating that an optimal approach is a hybrid, model integrating MR with traditional anatomy instruction. Notably, this study’s conclusions are drawn from self-reported student data, so any assumptions about long-term learning outcomes must be made cautiously. Future research should evaluate the impact of MR on objective learning measures (such as exam performance and knowledge retention over time) and explore best practices for integrating MR technology into anatomy curricula in diverse educational settings. Conclusions: Mixed reality technology was well-received by first-year medical students and effectively enhanced their spatial understanding of anatomical structures. MR sessions were found to be engaging, intuitive and supportive of traditional cadaveric dissection. Students strongly favored a hybrid learning model, suggesting that MR should supplement - not replace - classical methods in anatomy education.
Rocznik
Strony
24--39
Opis fizyczny
Bibliogr. 40 poz., rys., tab.
Twórcy
  • Center for Digital Medicine and Robotics, Jagiellonian University Medical College, Krakow, Poland
  • Students’ Scientific Group for Digital Medicine and Robotics, Jagiellonian University Medical College, Krakow, Poland
  • Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
  • Center for Digital Medicine and Robotics, Jagiellonian University Medical College, Krakow, Poland
autor
  • Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
  • Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
  • Students’ Scientific Group for Digital Medicine and Robotics, Jagiellonian University Medical College, Krakow, Poland
  • Students’ Scientific Group for Digital Medicine and Robotics, Jagiellonian University Medical College, Krakow, Poland
autor
  • AlensiaXR, Aurora, Ohio, United States
autor
  • AlensiaXR, Aurora, Ohio, United States
  • Department of Bioinformatics and Telemedicine, Jagiellonian University Medical College, Krakow, Poland
  • Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
Bibliografia
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  • 3. Weeks JK, Pakpoor J, Park BJ, Robinson NJ, Rubinstein NA, Prouty SM, et al. Harnessing Augmented Reality and CT to Teach First-Year Medical Students Head and Neck Anatomy. Acad Radiol. 2021 Jun 1;28(6):871-6.
  • 4. Maples-Keller JL, Bunnell BE, Kim SJ, Rothbaum BO. The use of virtual reality technology in the treatment of anxiety and other psychiatric disorders. Harv Rev Psychiatry. 2017;25(3):103-13.
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  • 6. Zilverschoon M, Custers EJ, Cate O, Kruitwagen CLJJ, Bleys RLAW. Support for using a three-dimensional anatomy application over anatomical atlases in a randomized comparison. Anat Sci Educ. 2022 Jan 1;15(1):178-86.
  • 7. Kolecki R, Pręgowska A, Dąbrowa J, Skuciński J, Pulanecki T, Walecki P, et al. Assessment of the utility of Mixed Reality in medical education. Transl. Res. Anat. 2022 Sep 1;28:100214.
  • 8. Kolla S, Elgawly M, Gaughan JP, Goldman E. Medical Student Perception of a Virtual Reality Training Module for Anatomy Education. Med Sci Educ. 2020 Sep 1;30(3):1201-10.
  • 9. Koucheki R, Lex JR, Morozova A, Ferri D, Hauer TM, Mirzaie S, et al. Immersive Virtual Reality and Cadaveric Bone are Equally Effective in Skeletal Anatomy Education: A Randomized Crossover Noninferiority Trial. J Surg Educ. 2023 Jul 1;80(7):1028-38.
  • 10. Stepan K, Zeiger J, Hanchuk S, Del Signore A, Shrivastava R, Govindaraj S, et al. Immersive virtual reality as a teaching tool for neuroanatomy. Int Forum Allergy Rhinol. 2017 Oct 18;7(10):1006-13.
  • 11. Bork F, Stratmann L, Enssle S, Eck U, Navab N, Waschke J, et al. The Benefits of an Augmented Reality Magic Mirror System for Integrated Radiology Teaching in Gross Anatomy. Anat Sci Educ. 2019 Nov 1;12(6):585-98.
  • 12. Bork F, Lehner A, Eck U, Navab N, Waschke J, Kugelmann D. The Effectiveness of Collaborative Augmented Reality in Gross Anatomy Teaching: A Quantitative and Qualitative Pilot Study. Anat Sci Educ. 2021 Sep 1;14(5):590-604.
  • 13. Bölek KA, De Jong G, van der Zee CEEM, van Cappellen van Walsum AM, Henssen DJHA. Mixed-methods exploration of students’ motivation in using augmented reality in neuroanatomy education with prosected specimens. Anat Sci Educ. 2022 Aug 1;15(5):839-49.
  • 14. Car LT, Kyaw BM, Teo A, Fox TE, Vimalesvaran S, Apfelbacher C, et al. Outcomes, Measurement Instruments, and Their Validity Evidence in Randomized Controlled Trials on Virtual, Augmented, and Mixed Reality in Undergraduate Medical Education: Systematic Mapping Review. JMIR Serious Games 2022;10(2):e29594.
  • 15. Car LT, Kyaw BM, Teo A, Fox TE, Vimalesvaran S, Apfelbacher C, et al. Outcomes, Measurement Instruments, and Their Validity Evidence in Randomized Controlled Trials on Virtual, Augmented, and Mixed Reality in Undergraduate Medical Education: Systematic Mapping Review. JMIR Serious Games 2022;10(2):e29594.
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  • 28. Tang KS, Cheng DL, Mi E, Greenberg PB. Augmented reality in medical education: a systematic review. Can Med Educ J. 2020 Dec 6;11(1):e81-e96.
  • 29. Chytas D, Johnson EO, Piagkou M, Mazarakis A, Babis GC, Chronopoulos E, et al. The role of augmented reality in Anatomical education: An overview. Ann. Anat. Anat. Anz. 2020 May 1;229:151463.
  • 30. Schneider J, Patfield M, Croft H, Salem S, Munro I. Introducing Augmented Reality Technology to Enhance Learning in Pharmacy Education: A Pilot Study. J. Pharm. Educ. Pract. 2020 Jun 30;8(3):109.
  • 31. Moro C, Štromberga Z, Raikos A, Stirling A. The effectiveness of virtual and augmented reality in health sciences and medical anatomy. Anat Sci Educ. 2017 Nov 1;10(6):549-59.
  • 32. Mcmenamin PG, Quayle MR, Mchenry CR, Adams JW. The production of anatomical teaching resources using three-dimensional (3D) printing technology. Anat Sci Educ. 2014 Nov 1;7(6):479-86.
  • 33. Kooloos JGM, Schepens-Franke AN, Bergman EM, Donders RART, Vorstenbosch MATM. Anatomical knowledge gain through a clay-modeling exercise compared to live and video observations. Anat Sci Educ. 2014 Nov 1;7(6):420-9.
  • 34. Mitrousias V, Karachalios TS, Varitimidis SE, Natsis K, Arvanitis DL, Zibis AH. Anatomy Learning from Prosected Cadaveric Specimens Versus Plastic Models: A Comparative Study of Upper Limb Anatomy. Anat Sci Educ. 2020 Jul 1;13(4):436-44.
  • 35. Grad P, Przeklasa-Bierowiec AM, Malinowski KP, Witowski J, Proniewska K, Tatoń G. Application of HoloLens-based augmented reality and three-dimensional printed anatomical tooth reference models in dental education. Anat Sci Educ. 2023 Jul 1;16(4):743-55.
  • 36. Tabernero Rico RD, Juanes Méndez JA, Prats Galino A. New Generation of Three-Dimensional Tools to Learn Anatomy. J Med Syst. 2017 May 1;41(5):1-5.
  • 37. Schubert R, Bomans M, Höhne KH, Pommert A, Riemer M, Schiemann T, et al. A new method for representing the human anatomy. Comput. Med. Imaging Graph. 1993 Jul 1;17(4-5):243-9.
  • 38. Papalois ZA, Aydln A, Khan A, Mazaris E, Rathnasamy Muthusamy AS, Dor FJMF, et al. HoloMentor: A Novel Mixed Reality Surgical Anatomy Curriculum for Robot-Assisted Radical Prostatectomy. Eur. Surg. Res. 2022 Mar 1;63(1):40-5.
  • 39. Veer V, Phelps C, Moro C. Incorporating Mixed Reality for Knowledge Retention in Physiology, Anatomy, Pathology, and Pharmacology Interdisciplinary Education: A Randomized Controlled Trial. Med Sci Educ. 2022 Dec 1;32(6):1579-86.
  • 40. Robinson BL, Mitchell TR, Brenseke BM. Evaluating the Use of Mixed Reality to Teach Gross and Microscopic Respiratory Anatomy. Med Sci Educ. 2020 Dec 1;30(4):1745-8.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-4f247d47-614d-4b21-ac83-ae502bc47434
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