Evidence map›Paper›PMID 33289675›Full record

ArticleJMIR cardio2020

A Novel Virtual Reality Medical Image Display System for Group Discussions of Congenital Heart Disease: Development and Usability Testing.

Byeol Kim, Yue-Hin Loke, Paige Mass, Matthew R Irwin, Conrad Capeland, Laura Olivieri, Axel Krieger

Open access · goldAbstract read
In one paragraph

Article in JMIR cardio, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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  3. Bringing paediatric coronary artery abnormalities into view: the role of virtual reality.European heart journal. Imaging methods and practice · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Byeol KimUniversity of Maryland, College Park, MD, United States.ORCID https://orcid.org/0000-0001-8289-9424
Yue-Hin LokeChildren's National Hospital, Washington, DC, United States.ORCID https://orcid.org/0000-0003-1003-1903
Paige MassChildren's National Hospital, Washington, DC, United States.ORCID https://orcid.org/0000-0002-5778-9300
Matthew R IrwinIndicated LLC, New York City, NY, United States.ORCID https://orcid.org/0000-0003-0376-9918
Conrad CapelandIndicated LLC, New York City, NY, United States.ORCID https://orcid.org/0000-0001-5948-0182
Laura OlivieriChildren's National Hospital, Washington, DC, United States.ORCID https://orcid.org/0000-0002-3783-0783
Axel KriegerUniversity of Maryland, College Park, MD, United States.ORCID https://orcid.org/0000-0001-8169-075X
Children's National · USUniversity of Maryland, College Park · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe complex 3-dimensional (3D) nature of anatomical abnormalities in congenital heart disease (CHD) necessitates multidisciplinary group discussions centered around the review of medical images such as magnetic resonance imaging. Currently, group viewings of medical images are constrained to 2-dimensional (2D) cross-sectional displays of 3D scans. However, 2D display methods could introduce additional challenges since they require physicians to accurately reconstruct the images mentally into 3D anatomies for diagnosis, staging, and planning of surgery or other therapies. Virtual reality (VR) software may enhance diagnosis and care of CHD via 3D visualization of medical images. Yet, present-day VR developments for medicine lack the emphasis on multiuser collaborative environments, and the effect of displays and level of immersion for diagnosing CHDs have not been studied.

objectiveThe objective of the study was to evaluate and compare the diagnostic accuracies and preferences of various display systems, including the conventional 2D display and a novel group VR software, in group discussions of CHD.

methodsA total of 22 medical trainees consisting of 1 first-year, 10 second-year, 4 third-year, and 1 fourth-year residents and 6 medical students, who volunteered for the study, were formed into groups of 4 to 5 participants. Each group discussed three diagnostic cases of CHD with varying structural complexity using conventional 2D display and group VR software. A group VR software, Cardiac Review 3D, was developed by our team using the Unity engine. By using different display hardware, VR was classified into nonimmersive and full-immersive settings. The discussion time, diagnostic accuracy score, and peer assessment were collected to capture the group and individual diagnostic performances. The diagnostic accuracies for each participant were scored by two experienced cardiologists following a predetermined answer rubric. At the end of the study, all participants were provided a survey to rank their preferences of the display systems for performing group medical discussions.

resultsDiagnostic accuracies were highest when groups used the full-immersive VR compared with the conventional and nonimmersive VR (χ

conclusionsThe most preferred display system among medical trainees for visualizing medical images during group diagnostic discussions is full-immersive VR, with a trend toward improved diagnostic accuracy in complex anatomical abnormalities. Immersion is a crucial feature of displays of medical images for diagnostic accuracy in collaborative discussions.

Indexed as

cardiac diagnosticscongenital heart diseasegroup collaborationusability studyvirtual reality

Identifiers

PMID33289675
PMCPMC7755535
OpenAlexW3094542112

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.