Evidence map›Paper›PMID 42387029›Full record

ArticleActa neurochirurgica2026

OpenOR - a virtual reality framework for medical education.

Florian Grimm, Brenno Santana Tagliavini, Felix Behling, Marcos Tatagiba, Borris Golinski, Patrick Haas, Isabel Gugel, Constantin Roder

Abstract read
In one paragraph

Article in Acta neurochirurgica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Florian GrimmDepartment of Neurosurgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany. florian.grimm@med.uni-tuebingen.de.ORCID 0000-0001-8862-814X
Brenno Santana TagliaviniDepartment of Neurosurgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.
Felix BehlingDepartment of Neurosurgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.
Marcos TatagibaDepartment of Neurosurgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.
Borris GolinskiDepartment of Neurosurgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.
Patrick HaasDepartment of Neurosurgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.
Isabel GugelDepartment of Neurosurgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.
Constantin RoderDepartment of Neurosurgery, University Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.

Funding

Medizinischen Fakultät, Eberhard Karls Universität Tübingen PROFIL PLUS medical education program
6 · The paper itself

Abstract

purposeVirtual reality (VR) is increasingly recognized as a powerful tool in medical training. It offers immersive, interactive environments ideal for exploring complex anatomy and procedures. With the advent of affordable hardware, VR can provide high-quality, cost-effective training experiences.

methodsWe developed the VR application OpenOR in Unity for medical education. It supports multi-user interaction with customizable avatars and hand-tracking for intuitive control. Designed for medical students and professionals, OpenOR enables the exploration of complete clinical case studies. This includes medical history, a virtual DICOM viewer, visualization of anatomical structures and pathologies derived from MRI segmentations, and the original 3D surgical videos for each case. In addition, the 3D MRI-based models are complemented by CAD (computer-aided design) models of real implants, such as VP shunts or aneurysm clips. A usability test was conducted with 30 medical students using structured questionnaires.

resultsThe pilot implementation demonstrated OpenOR's educational potential. Students reported increased engagement and a perceived improvement in understanding of anatomy and surgical workflows. The multi-user mode fostered collaborative learning, while hand-tracking supported intuitive interaction. The combination of virtual PACS viewing, interactive 3D models, and surgical 3D videos provided a realistic and integrated learning experience. The evaluation feedback indicated high user satisfaction and confirmed the platform's value for neurosurgical and anatomical training.

conclusionOpenOR represents a significant advancement in VR-based medical education. By integrating immersive technologies with affordable hardware, it offers practical and scalable training solutions for Neurosurgery and Neuroanatomy.

Indexed as

Education, MedicalNeurosurgeryVirtual RealityAvatarHumansImaging, Three-DimensionalMagnetic Resonance ImagingStudents, MedicalUser-Computer InterfaceEducationNeuroanatomyNeurosurgeryVirtual Reality

Identifiers

PMID42387029
PMCPMC13328309

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.