Robotic Butt Helps Medical Students Learn Professional Intimacy
Your Heart in 3D: Surgeons Can Now Practice on a Simulation
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Their research was supported by the National Science Foundation (NSF).\u003c/p>\n\u003cp>The result of four years of hard work? A robotic butt named Patrick, who delivers instantaneous feedback to students about the prostate exam he's receiving.\u003c/p>\n\u003cp>Patrick comes equipped with four sensors, and its highly-visual software can inform students whether they're applying optimal pressure. He might inform the student if the pressure is too soft or if they have neglected to cover the whole prostate.\u003c/p>\n\u003cfigure id=\"attachment_3437\" class=\"wp-caption alignleft\" style=\"max-width: 355px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/patrick-software.jpg\">\u003cimg class=\" wp-image-3437\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/patrick-software.jpg\" alt=\"Patrick informs the medical student that he doesn't want a prostate exam. (Andrew Robb/University of Florida)\" width=\"355\" height=\"266\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software.jpg 2592w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software-960x720.jpg 960w\" sizes=\"(max-width: 355px) 100vw, 355px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patrick informs the medical student that he doesn't want a prostate exam. (Andrew Robb/University of Florida)\u003c/figcaption>\u003c/figure>\n\u003cp>It's not just about perfecting their technique; students can also use Patrick to practice their bedside manner.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Benjamin Lok, \u003ca href=\"http://verg.cise.ufl.edu/virtualpatientsgroup/\">the lead designer on the project\u003c/a>, said the experience is designed to mirror a typical doctor-patient interaction. Patrick is set up in an exam room. Students walk in, greet the patient, and ask routine questions about pain levels and symptoms (Patrick always has trouble urinating), as well as family and medication history.\u003c/p>\n\u003cp>\"Our goal is to get students more comfortable with these mortifying scenarios,\" said Dr. Benjamin Lok, the professor who leads the research. \"There aren't enough opportunities for students to practice, which causes them a lot of anxiety.\"\u003c/p>\n\u003cp>Dr. Lok said Patrick is initially reluctant to receive a prostate exam. But the students are taught to communicate the necessity of the exam.\u003c/p>\n\u003cfigure id=\"attachment_3438\" class=\"wp-caption alignright\" style=\"max-width: 403px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/patrick.jpg\">\u003cimg class=\" wp-image-3438\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/patrick.jpg\" alt=\"Patrick provides feedback to medical students in real-time. (Andrew Robb/University of Florida)\" width=\"403\" height=\"302\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick.jpg 2592w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-960x720.jpg 960w\" sizes=\"(max-width: 403px) 100vw, 403px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patrick provides feedback to medical students in real-time. (Andrew Robb/University of Florida)\u003c/figcaption>\u003c/figure>\n\u003cp>Today, many medical schools today pay a lot of money to hire professional actors who are willing to go through training and get examined repeatedly by students. Lok doesn't expect that robots can replace these human actors anytime soon.\u003c/p>\n\u003cp>But he hopes that students will practice routinely on Patrick before approaching a real person.\u003c/p>\n\u003cp>Patrick is already in use at the University of Florida and Drexel University. The research team is hoping to commercialize the technology and market it to more schools, as well as further develop the artificial intelligence (AI) technology.\u003c/p>\n\u003cp>\"In future,\" Lok said, \"we want to make these conversations more realistic and provide a deeper challenge for students.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.medicaldaily.com/robotic-butt-offers-prostate-exam-training-medical-students-how-patrick-teaches-empathy-proper\">\u003cem>h/t Medical Daily\u003c/em>\u003c/a>\u003c/p>\n\n","blocks":[],"excerpt":"A robotic butt named Patrick gives instantaneous feedback about the prostate exam he's receiving.","status":"publish","parent":0,"modified":1477282747,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":436},"headData":{"title":"Robotic Butt Helps Medical Students Learn Professional Intimacy | KQED","description":"A robotic butt named Patrick gives instantaneous feedback about the prostate exam he's receiving.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Robotic Butt Helps Medical Students Learn Professional Intimacy","datePublished":"2015-05-26T18:46:15.000Z","dateModified":"2016-10-24T04:19:07.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"3339 http://ww2.kqed.org/futureofyou/?p=3339","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/05/26/robotic-butt-helps-medical-students-learn-professional-intimacy/","disqusTitle":"Robotic Butt Helps Medical Students Learn Professional Intimacy","path":"/futureofyou/3339/robotic-butt-helps-medical-students-learn-professional-intimacy","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>For medical students, it can be a nerve-wracking prospect to administer intimate exams to patients.\u003c/p>\n\u003cp>A group of scientists at the University of Florida, Drexel University and the University of Wisconsin jointly developed new technology to help medical students hone their skills at prostate and breast examinations. Their research was supported by the National Science Foundation (NSF).\u003c/p>\n\u003cp>The result of four years of hard work? A robotic butt named Patrick, who delivers instantaneous feedback to students about the prostate exam he's receiving.\u003c/p>\n\u003cp>Patrick comes equipped with four sensors, and its highly-visual software can inform students whether they're applying optimal pressure. He might inform the student if the pressure is too soft or if they have neglected to cover the whole prostate.\u003c/p>\n\u003cfigure id=\"attachment_3437\" class=\"wp-caption alignleft\" style=\"max-width: 355px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/patrick-software.jpg\">\u003cimg class=\" wp-image-3437\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/patrick-software.jpg\" alt=\"Patrick informs the medical student that he doesn't want a prostate exam. (Andrew Robb/University of Florida)\" width=\"355\" height=\"266\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software.jpg 2592w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-software-960x720.jpg 960w\" sizes=\"(max-width: 355px) 100vw, 355px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patrick informs the medical student that he doesn't want a prostate exam. (Andrew Robb/University of Florida)\u003c/figcaption>\u003c/figure>\n\u003cp>It's not just about perfecting their technique; students can also use Patrick to practice their bedside manner.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Benjamin Lok, \u003ca href=\"http://verg.cise.ufl.edu/virtualpatientsgroup/\">the lead designer on the project\u003c/a>, said the experience is designed to mirror a typical doctor-patient interaction. Patrick is set up in an exam room. Students walk in, greet the patient, and ask routine questions about pain levels and symptoms (Patrick always has trouble urinating), as well as family and medication history.\u003c/p>\n\u003cp>\"Our goal is to get students more comfortable with these mortifying scenarios,\" said Dr. Benjamin Lok, the professor who leads the research. \"There aren't enough opportunities for students to practice, which causes them a lot of anxiety.\"\u003c/p>\n\u003cp>Dr. Lok said Patrick is initially reluctant to receive a prostate exam. But the students are taught to communicate the necessity of the exam.\u003c/p>\n\u003cfigure id=\"attachment_3438\" class=\"wp-caption alignright\" style=\"max-width: 403px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/patrick.jpg\">\u003cimg class=\" wp-image-3438\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/patrick.jpg\" alt=\"Patrick provides feedback to medical students in real-time. (Andrew Robb/University of Florida)\" width=\"403\" height=\"302\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick.jpg 2592w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/patrick-960x720.jpg 960w\" sizes=\"(max-width: 403px) 100vw, 403px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Patrick provides feedback to medical students in real-time. (Andrew Robb/University of Florida)\u003c/figcaption>\u003c/figure>\n\u003cp>Today, many medical schools today pay a lot of money to hire professional actors who are willing to go through training and get examined repeatedly by students. Lok doesn't expect that robots can replace these human actors anytime soon.\u003c/p>\n\u003cp>But he hopes that students will practice routinely on Patrick before approaching a real person.\u003c/p>\n\u003cp>Patrick is already in use at the University of Florida and Drexel University. The research team is hoping to commercialize the technology and market it to more schools, as well as further develop the artificial intelligence (AI) technology.\u003c/p>\n\u003cp>\"In future,\" Lok said, \"we want to make these conversations more realistic and provide a deeper challenge for students.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.medicaldaily.com/robotic-butt-offers-prostate-exam-training-medical-students-how-patrick-teaches-empathy-proper\">\u003cem>h/t Medical Daily\u003c/em>\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/3339/robotic-butt-helps-medical-students-learn-professional-intimacy","authors":["3252"],"categories":["futureofyou_1063"],"tags":["futureofyou_366","futureofyou_371","futureofyou_270","futureofyou_80","futureofyou_369","futureofyou_365","futureofyou_352"],"featImg":"futureofyou_3436","label":"futureofyou"},"futureofyou_3250":{"type":"posts","id":"futureofyou_3250","meta":{"index":"posts_1591205157","site":"futureofyou","id":"3250","score":null,"sort":[1432230515000]},"guestAuthors":[],"slug":"your-heart-in-3d-surgeons-can-now-practice-on-a-simulation","title":"Your Heart in 3D: Surgeons Can Now Practice on a Simulation","publishDate":1432230515,"format":"image","headTitle":"Heart health | KQED Future of You | KQED Science","labelTerm":{"term":350,"site":"futureofyou"},"content":"\u003cp>How can you distinguish between a good surgeon and an exceptional surgeon?\u003c/p>\n\u003cp>According to some medical experts, it's that all-too-rare ability to visualize a human organ in three dimensions from little more than a scan.\u003c/p>\n\u003cp>\"The handful of the top surgeons in the world are like sculptors,\" said Dr. Deepak Srivastava, a director at the \u003ca href=\"http://gladstoneinstitutes.org/\">Gladstone Institute\u003c/a> of Cardiovascular Disease in San Francisco.\u003c/p>\n\u003cp>\"When cardiovascular surgeons go in to repair a defect in the heart, their success is so often dependent on an ability to \u003cem>see\u003c/em> the anatomy in 3-D in their minds,\" said Srivastava. \"That's more difficult for younger, less experienced surgeons.\"\u003c/p>\n\u003cp>But recent advancements in the field of computational modeling may level the playing field in the coming years, particularly for heart surgeons.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>One such technology comes from \u003ca href=\"http://www.3ds.com/\">Dassault Systèmes\u003c/a>, a French company that specializes in 3-D design software to help engineers that build cars and planes avoid potentially-fatal outcomes. So why not surgeons and medical researchers?\u003c/p>\n\u003cp>Earlier this week, Dassault released its highly-realistic digital model of the human heart, which it calls the \"\u003ca href=\"http://www.3ds.com/products-services/simulia/solutions/life-sciences/the-living-heart-project\">Living Heart Project\u003c/a>.\" Doctors \u003ca href=\"http://www.betaboston.com/news/2015/05/06/living-heart-project-brings-a-beat-to-3-d/\">wear special 3-D glasses and use a joystick\u003c/a> to zoom in to a ventricle or valve, while listening to every heartbeat.\u003c/p>\n\u003cp>The hope is that universities and medical device makers will use the simulation to come up with new personalized treatments for common heart diseases and potentially improve surgical outcomes.\u003c/p>\n\u003cp>\"We take a [patient's] scan, reconstruct it into a 3-D model, and test all the possibilities before a heart surgery,\" said Dr. Steve Levine, chief strategy officer and director for the Living Heart Project.\u003c/p>\n\u003cfigure id=\"attachment_3260\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-3260\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Full_Heart_3-800x584.jpg\" alt=\"Dassault has developed a digital model of a human heart\" width=\"800\" height=\"584\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-800x584.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-400x292.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-1180x862.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-960x701.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3.jpg 1406w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dassault has developed a digital model of a human heart \u003ccite>(Dassault Systèmes)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For now, the company is focusing its attention on simulating the heart, as opposed to other organs. That's because heart disease is the \u003ca href=\"http://www.cdc.gov/heartdisease/facts.htm\">leading cause of death \u003c/a>in the United States, and accounts for one in every four deaths.\u003c/p>\n\u003cp>Some hospitals are already using the design software to simulate the effects of routine medical procedures or experiment with solutions to common problems, like heart attacks. In the future, surgeons may leverage computational models before selecting a therapy or drug for individual patients.\u003c/p>\n\u003cp>Dassault hopes that medical device makers will also use the Living Heart Project's technology for research and development. It may help these companies pinpoint which new ideas are likely to prove effective, and whether it's worth the investment in clinical trials.\u003c/p>\n\u003cp>The software is available for free to organizations that agree to conduct research and share its findings with the project. Otherwise, its licenses start at $15,000 per year for commercial use, with educational licenses starting at $500 per year.\u003c/p>\n\u003cp>\u003cstrong>Recruiting Partners in Health Care \u003c/strong>\u003c/p>\n\u003cp>\"Dassault is a $3 billion company few people have heard of,\" said Levine, who spoke with\u003cem> KQED \u003c/em>during a recent trip to Europe. \"We operate in the background.\"\u003c/p>\n\u003cp>In recent years, Dassault's executive team has re-focused the company on sectors outside of heavy manufacturing. Levine refers to this new approach as \"modeling life and nature.\"\u003c/p>\n\u003cp>For the Living Heart Project, Levine's team put out calls to researchers at some of the top hospitals around the world to share their findings.\u003c/p>\n\u003cp>To date, it has recruited 45 \"members\" or partners from the scientific community, who were independently researching cardiac disease or a function of the heart. Researchers from the Mayo Clinic, Stanford University and the University of Oxford,\u003ca href=\"http://www.3ds.com/products-services/simulia/solutions/life-sciences/the-living-heart-project\"> among others,\u003c/a> have opted to test-drive the simulation.\u003c/p>\n\u003cp>The company consolidated the research and used its engineering know-how to build a simulation of a baseline human heart. Now, the company can turn a 2-D scan, from an individual patient, and convert it into a 3-D model.\u003c/p>\n\u003cp>Levine said federal regulators initially wanted to take a 'watch and wait' approach when informed about the project.\u003c/p>\n\u003cp>\"I told them [the U.S. Food and Drug Administration], you can't sit on the sidelines as non-participants. You have to get involved.\"\u003c/p>\n\u003cp>In 2014, the agency agreed to collaborate with Dassault on a five-year research project, which will focus on testing the reliability of pacemaker leads (the thin wires that carry an electrical impulse from the device to the heart.) But the agency stressed that it will not necessarily endorse any of the computational models that are developed as part of the research.\u003c/p>\n\u003cp>The FDA expects that doctors will someday use simulation technology for planning purposes \u003cem>and\u003c/em> clinical decision-making. But it's still early days, so the agency cautioned doctors to invest resources into assessing the credibility of these new technologies and their potential drawbacks.\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">\"Challenges to greater adoption of computer-modeling include a lack of data for some medical conditions, which makes realistic predictions difficult,\" said \u003c/span>Donna Lochner, a \u003cspan class=\"s1\">senior scientific advisor in the FDA's Office of Science and Engineering Laboratories.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_3270\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-3270\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-800x343.jpg\" alt=\"Zooming in on the simulation \" width=\"800\" height=\"343\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-800x343.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-400x171.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-960x412.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Zooming in on the Living Heart Project simulation \u003ccite>(Living Heart Project )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A Hammer Looking for a Nail?\u003c/strong>\u003c/p>\n\u003cp>At the University of California, San Francisco, a team of researchers in the cardiology division are hoping to use the Living Heart Project for one purpose in particular: Determining the optimal time for a patients' valve replacement.\u003c/p>\n\u003cp>Surgeons have to strike the right balance between swapping out a valve at the end of its life-cycle, but not leaving it so late that the heart function deteriorates.\u003c/p>\n\u003cp>Dr. Jeffrey Olgin, \u003ca href=\"http://www.ucsfhealth.org/jeffrey.olgin\">the division's chief\u003c/a>, has been closely following the team's progress. But he is far from convinced that the Living Heart Project will fundamentally transform how we perform surgeries today.\u003c/p>\n\u003cp>He asked, \"Is this a hammer looking for a nail? Or will this change how we practice medicine?\"\u003c/p>\n\u003cp>Olgin said the Living Heart Project may be no more than a technological solution looking for a problem, but it's too soon to tell. He hasn't seen a convincing study yet that proves the simulation can improve patient outcomes.\u003c/p>\n\u003cp>Unlike manmade objects like cars and planes, it's very difficult to predict how the human heart will respond to stress in the real world. Olgin said he fears that doctors would come to rely too heavily on this technology and medical device makers could pull the plug on promising research if the simulation shows a negative result.\u003c/p>\n\u003cp>\"The technology doesn't offer the same level of evidence as [medical research on] animals or small pilot human trials,\" he said.\u003c/p>\n\u003cp>\"Unfortunately, the human body doesn't always follow the rules of physics.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=RrktVIFLqXI&w=560&h=315]\u003c/p>\n\n","blocks":[],"excerpt":"The \"Living Heart Project\" lets doctors take a virtual tour of the human heart to simulate the effects of common medical procedures. ","status":"publish","parent":0,"modified":1477282775,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1168},"headData":{"title":"Your Heart in 3D: Surgeons Can Now Practice on a Simulation | KQED","description":"The "Living Heart Project" lets doctors take a virtual tour of the human heart to simulate the effects of common medical procedures. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Your Heart in 3D: Surgeons Can Now Practice on a Simulation","datePublished":"2015-05-21T17:48:35.000Z","dateModified":"2016-10-24T04:19:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"3250 http://ww2.kqed.org/futureofyou/?p=3250","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/05/21/your-heart-in-3d-surgeons-can-now-practice-on-a-simulation/","disqusTitle":"Your Heart in 3D: Surgeons Can Now Practice on a Simulation","path":"/futureofyou/3250/your-heart-in-3d-surgeons-can-now-practice-on-a-simulation","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>How can you distinguish between a good surgeon and an exceptional surgeon?\u003c/p>\n\u003cp>According to some medical experts, it's that all-too-rare ability to visualize a human organ in three dimensions from little more than a scan.\u003c/p>\n\u003cp>\"The handful of the top surgeons in the world are like sculptors,\" said Dr. Deepak Srivastava, a director at the \u003ca href=\"http://gladstoneinstitutes.org/\">Gladstone Institute\u003c/a> of Cardiovascular Disease in San Francisco.\u003c/p>\n\u003cp>\"When cardiovascular surgeons go in to repair a defect in the heart, their success is so often dependent on an ability to \u003cem>see\u003c/em> the anatomy in 3-D in their minds,\" said Srivastava. \"That's more difficult for younger, less experienced surgeons.\"\u003c/p>\n\u003cp>But recent advancements in the field of computational modeling may level the playing field in the coming years, particularly for heart surgeons.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One such technology comes from \u003ca href=\"http://www.3ds.com/\">Dassault Systèmes\u003c/a>, a French company that specializes in 3-D design software to help engineers that build cars and planes avoid potentially-fatal outcomes. So why not surgeons and medical researchers?\u003c/p>\n\u003cp>Earlier this week, Dassault released its highly-realistic digital model of the human heart, which it calls the \"\u003ca href=\"http://www.3ds.com/products-services/simulia/solutions/life-sciences/the-living-heart-project\">Living Heart Project\u003c/a>.\" Doctors \u003ca href=\"http://www.betaboston.com/news/2015/05/06/living-heart-project-brings-a-beat-to-3-d/\">wear special 3-D glasses and use a joystick\u003c/a> to zoom in to a ventricle or valve, while listening to every heartbeat.\u003c/p>\n\u003cp>The hope is that universities and medical device makers will use the simulation to come up with new personalized treatments for common heart diseases and potentially improve surgical outcomes.\u003c/p>\n\u003cp>\"We take a [patient's] scan, reconstruct it into a 3-D model, and test all the possibilities before a heart surgery,\" said Dr. Steve Levine, chief strategy officer and director for the Living Heart Project.\u003c/p>\n\u003cfigure id=\"attachment_3260\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-3260\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Full_Heart_3-800x584.jpg\" alt=\"Dassault has developed a digital model of a human heart\" width=\"800\" height=\"584\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-800x584.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-400x292.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-1180x862.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-960x701.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3.jpg 1406w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dassault has developed a digital model of a human heart \u003ccite>(Dassault Systèmes)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For now, the company is focusing its attention on simulating the heart, as opposed to other organs. That's because heart disease is the \u003ca href=\"http://www.cdc.gov/heartdisease/facts.htm\">leading cause of death \u003c/a>in the United States, and accounts for one in every four deaths.\u003c/p>\n\u003cp>Some hospitals are already using the design software to simulate the effects of routine medical procedures or experiment with solutions to common problems, like heart attacks. In the future, surgeons may leverage computational models before selecting a therapy or drug for individual patients.\u003c/p>\n\u003cp>Dassault hopes that medical device makers will also use the Living Heart Project's technology for research and development. It may help these companies pinpoint which new ideas are likely to prove effective, and whether it's worth the investment in clinical trials.\u003c/p>\n\u003cp>The software is available for free to organizations that agree to conduct research and share its findings with the project. Otherwise, its licenses start at $15,000 per year for commercial use, with educational licenses starting at $500 per year.\u003c/p>\n\u003cp>\u003cstrong>Recruiting Partners in Health Care \u003c/strong>\u003c/p>\n\u003cp>\"Dassault is a $3 billion company few people have heard of,\" said Levine, who spoke with\u003cem> KQED \u003c/em>during a recent trip to Europe. \"We operate in the background.\"\u003c/p>\n\u003cp>In recent years, Dassault's executive team has re-focused the company on sectors outside of heavy manufacturing. Levine refers to this new approach as \"modeling life and nature.\"\u003c/p>\n\u003cp>For the Living Heart Project, Levine's team put out calls to researchers at some of the top hospitals around the world to share their findings.\u003c/p>\n\u003cp>To date, it has recruited 45 \"members\" or partners from the scientific community, who were independently researching cardiac disease or a function of the heart. Researchers from the Mayo Clinic, Stanford University and the University of Oxford,\u003ca href=\"http://www.3ds.com/products-services/simulia/solutions/life-sciences/the-living-heart-project\"> among others,\u003c/a> have opted to test-drive the simulation.\u003c/p>\n\u003cp>The company consolidated the research and used its engineering know-how to build a simulation of a baseline human heart. Now, the company can turn a 2-D scan, from an individual patient, and convert it into a 3-D model.\u003c/p>\n\u003cp>Levine said federal regulators initially wanted to take a 'watch and wait' approach when informed about the project.\u003c/p>\n\u003cp>\"I told them [the U.S. Food and Drug Administration], you can't sit on the sidelines as non-participants. You have to get involved.\"\u003c/p>\n\u003cp>In 2014, the agency agreed to collaborate with Dassault on a five-year research project, which will focus on testing the reliability of pacemaker leads (the thin wires that carry an electrical impulse from the device to the heart.) But the agency stressed that it will not necessarily endorse any of the computational models that are developed as part of the research.\u003c/p>\n\u003cp>The FDA expects that doctors will someday use simulation technology for planning purposes \u003cem>and\u003c/em> clinical decision-making. But it's still early days, so the agency cautioned doctors to invest resources into assessing the credibility of these new technologies and their potential drawbacks.\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">\"Challenges to greater adoption of computer-modeling include a lack of data for some medical conditions, which makes realistic predictions difficult,\" said \u003c/span>Donna Lochner, a \u003cspan class=\"s1\">senior scientific advisor in the FDA's Office of Science and Engineering Laboratories.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_3270\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-3270\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-800x343.jpg\" alt=\"Zooming in on the simulation \" width=\"800\" height=\"343\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-800x343.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-400x171.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-960x412.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Zooming in on the Living Heart Project simulation \u003ccite>(Living Heart Project )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A Hammer Looking for a Nail?\u003c/strong>\u003c/p>\n\u003cp>At the University of California, San Francisco, a team of researchers in the cardiology division are hoping to use the Living Heart Project for one purpose in particular: Determining the optimal time for a patients' valve replacement.\u003c/p>\n\u003cp>Surgeons have to strike the right balance between swapping out a valve at the end of its life-cycle, but not leaving it so late that the heart function deteriorates.\u003c/p>\n\u003cp>Dr. Jeffrey Olgin, \u003ca href=\"http://www.ucsfhealth.org/jeffrey.olgin\">the division's chief\u003c/a>, has been closely following the team's progress. But he is far from convinced that the Living Heart Project will fundamentally transform how we perform surgeries today.\u003c/p>\n\u003cp>He asked, \"Is this a hammer looking for a nail? Or will this change how we practice medicine?\"\u003c/p>\n\u003cp>Olgin said the Living Heart Project may be no more than a technological solution looking for a problem, but it's too soon to tell. He hasn't seen a convincing study yet that proves the simulation can improve patient outcomes.\u003c/p>\n\u003cp>Unlike manmade objects like cars and planes, it's very difficult to predict how the human heart will respond to stress in the real world. Olgin said he fears that doctors would come to rely too heavily on this technology and medical device makers could pull the plug on promising research if the simulation shows a negative result.\u003c/p>\n\u003cp>\"The technology doesn't offer the same level of evidence as [medical research on] animals or small pilot human trials,\" he said.\u003c/p>\n\u003cp>\"Unfortunately, the human body doesn't always follow the rules of physics.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/RrktVIFLqXI'\n title='//www.youtube.com/embed/RrktVIFLqXI'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/3250/your-heart-in-3d-surgeons-can-now-practice-on-a-simulation","authors":["3252"],"series":["futureofyou_350"],"categories":["futureofyou_1063"],"tags":["futureofyou_353","futureofyou_741","futureofyou_354","futureofyou_66","futureofyou_279","futureofyou_356","futureofyou_80","futureofyou_351","futureofyou_294","futureofyou_352","futureofyou_355","futureofyou_113"],"featImg":"futureofyou_3269","label":"futureofyou_350"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. 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Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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