Projects that live

Showcases

Explore selected simulation-based projects and initiatives that CAMES has solved, is behind - or has in the pipeline.

CAMES Robotics

Explore - and get inspired when you click through to our brand new simulation-based robotic surgery competence centre.
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CAMES AI

We have a dedicated team of researchers and experts working with artificial intelligence to enhance clinician learning and performance.
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Cases and research projects

See current projects CAMES is involved in - and tasks we have solved for healthcare partners.
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IN FOCUS

CAMES focuses on robotics with new competence centre

CAMES Robotics is a centre of excellence for robotic surgical training and educational research - offering best practice training programmes for doctors and surgical nurses in robotics across multiple systems.

See current training and consultancy offers and be inspired by concrete cases and research projects. 

IN FOCUS

How we're using artificial intelligence to boost clinician learning and performance

CAMES AI works with artificial intelligence in medical education. AI technology is being researched and developed to support and improve learning processes, decision-making and daily work in hospitals.

See specific AI projects, find contact details - and learn more about working with AI. 

Selected projects

Discover for yourself selected cases CAMES is behind or involved in.

Cases

Research

See a selection of projects from CAMES Research.

VR-based training in surgical treatment of fractures

In Denmark, around 30,000 surgical procedures are performed each year for fractures. There is therefore an ongoing need for training of new, competent, orthopaedic surgeons to provide this treatment.

A 2019 national needs survey, including all of the country's orthopaedic surgery departments, showed that principles of surgical treatment of fractures is the orthopaedic surgery area where the need for simulation-based technical training is greatest.

The training of surgical competence traditionally consists of self-study and surgery under supervision. In other words, doctors actually train on patients. By having the earliest part of the training take place on a simulator, doctors can learn from their mistakes and achieve sufficient surgical competence before performing real operations. In this way, patients are not exposed to unnecessary risk.

The project:

The VR BOSS project (Virtual Reality Basic Osteosynthesis Surgery Simulation) is working on the development and implementation of a VR simulator for training and competence assessment in the surgical treatment of bone fractures.

The project has established a collaboration with the world-leading orthopaedic surgery organisation AO Foundation. Through this collaboration, orthopaedic surgical education experts from around the world have defined the parameters on which users of the simulator should be assessed, as well as how each parameter should be assessed. This novel approach to simulator development ensures that development is evidence-based, that the simulator meets the requirements and expectations of the target audience - and that the entire development process is transparent from the outset.

The development of the first of a total of seven orthopaedic surgical procedures is in its final phase, after which studies will begin to determine the validity of the simulator test and the impact of the simulation training.

Check out the VR simulator:

Here you can see how the VR simulator - developed by CAMES PhD student Mads Emil Jacobsen - works when surgeons train fracture surgery.

Cooperation and support

The VR-BOSS project is supported by grants from the Toyota Foundation and the Health Fund as well as Region Zealand's Research Fund and the Næstved- Slagelse- Ringsted Hospital Research Fund.

The project is anchored as a PhD with Mads Emil Jacobsen, md, PhD student, in the lead.

Contact

 

 

 

AI-based training in the diagnosis of birthmark cancer

Through training using a mobile application, the project aims to make it more efficient for doctors to learn how to diagnose skin cancer. What we also call "Intelligent" learning in pattern recognition.
It currently takes more than 6 years to become proficient at telling the difference between benign and malignant skin tumours. This leads to delayed diagnosis of skin cancer and high costs for the healthcare sector due to unnecessary removal of benign tumours. The reason for the slow upskilling of doctors is probably that it is difficult for a young doctor to get visual feedback on a large number of skin tumours of different types.

We're working to improve this by giving doctors and nurses access to training in skin diagnostics via the learning app - Dermloop Learn. (See photos from the app store)

The app exposes the doctor to a huge library (20,000+ cases) of images of previous skin tumours and their diagnosis. Doctors are guided through a learning process optimised by artificial intelligence, which continuously measures the doctor's multi-dimensional competence and selects the optimal learning material based on this.

Results and effects:

As part of the research project, 76 medical students with no previous experience were trained in skin cancer diagnosis for 8 days. And they reached the same level as doctors with 3-4 years of experience. Combined with a tele-dermatology extension of the system, there is plenty of potential - in terms of economics, skills development and patient safety. For example, the research group behind the project has estimated that up to €800 million could be saved in healthcare. DKK 800 million a year if the technology were implemented nationally and used by all general practitioners, dermatologists, plastic surgeons and pathologists.

Contact

Niels Ternov, MD, Ph.d - Mail: niels.kvorning.ternov@regionh.dk. Read bio
Martin Tolsgaard, Head of CAMES AI - Mail: martintolsgaard@gmail.com
Team training in robotic surgery

The PhD project is about investigating the non-technical skills of the robotic surgical team.
The robotic surgical team differs from other health professional teams in that one of the team members - the surgeon - is physically separated from the rest of the team and the patient bed. This affects teamwork, including coordination. Among other things, the team does not have eye contact with the surgeon during the operation, who also cannot see the operating theatre, but only the video screen with the operating field.

We examine and compare how the experienced and inexperienced robotic surgical teams coordinate their work to optimize teamwork and patient safety. Team coordination has an impact on workflow and on the risk of errors during surgery. Training teamwork can reduce errors and increase patient safety

The project contributes to the development of the Capital Region's robotic surgery training, where teamwork is trained to increase patient safety in both routine and emergency situations.

The PhD students carrying out the project are: Doctor Jannie Lysgaard Poulsen, who is a PhD student at the University of Copenhagen and at the Copenhagen Academy for Medical Education and Simulation at Herlev Hospital.

Contact: 

Jannie Lysgaard Poulsen, PhD student and doctor - Mail: jannie.lysgaard.poulsen@regionh.dk. Read bio

cases

3D printing

See selected projects - and tasks solved.

3D printed models for robot-assisted colorectal cancer

Colorectal cancer is a common disease, and in Denmark about 3,400 people are diagnosed with colorectal cancer each year. Surgical removal of the cancer is one of the cornerstones of treatment, and there is an increase in the number of robotic-assisted operations.

To meet a greater need for surgeon training and to develop training opportunities, we have developed a 3D printed phantom, based on patient scans, to train robotic surgical removal of the right part of the colon.

Objective
The PhD project investigates whether it is possible to perform reliable competence assessments of surgeons when performing an advanced robotic surgical procedure for colon cancer. Furthermore, it is investigated whether the competence assessment performed in the simulated environment is consistent with the surgeon's performance during real operations,

The researchers behind the project are also looking at the following

  • What basic surgical skills a robotic surgeon should have
  • What assessment tools are available to assess this, whether the assessment tools are reliable
  • Whether the assessment tools can be used to identify a learning need in the individual surgeon

The PhD project is carried out as a collaboration between Kolding Hospital in the Southern Region and CAMES.
The PhD students carrying out the project are.

Contact:

Peter Hertz, PhD student - hertz.peter@gmail.com. Read bio

Example from the laboratory - setup for colon cancer study

Ear clips for keloid treatment

Patients with keloids, scar tissue that grows uncontrollably, are most often treated with surgery or steroid injections and pressure (sometimes both). For the latter, precise pressure is important, as too much pressure will provoke more growth, while too little pressure will leave room for continued growth.

In this project, we are investigating whether these clips can be produced patient-specifically using 3D scanning and CAD software. The clips are produced on our SLA printer with biocompatible resin that is ISO-approved for continuous skin contact. These clips fall into the category of 'custom medical devices' in the MDR (medical device regulations). CAMES is therefore responsible for registration with the Danish Medicines Agency and the associated quality assurance.

CAMES project team: Magnus Obinah, Kiki Vestersøe

Contact: 

Kiki Vestersøe, Medical Engineer, MSc - Mail: kirstina.beatrice.persson.vestersoee@regionh.dk / Mobile: 35456498

Washing plugs for multistage blood pressure cuffs

When blood pressure cuffs need to be washed, a plug is used at the end of the pressure cable. This is done to avoid water in the cuff and later in the blood pressure devices. These are no longer sold individually from the supplier, but with a new cuff.

Therefore, the Child and Adolescent Clinic at Rigshospitalet asked the Department of Medical Technology (CIMT) and CAMES if this task could be solved internally. CAMES has produced a mat with 6x6 silicone plugs, which can soon be ordered via the 'brick system' throughout the region. Currently they are available to order through the Medical Technology Department and their 'Medusa' system.

The project has offered a test and validation of the plugs' properties, in collaboration with the Children and Youth Clinic. This has led to new guidelines for cuff washing and drying times.

CAMES project team: Kiki Vestersøe, Morten Bo Søndergaard Svendsen, Sanne Kristensen

Contact: 

Kiki Vestersøe, Medical Engineer, MSc - Mail: kirstina.beatrice.persson.vestersoee@regionh.dk / Mobile: 35456498

Cases

Fantomer

See selected projects - and tasks solved.

Robot-assisted pyeloplasty model

CAMES Engineering often collaborates with students in the production of products for undergraduate projects and theses. This model was made together with Magnus Meyer Møller from DTU Health Technology, where a model was made for the Robot-assisted Pyeloplasty procedure. Two models were produced. The first model was an internal stenosis, where there is a constriction on the ureter, while the second model consisted of an external compression, where blood vessels impede the downflow of urine, which defends the accumulation of urine in the renal pelvis.

The process consisted of producing an anatomically correct model and testing whether the model was adequate for the procedure. Watch here.

 

 

Contact:

Magnus Meyer Møller, engineer - mail: magnus.meyer.moeller@regionh.dk. Read bio/author_info]

Robot-assisted phantoms: full set of abdominal organs

The Phantom Design Lab and CAMES Engineering have a strong focus on the development of robot-assisted phantoms. They are both complex but also simple in their design. The development process focuses on collaboration between physicians and engineers to ensure the most realistic, anatomically correct and practical design for the model. We aim to create a highly realistic environment with clear indications of the procedure being practised - and where individual doctors can perfect their craft.

At the same time, we strive to form a versatile and complete set of abdominal organs, so that each doctor can tailor a procedure to his or her needs. To meet these needs, CAMES Phantom Lab, together with CAMES Engineering, uses a wide range of tools. Precisely to be able to cope with any task. This includes segmenting CT scans for high accuracy and realism, 3D CAD programs to model in 3D and construct molds, and 3D printers to manufacture the products.


Contact:

Magnus Meyer Møller, engineer - mail: magnus.meyer.moeller@regionh.dk. Read bio/author_info]

Development of simulation phantoms for gastroscopy

In collaboration with Rigshospitalet, CAMES organised a tailor-made simulation training course in upper gastrointestinal endoscopy. CAMES Engineering assisted the course by producing phantoms that added silicone plates with ulcers for endo-clip insertion and silicone plates with polyps for cold-scar endoscopic resection. Finally, an esophagus (esophageal stricture) was fabricated to train balloon-assisted enteroscopy. In this procedure, a balloon is inserted into the esophagus and inflated to stretch out the constricted area.

Background:

Symptoms and signs arising from the upper part of the digestive tract are often vague and imprecise. Therefore, it may be necessary for the doctor to perform a gastroscopy. A diagnostic test that allows the doctor to look inside the patient's stomach. The instrument used to perform this is a flexible telescope, also called a gastroscope. There have been rapid developments in gastroscopic capabilities. Today, various procedures can be performed through the gastroscope, such as removing neoplastic polyps and stopping bleeding from a wound.

(Photos from the course)

Contact

Contact Morten Bo Søndergaard Svendsen, responsible for CAMES Engineering, if you want to know more.

Morten Bo Svendsen Mobile:2323 5265 Mail:morten.bo.soendergaard.svendsen@regionh.dk

 

Find your way

Virtual tour: check out our facilities for technical courses

CAMES Rigshospitalet is equipped with state-of-the-art training equipment, which is used for our technical simulation courses and training. Check it out for yourself with a virtual tour of our premises. When you get around to the different facilities, you can read more about the equipment, purpose - and course activities associated with them.

You can use the slider with the arrows to get around to the different rooms on the 4th floor and CAMES Robotics on the ground floor.