Validation of a virtual reality model for neuroanatomy learning: new approaches to teaching

Authors

  • Carlos Hesed Virto Farfan Universidad Andina del Cusco, Instituto Científico. Cusco, Perú. Médico cirujano. https://orcid.org/0000-0002-5096-6941
  • Alexander Montesinos Cárdenas Universidad Andina del Cusco, Instituto Científico. Cusco, Perú. Médico cirujano, magíster en Docencia Universitaria e Investigación Pedagógica, especialista en cardiología. https://orcid.org/0009-0004-3691-6982
  • Franklin Miranda Solis Universidad Andina del Cusco, Laboratorios de Ciencias Básicas y del Anfiteatro Anatómico. Cusco, Perú. Médico cirujano; maestro en Docencia Universitaria. https://orcid.org/0000-0002-7380-8516
  • Lugo Miranda Barriga Universidad Andina del Cusco, Laboratorios de Ciencias Básicas y del Anfiteatro Anatómico. Cusco, Perú. Biólogo. https://orcid.org/0000-0003-0742-874X
  • Carlos Alberto Virto Concha Universidad Andina del Cusco, Instituto Científico. Cusco, Perú. Médico cirujano, magíster en Neurociencias, especialista en psiquiatría. https://orcid.org/0000-0002-4390-3272
  • Cristabel Nilda Rivas Achahui Universidad Andina del Cusco, Instituto Científico. Cusco, Perú. Médico cirujano, maestra en Salud Ocupacional y Medio Ambiente. https://orcid.org/0000-0003-3278-4957
  • Herminia Naveda Cahuana Universidad Andina del Cusco, Laboratorios de Ciencias Básicas y del Anfiteatro Anatómico. Cusco, Perú. Biólogo, doctora en Ciencias de la Salud. https://orcid.org/0000-0002-8260-8727
  • Micaela Rosaluz Manchego Jayo Universidad Andina del Cusco, Instituto Científico. Cusco, Perú. Estudiante de Medicina Humana. https://orcid.org/0000-0001-6849-210X
  • Yuri Vargas Jurado Universidad Andina del Cusco, Laboratorios de Ciencias Básicas y del Anfiteatro Anatómico. Cusco, Perú. Estudiante de Medicina Humana. https://orcid.org/0009-0001-9642-3248
  • Juan Diego Condori Saavedra Universidad Andina del Cusco, Laboratorios de Ciencias Básicas y del Anfiteatro Anatómico. Cusco, Perú. Estudiante de Medicina Humana. https://orcid.org/0009-0009-7604-1443
  • Luis Alejandro Montesinos Guerra Universidad Andina del Cusco, Instituto Científico. Cusco, Perú. Estudiante de Medicina Humana. https://orcid.org/0009-0005-9372-3164

DOI:

https://doi.org/10.24265/horizmed.2025.v25n3.01

Keywords:

Neuroanatomy , Virtual Reality, Education, Medical , Educational Technology , Brain Mapping

Abstract

Objective: To validate a virtual reality (VR) model designed for neuroanatomy learning by evaluating its impact in terms of realism, usefulness, practicality, enjoyment, and recommendation. Materials and methods: A descriptive, instrument-validation study was conducted to assess the model through expert judgment in the field of neuroscience. Forty-two professionals in neurology, neurosurgery, and psychiatry participated in the study. The system was rated for realism, usefulness, practicality, enjoyment, and recommendation using a structured 13-item questionnaire based on a five-point Likert scale. The VR model, developed through advanced photogrammetry, enabled interactive manipulation of three-dimensional (3D) brain structures. Participants employed VR headsets and hand controllers to explore, in detail, the anatomical and functional relationships within the brain. Results: Participants reported high overall satisfaction with the system, emphasizing both the realism of the images (mean = 4.76, SD = 0.43) and the system’s usefulness in understanding complex 3D relationships (mean = 4.78, SD = 0.41). However, practicality received a slightly lower score (mean = 4.36, SD = 0.61), suggesting opportunities for improvement in the user interface. Enjoyment of the experience also received positive ratings (mean = 4.58, SD = 0.51). In addition, most professionals recommended integrating the system into medical education (mean = 4.64, SD = 0.48), highlighting its potential as a complementary tool to traditional teaching methods. Conclusions: The validated VR model proved to be a valuable tool for neuroanatomy learning, providing an immersive experience that facilitates the understanding of the complex spatial relationships within the brain. Although areas for improvement were identified, particularly regarding system practicality, the findings suggest that this technology has the potential to transform advanced medical education by offering a more engaging, practical, and effective approach. Further refinements in design could enhance its accessibility and acceptance, thereby solidifying its role in contemporary medical education.

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References

Obrero-Gaitán E, Nieto-Escamez FA, Zagalaz-Anula N, CortésPérez I. An innovative approach for online neuroanatomy and neurorrehabilitation teaching based on 3D virtual anatomical models using leap motion controller during COVID-19 pandemic. Front Psychol [Internet]. 2021;12:590196. Disponible en: https://doi.org/10.3389/ fpsyg.2021.590196

Kapp K. 3 instructional design strategies for virtual reality learning [Internet]. eLearning Industry; 2021. Disponible en: https:// elearningindustry.com/instructional-design-strategies-virtual-realitylearning

Gallardo K, Rivera N. Evaluating virtual reality as a learning resource: an insight into user experience, usability and learning experience [Internet]. En: eLmL 2020 – The Twelfth International Conference on Mobile, Hybrid, and On-line Learning; 2020; Valencia, Spain. Disponible en: https://personales.upv.es/thinkmind/dl/conferences/ elml/elml_2020/elml_2020_3_80_50056.pdf

Edify. Neuroanatomy [Internet]. United Kingdom: Edify and University of East Anglia; 2025. Disponible en: https://www.edify.ac/use-cases/ neuroanatomy

Mergen M, Graf N, Meyerheim M. Reviewing the current state of virtual reality integration in medical education - a scoping review. BMC Med Educ [Internet]. 2024;24(1):788. Disponible en: https://doi. org/10.1186/s12909-024-05777-5

Udeozor C, Chan P, Russo Abegão F, Glassey J. Game-based assessment framework for virtual reality, augmented reality and digital gamebased learning. Int J Educ Technol High Educ [Internet]. 2023;20:36. Disponible en: https://doi.org/10.1186/s41239-023-00405-6

John C. UI professor brings neuroanatomy to life with VR technology [Internet]. United States of America: The Daily Illini; 2024. Disponible en: https://dailyillini.com/life_and_culture-stories/2024/11/26/uineuroanatomy-vr-technology/

Gutiérrez F, Pierce J, Vergara VM, Coulter R, Saland L, Caudell TP, et al. The effect of degree of immersion upon learning performance in virtual reality simulations for medical education. Stud Health Technol Inform [Internet]. 2007;125:155–60. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17377256

Mergen M, Meyerheim M, Graf N. Towards integrating virtual reality into medical curricula: a single center student survey. Educ Sci [Internet]. 2023;13(5):477. Disponible en: https://doi.org/10.3390/ educsci13050477

Bracq M-S, Michinov E, Jannin P. Virtual reality simulation in nontechnical skills training for healthcare professionals: a systematic review. Simul Healthc [Internet]. 2019;14(3):188-94. Disponible en: https://doi.org/10.1097/SIH.0000000000000347

Walter S, Speidel R, Hann A, Leitner J, Jerg-Bretzke L, Kropp P, et al. Skepticism towards advancing VR technology - student acceptance of VR as a teaching and assessment tool in medicine. GMS J Med Educ [Internet]. 2021;38(6):Doc100. Disponible en: https://doi. org/10.3205/zma001496

Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth [Internet]. 2020;18(10):2119–26. Disponible en: https://doi.org/10.11124/JBIES-20-00167

Stern C, Lizarondo L, Carrier J, Godfrey C, Rieger K, Salmond S, et al. Methodological guidance for the conduct of mixed methods systematic reviews. JBI Evid Synth [Internet]. 2020;18(10):2108-18. Disponible en: https://doi.org/10.11124/JBISRIR-D-19-00169

Guedes HG, Câmara Costa Ferreira ZM, Ribeiro de Sousa Leão L, Souza Montero EF, Otoch JP, Artifon ELA. Virtual reality simulator versus box-trainer to teach minimally invasive procedures: a metaanalysis. Int J Surg [Internet]. 2019;61:60-8. Disponible en: https:// doi.org/10.1016/j.ijsu.2018.12.001

Bartlett JD, Lawrence JE, Stewart ME, Nakano N, Khanduja V. Does virtual reality simulation have a role in training trauma and orthopaedic surgeons? Bone Joint J [Internet]. 2018;100-B(5):559-65. Disponible en: https://doi.org/10.1302/0301-620X.100B5.BJJ-2017-1439

Lohre R, Warner JJP, Athwal GS, Goel DP. The evolution of virtual reality in shoulder and elbow surgery. JSES Int [Internet]. 2020;4(2):215-23. Disponible en: https://doi.org/10.1016/j.jseint.2020.02.005

Bakshi SK, Lin SR, Ting DSW, Chiang MF, Chodosh J. The era of artificial intelligence and virtual reality: transforming surgical education in ophthalmology. Br J Ophthalmol [Internet]. 2021;105(10):1325-8. Disponible en: https://doi.org/10.1136/bjophthalmol-2020-316845

Harpham-Lockyer L, Laskaratos FM, Berlingieri P, Epstein O. Role of virtual reality simulation in endoscopy training. World J Gastrointest Endosc [Internet]. 2015;7(18):1287-94. Disponible en: https://doi. org/10.4253/wjge.v7.i18.1287

Lohre R, Warner JJP, Morrey BR, Athwal GS, Morrey ME, Mazzocca AD, et al. Mitigating surgical skill decay in orthopaedics using virtual simulation learning. J Am Acad Orthop Surg Glob Res Rev [Internet]. 2021;5(10):e21.00193. Disponible en: https://doi.org/10.5435/ JAAOSGlobal-D-21-00193

Yi WS, Rouhi AD, Duffy CC, Ghanem YK, Williams NN, Dumon KR. A systematic review of immersive virtual reality for nontechnical skills training in surgery. J Surg Educ [Internet]. 2024;81(1):25-36. Disponible en: https://doi.org/10.1016/j.jsurg.2023.11.012

Campbell K, Taylor V, Douglas S. Effectiveness of online cancer education for nurses and allied health professionals; a systematic review using Kirkpatrick evaluation framework. J Cancer Educ [Internet]. 2019;34(2):339-56. org/10.1007/s13187-017-1308-2 Disponible en: https://doi.

Jallad ST, Işık B. The effectiveness of virtual reality simulation as learning strategy in the acquisition of medical skills in nursing education: a systematic review. Ir J Med Sci [Internet]. 2022;191(3):1407-26. Disponible en: https://doi.org/10.1007/ s11845-021-02695-z

Aridan N, Bernstein-Eliav M, Gamzo D, Schmeidler M, Tik N, Tavor I. Neuroanatomy in virtual reality: development and pedagogical evaluation of photogrammetry-based 3D brain models. Anat Sci Educ [Internet]. 2024;17(2):239-48. Disponible en: https://doi. org/10.1002/ase.2359

Aydin SO, Barut O, Yilmaz MO, Sahin B, Akyoldas G, Akgun MY, et al. Use of 3-dimensional modeling and augmented/virtual reality applications in microsurgical neuroanatomy training. Oper Neurosurg (Hagerstown) [Internet]. 2023;24(3):318-23. Disponible en: https:// doi.org/10.1227/ons.0000000000000524

Gurses ME, Gökalp E, Gecici NN, Gungor A, Berker M, Ivan ME, et al. Creating a neuroanatomy education model with augmented reality and virtual reality simulations of white matter tracts. J Neurosurg [Internet]. 2024;141(3):865-74. org/10.3171/2024.2.JNS2486 Disponible en: https://doi.

Broomell APR, Allison M, Ellern GJD. Feasibility and utility of a virtual reality laboratory exercise in an undergraduate neuroscience course. J Undergrad Neurosci Educ [Internet]. 2022;20(3):A346-A352. Disponible en: https://doi.org/10.59390/ZYCY4696

Najera E, Patrick H, Natour A, Lockard G, Samy RN, Jean WC. Virtual and augmented reality in neurosurgery. Adv Exp Med Biol [Internet]. 2024;1462:375-82. Disponible en: https://doi.org/10.1007/978-3031-64892-2_22

Erol G, Güngör A, Sevgi UT, Gülsuna B, Doğruel Y, Emmez H, et al. Creation of a microsurgical neuroanatomy laboratory and virtual operating room: a preliminary study. Neurosurg Focus [Internet]. 2024;56(1):E6. Disponible en: https://doi.org/10.3171/2023.10. FOCUS23638

Gurses ME, Gungor A, Gökalp E, Hanalioglu S, Karatas Okumus SY, Tatar I, et al. Three-dimensional modeling and augmented and virtual reality simulations of the white matter anatomy of the cerebrum. Oper Neurosurg (Hagerstown) [Internet]. 2022;23(5):355-66. Disponible en: https://doi.org/10.1227/ons.0000000000000361

Newman HJ, Meyer AJ, Carr SE. Neuroanatomy teaching in Australian and New Zealand medical schools. World Neurosurg [Internet]. 2021;149:e217-e24. Disponible en: https://doi.org/10.1016/j. wneu.2021.02.048

Sumunar DSEW, Stathakarou N, Davoody N. User acceptance of neuroanatomy virtual reality course: contrasting views between undergraduate and postgraduate students. Health Informatics J [Internet]. 2024;30(2):14604582241260601. Disponible en: https:// doi.org/10.1177/14604582241260601

Published

2025-09-11

How to Cite

1.
Virto Farfan CH, Montesinos Cárdenas A, Miranda Solis F, Miranda Barriga L, Virto Concha CA, Rivas Achahui CN, Naveda Cahuana H, Manchego Jayo MR, Vargas Jurado Y, Condori Saavedra JD, Montesinos Guerra LA. Validation of a virtual reality model for neuroanatomy learning: new approaches to teaching. Horiz Med [Internet]. 2025Sep.11 [cited 2025Sep.14];25(3):e3060. Available from: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/3060

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