SURG-58. A Metaverse-Based VR Simulation Platform for Neurosurgical Training: A Formal Usability Evaluation

Abstract Training for complex cranial neurosurgery requires safe, objective methods beyond traditional models. Virtual reality (VR) simulation offers a powerful solution, and to address this need, we developed and validated a novel VR platform for advanced surgical training. Our metaverse-based platform enables trainees to practice entire surgical procedures using high-fidelity 3D models derived from real patient clinical data, processed via optimized segmentation algorithms. The platform features a library of 21 cases, including meningiomas, and for this validation study, neurosurgeons performed tasks across three representative surgical scenarios. We assessed performance by tracking use errors and collecting subjective feedback on user satisfaction and educational value. The platform was met with high satisfaction; its intuitive interface led to successful task completion with minimal errors by both expert and trainee surgeons. Participants confirmed the platform’s significant educational value, praising its effectiveness for understanding complex surgical workflows and anatomy in a risk-free environment. Key suggestions for enhancement included greater user autonomy and graphical realism, underscoring user engagement. Validated by formal usability testing and endorsed by practicing neurosurgeons, our platform represents a significant advancement in surgical training. Its use of real patient data and a diverse case library, combined with proven user satisfaction, confirms its efficacy as a safe, scalable, and realistic environment for mastering critical skills. We believe this platform is poised to become an indispensable tool for enhancing neurosurgical proficiency and advancing patient safety in neurosurgery.