Imperial College London

ProfessorFernandoBello

Faculty of MedicineDepartment of Surgery & Cancer

Professor of Surgical Computing and Simulation Science
 
 
 
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Contact

 

+44 (0)20 3315 8231f.bello Website

 
 
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Location

 

G3.50Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Publication Type
Year
to

232 results found

Costopoulos C, Kelay T, Ako E, Yasin M, Chan KL, Gold M, Kneebone R, Bello F, Malik ISet al., 2015, NOVEL SIMULATION-BASED TRAINING IN CARDIOLOGY: TRAINEE FEEDBACK AND EVALUATION OF A PILOT STUDY, CARDIOLOGY, Vol: 131, Pages: 70-70, ISSN: 0008-6312

Journal article

Brenton H, Woodward P, Gillies M, Birns J, Ames D, Bello Fet al., 2015, Linking Aetiology with Social Communication in a Virtual Stroke Patient, INTELLIGENT VIRTUAL AGENTS, IVA 2015, Vol: 9238, Pages: 270-274, ISSN: 0302-9743

Journal article

Weldon S, Coates L, Kneebone R, Bello Fet al., 2014, Hounslow Whole System Integrated Model of Care Sequential Simulation (SqS) Workshops, Health Education North West London - Simulation: Is a New Approach Needed? Conference

Poster

Coates L, Malik N, Granados A, Kelay T, Weldon S-M, Woodward P, Kneebone R, Bello Fet al., 2014, COLLABORATIVE CLINICAL EDUCATION: Our experience of moving simulation training from secondary care to the primary care environment, Health Education North West London - Simulation: Is a New Approach Needed? Conference

Poster

Weldon S-M, Coates L, Kneebone R, Bello Fet al., 2014, Hounslow Whole System Integrated Model of Care Sequential Simulation (SqS) Workshops, Health Education North West London - Simulation: Is a New Approach Needed? Conference

Conference paper

Weldon S, Coates L, Granados A, Woodward P, Kelay T, Kneebone R, Bello Fet al., 2014, Collaborative Clinical Education, Health Education North West London - Simulation: Is a New Approach Needed?

Conference paper

Alinier G, Bello F, Kalbag AA, Kneebone RLet al., 2014, Space: Potential locations to conduct full-scale simulation-based education, Defining Excellence in Simulation Programs, ISBN: 9781451188790

Simulation can be done for system testing, orientation, and, more commonly at the present time in healthcare, for educational purposes. Choosing where and how to set up a space to be used for any type of simulation-based activity, whether it is for educational or operational purposes, is an important decision with potentially long-term consequences. Several key factors will be explored in this chapter alongside consideration of the various options available. This will be considered in line with anticipated usage in terms of participant volume, type(s) of activity(ies), anticipated growth, the breadth and depth of the technology currently available, and the implementation of innovative ideas. There is not any proven best solution at the moment, but this knowledge gap certainly provides a great opportunity, especially if the variables thought to affect learning outcomes or transfer of learning to the clinical area can be controlled. This chapter is complementary to other chapters in this book and will also address key questions in relation to identifying, obtaining, and configuring the space best suited to establishing a simulation program, or simply facilitating simulation-based learning activities on the basis of needs, circumstances, and resources. This chapter will help readers, whether they are beginners or seasoned simulationists/educators/technicians/technologists/managers/directors, decide what might be their best option(s) for consideration in terms of possible locations and setups, judge the potential impact on their simulation program in terms of expected advantages and drawbacks, and hopefully make the right decision on the basis of their circumstances.

Book chapter

Khatib M, Hald N, Brenton H, Barakat MF, Sarker SK, Standfield N, Ziprin P, Kneebone R, Bello Fet al., 2014, Validation of open inguinal hernia repair simulation model: a randomized controlled educational trial, AMERICAN JOURNAL OF SURGERY, Vol: 208, Pages: 295-301, ISSN: 0002-9610

Journal article

Bayona S, Akhtar K, Gupte C, Emery RJH, Dodds AL, Bello Fet al., 2014, Assessing performance in shoulder arthroscopy: The Imperial Global Arthroscopy Rating Scale (IGARS), Journal of Bone and Joint Surgery: American Volume, Vol: 96A, ISSN: 0021-9355

Background: Surgical training is undergoing major changes with reduced resident work hours and an increasing focus on patient safety and surgical aptitude. The aim of this study was to create a valid, reliable method for an assessment of arthroscopic skills that is independent of time and place and is designed for both real and simulated settings. The validity of the scale was tested using a virtual reality shoulder arthroscopy simulator.Methods: The study consisted of two parts. In the first part, an Imperial Global Arthroscopy Rating Scale for assessing technical performance was developed using a Delphi method. Application of this scale required installing a dual-camera system to synchronously record the simulator screen and body movements of trainees to allow an assessment that is independent of time and place. The scale includes aspects such as efficient portal positioning, angles of instrument insertion, proficiency in handling the arthroscope and adequately manipulating the camera, and triangulation skills. In the second part of the study, a validation study was conducted. Two experienced arthroscopic surgeons, blinded to the identities and experience of the participants, each assessed forty-nine subjects performing three different tests using the Imperial Global Arthroscopy Rating Scale. Results were analyzed using two-way analysis of variance with measures of absolute agreement. The intraclass correlation coefficient was calculated for each test to assess inter-rater reliability.Results: The scale demonstrated high internal consistency (Cronbach alpha, 0.918). The intraclass correlation coefficient demonstrated high agreement between the assessors: 0.91 (p < 0.001). Construct validity was evaluated using Kruskal-Wallis one-way analysis of variance (chi-square test, 29.826; p < 0.001), demonstrating that the Imperial Global Arthroscopy Rating Scale distinguishes significantly between subjects with different levels of experience utilizing a virtual reali

Journal article

Luboz V, Kyaw-Tun J, Sen S, Kneebone R, Dickinson R, Kitney R, Bello Fet al., 2014, Real-time stent and balloon simulation for stenosis treatment, VISUAL COMPUTER, Vol: 30, Pages: 341-349, ISSN: 0178-2789

Journal article

Villard PF, Vidal FP, Ap Cenydd L, Holbrey R, Pisharody S, Johnson S, Bulpitt A, John NW, Bello F, Gould Det al., 2014, Interventional radiology virtual simulator for liver biopsy, INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY, Vol: 9, Pages: 255-267, ISSN: 1861-6410

Journal article

Fakhry M, Bello F, Hanna GB, 2014, Real Time Cancer Prediction Based on Objective Tissue Compliance Measurement in Endoscopic Surgery, ANNALS OF SURGERY, Vol: 259, Pages: 369-373, ISSN: 0003-4932

Journal article

Granados A, Hald N, Di Marco A, Ahmed S, Low-Beer N, Higham J, Kneebone R, Bello Fet al., 2014, Real-time visualisation and analysis of internal examinations - Seeing the unseen, Pages: 617-625, ISSN: 0302-9743

Internal examinations such as Digital Rectal Examination (DRE) and bimanual Vaginal Examination (BVE) are routinely performed for early diagnosis of cancer and other diseases. Although they are recognised as core skills to be taught on a medical curriculum, they are difficult to learn and teach due to their unsighted nature. We present a framework that combines a visualisation and analysis tool with position and pressure sensors to enable the study of internal examinations and provision of real-time feedback. This approach is novel as it allows for real-time continuous trajectory and pressure data to be obtained for the complete examination, which may be used for teaching and assessment. Experiments were conducted performing DRE and BVE on benchtop models, and BVE on Gynaecological Teaching Assistants (GTA). The results obtained suggest that the proposed methodology may provide an insight into what constitutes an adequate DRE or BVE, provide real-time feedback tools for learning and assessment, and inform haptics-based simulator design. © 2014 Springer International Publishing.

Conference paper

Bello F, Cotin S, 2014, Preface, ISBN: 9783319120560

Book

Granados A, Hald N, Di Marco A, Ahmed S, Low-Beer N, Higham J, Kneebone R, Bello Fet al., 2014, Real-Time Visualisation and Analysis of Internal Examinations - Seeing the Unseen, MEDICAL IMAGE COMPUTING AND COMPUTER-ASSISTED INTERVENTION - MICCAI 2014, PT I, Vol: 8673, Pages: 617-+, ISSN: 0302-9743

Journal article

Hillecke M, Moscarelli M, Sutaria N, Angelini G, Bello Fet al., 2014, Computer-Assisted Surgical Planning for Mitral Valve Repair Using 4D Echocardiograms, 6th International Symposium on Biomedical Simulation (ISBMS), Publisher: SPRINGER INTERNATIONAL PUBLISHING AG, Pages: 163-172, ISSN: 0302-9743

Conference paper

Seah TET, Barrow A, Baskaradas A, Gupte C, Bello Fet al., 2014, A Virtual Reality System to Train Image Guided Placement of Kirschner-Wires for Distal Radius Fractures, 6th International Symposium on Biomedical Simulation (ISBMS), Publisher: SPRINGER INT PUBLISHING AG, Pages: 20-29, ISSN: 0302-9743

Conference paper

Granados A, Mayer E, Norton C, Ellis D, Mobasheri M, Low-Beer N, Higham J, Kneebone R, Bello Fet al., 2014, Haptics Modelling for Digital Rectal Examinations, 6th International Symposium on Biomedical Simulation (ISBMS), Publisher: SPRINGER INT PUBLISHING AG, Pages: 40-49, ISSN: 0302-9743

Conference paper

Korzeniowski P, Martinez-Martinez F, Hald N, Bello Fet al., 2014, Simulation of Catheters and Guidewires for Cardiovascular Interventions Using an Inextensible Cosserat Rod, 6th International Symposium on Biomedical Simulation (ISBMS), Publisher: SPRINGER INTERNATIONAL PUBLISHING AG, Pages: 112-121, ISSN: 0302-9743

Conference paper

Woodward PJ, Brenton H, Ames D, Bello F, Birns Jet al., 2013, A multi-media e-learning tool for stroke, INTERNATIONAL JOURNAL OF STROKE, Vol: 8, Pages: 34-35, ISSN: 1747-4930

Journal article

Tang JJ, Maroothynaden J, Bello F, Kneebone Ret al., 2013, Public Engagement Through Shared Immersion: Participating in the Processes of Research, SCIENCE COMMUNICATION, Vol: 35, Pages: 654-666, ISSN: 1075-5470

Journal article

Kesavan S, Kelay T, Collins RE, Cox B, Bello F, Kneebone RL, Sevdalis Net al., 2013, Clinical information transfer and data capture in the acute myocardial infarction pathway: an observational study, JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Vol: 19, Pages: 805-811, ISSN: 1356-1294

Journal article

Maroothynaden J, Tang J, Granados A, Tun JK, Kneebone R, Bello Fet al., 2013, Technology for the DS educational tool-facilitating assessment, public engagement and debriefing in simulations through technology, BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY, Vol: 44, Pages: E127-E132, ISSN: 0007-1013

Journal article

Luboz V, Zhang Y, Johnson S, Song Y, Kilkenny C, Hunt C, Woolnough H, Guediri S, Zhai J, Odetoyinbo T, Littler P, Fisher A, Hughes C, Chalmers N, Kessel D, Clough PJ, Ward J, Phillips R, How T, Bulpitt A, John NW, Bello F, Gould Det al., 2013, ImaGiNe Seldinger: First simulator for Seldinger technique and angiography training, COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE, Vol: 111, Pages: 419-434, ISSN: 0169-2607

Journal article

Davies J, Khatib M, Bello F, 2013, Open Surgical Simulation-A Review, JOURNAL OF SURGICAL EDUCATION, Vol: 70, Pages: 618-627, ISSN: 1931-7204

Journal article

Granados A, Perhac J, Rosby LV, Lee YM, Tan GWL, Tan TC, Higham J, Thalmann N, Low-Beer N, Bello Fet al., 2013, See-through visualisation for training and assessing unsighted physical examinations, Pages: 85-92

Objective: Motivated by the limitations of being unable to provide feedback and adequately assess technical skills whilst training unsighted physical examinations, such as Digital Rectal Examinations (DRE), we present a see-through visualisation system that can be used with benchtop models widely available in medical schools. Methods: We use position and pressure sensors located on the examining finger and have implemented a Virtual Reality (VR) simulation learning tool consisting of registered 3D models of the benchtop, augmented with relevant surrounding pelvic anatomy. The proposed system was evaluated with six medical students and eleven consultants. Results: The system is stable, runs in real time, uses unobtrusive sensor coils and pads, is able to capture data from sensors at 40Hz and adequately translates and rotates the position of the examining finger aligned to the 3D models of the benchtop and surrounding anatomy. Both medical students and consultants recognised the educational value of being able to see-through and visualise surrounding relevant anatomy. Although novices are reported to be the group that could benefit the most from our system, it is crucial not to be over reliant on visual cues for too long and to develop a strategy for the adequate use of the see-through system. Conclusions: The proposed VR simulation system is intended to improve the experience of novices learning unsighted examinations by providing real-time feedback and visualisation, allowing trainees to reflect on their performance and permitting more adequate assessment of technical skills.

Conference paper

Barrow A, Akhtar K, Gupte C, Bello Fet al., 2013, Requirements analysis of a 5 degree of freedom haptic simulator for orthopedic trauma surgery., Stud Health Technol Inform, Vol: 184, Pages: 43-47, ISSN: 0926-9630

There are currently few Virtual Reality simulators for orthopedic trauma surgery. The current simulators provide only a basic recreation of the manual skills involved, focusing instead on the procedural and anatomical knowledge required. One factor limiting simulation of the manual skills is the complexity of adding realistic haptic feedback, particularly torques. This paper investigates the requirements, in terms of forces and workspace (linear and rotational), of a haptic interface to simulate placement of a lag screw in the femoral head, such as for fixation of a fracture in the neck of the femur. To measure these requirements, a study has been conducted involving 5 subjects with experience performing this particular procedure. The results gathered are being used to inform the design of a new haptic simulator for orthopedic trauma surgery.

Journal article

Tang JJ, Tun JK, Kneebone RL, Bello Fet al., 2013, Distributed simulation, ESSENTIAL SIMULATION IN CLINICAL EDUCATION, Editors: Forrest, McKimm, Edgar, Publisher: JOHN WILEY & SONS LTD, Pages: 196-212

Book chapter

Kelay T, Kesavan S, Collins RE, Kyaw-Tun J, Cox B, Bello F, Kneebone RL, Sevdalis Net al., 2013, Techniques to aid the implementation of novel clinical information systems: A systematic review, INTERNATIONAL JOURNAL OF SURGERY, Vol: 11, Pages: 783-791, ISSN: 1743-9191

Journal article

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