Evidence map›Paper›PMID 42515295›Full record

ArticleSensors (Basel, Switzerland)2026

Digital Twin-Based Virtual Reality Framework for Interaction and AI-Assisted Control of a Parallel Surgical Robot.

Florin Covaciu, Nadim Al Hajjar, Anca-Elena Iordan, Radu Corina, Bogdan Gherman, Andrei Cailean, Andra Ciocan, Alexandru Pusca, Paul Tucan, Doina Pisla

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Florin CovaciuResearch Center for Industrial Robots Simulation and Testing-CESTER, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.ORCID 0000-0002-0079-431X
Nadim Al HajjarDepartment of Surgery, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.
Anca-Elena IordanEuropean University of Technology, European Union.ORCID 0000-0001-9853-7102
Radu CorinaDepartment of Internal Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.
Bogdan GhermanResearch Center for Industrial Robots Simulation and Testing-CESTER, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.ORCID 0000-0002-4427-6231
Andrei CaileanResearch Center for Industrial Robots Simulation and Testing-CESTER, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.
Andra CiocanDepartment of Surgery, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.ORCID 0000-0003-0126-6428
Alexandru PuscaResearch Center for Industrial Robots Simulation and Testing-CESTER, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.ORCID 0000-0002-5804-575X
Paul TucanResearch Center for Industrial Robots Simulation and Testing-CESTER, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.ORCID 0000-0001-5660-8259
Doina PislaResearch Center for Industrial Robots Simulation and Testing-CESTER, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania.ORCID 0000-0001-7014-9431

Funding

European Union "Romanian Hub for Artificial Intelligence-HRIA", Smart Growth, Digitization and Financial Instruments Program, MySMIS no. 334906
6 · The paper itself

Abstract

The rapid advancement of robot-assisted minimally invasive surgery (RAMIS) has created an increasing demand for integrated solutions that combine advanced robotic actuation, sensing, and intelligent control within unified training and operational frameworks. This paper presents a Digital Twin-based virtual reality (VR) interaction and control system developed for an innovative parallel surgical robot, designed to support both surgical training and real-time robot interaction. The proposed framework extends a conventional VR simulator into a bidirectional Digital Twin architecture, enabling real-time synchronization between a virtual environment and the physical robotic system. The system integrates the ATHENA parallel robot, characterized by a 4-degree-of-freedom architecture with a Remote Center of Motion (RCM) constraint, together with a flexible laparoscopic instrument providing enhanced dexterity. Interaction is achieved using VR controllers, allowing intuitive manipulation of the robotic system within an immersive environment. To enhance operational performance, an artificial intelligence module based on neural networks is integrated as an assistive component, providing real-time trajectory refinement and motion guidance. The trained model is deployed using an ONNX-compatible runtime, ensuring efficient inference and seamless integration within the control architecture. The proposed system is validated through experimental evaluation of user interaction and task execution performance, as well as through external motion assessment using an OptiTrack optical tracking system. The results demonstrate improvements in motion stability, execution efficiency, and user interaction quality, while maintaining a high level of control intuitiveness. The findings highlight the potential of Digital Twin-based VR systems as a unifying platform for surgical training, interaction, and intelligent assistance in next-generation medical robotic systems.

Indexed as

Artificial IntelligenceRoboticsRobotic Surgical ProceduresVirtual RealityHumansMinimally Invasive Surgical ProceduresNeural Networks, ComputerUser-Computer Interfaceartificial intelligenceparallel robotsimulator trainingsurgical robotuser interfacevirtual realityVR headset

Identifiers

PMID42515295
PMCPMC13418216

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.