ArticleJournal of neurointerventional surgery2019
Validation studies of virtual reality simulation performance metrics for mechanical thrombectomy in ischemic stroke.
Article in Journal of neurointerventional surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Simulation training in spinal endoscopic surgery: a systematic review of current status.Neurosurgical review · 2026Pooled it
- Simulation and Virtual Reality as Training Modalities in Interventional Radiology: A Systematic Review.Cardiovascular and interventional radiology · 2026Review
- Vascular geometry characterization for AI-based endovascular navigation.International journal of computer assisted radiology and surgery · 2026Article
- A Position Statement on Endovascular Models and Effectiveness Metrics for Mechanical Thrombectomy Navigation, on Behalf of the Stakeholder Taskforce for Artificial Intelligence-Assisted Robotic Thrombectomy (START).Journal of the American Heart Association · 2026Article
- Virtual reality simulation training in stroke thrombectomy centers with limited patient volume-Simulator performance and patient outcome.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Article
- World Stroke Organization mechanical thrombectomy workshops combined with the Global Stroke Alliance builds regional capacity.Frontiers in neurology · 2026Article
- Education Research: Simulation-Based Interventions in Acute Stroke Care From Symptom Onset to Acute Treatment: A Scoping Review.Neurology. Education · 2025Article
- Innovations in Thrombectomy Training: A Systematic Review and Expert Recommendations from the Society of Vascular and Interventional Neurology-Mission Thrombectomy Initiative.Stroke (Hoboken, N.J.) · 2025Article
- International expert consensus on a structured approach to robotic multiport right hemicolectomy with complete mesocolic excision and intracorporeal anastomosis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- European expert consensus on a structured approach to circular stapling anastomosis in minimally invasive left-sided colorectal resection.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Article
- Remote feedback in endovascular simulation training: a mixed-methods study.Advances in simulation (London, England) · 2024Article
- Development and validation of metrics for a new RAPN training model.Journal of robotic surgery · 2024Article
- Advancing endovascular neurosurgery training with extended reality: opportunities and obstacles for the next decade.Frontiers in surgery · 2024Review
- Metric based virtual simulation training for endovascular thrombectomy improves interventional neuroradiologists' simulator performance.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023Article
- Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke.Frontiers in neurology · 2022Article
- Objective assessment of intraoperative skills for robot-assisted radical prostatectomy (RARP): results from the ERUS Scientific and Educational Working Groups Metrics Initiative.BJU international · 2021Article
- Training and Supervision of Thrombectomy by Remote Live Streaming Support (RESS) : Randomized Comparison Using Simulated Stroke Interventions.Clinical neuroradiology · 2021Article
- Stroke and digital technology: a wake-up call from COVID-19 pandemic.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021Review
- [Remote proctoring in neuroradiological interventions].Der Nervenarzt · 2021Review
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMechanical thrombectomy (MT) has transformed the treatment of ischemic stroke. However, patient access to MT may be limited due to a shortage of doctors specifically trained to perform MT. The studies reported here were done to (1) develop, operationally define, and seek consensus from procedure experts on the metrics which best characterize a reference procedure for the performance of an MT for ischemic stroke and (2) evaluate their construct validity when implemented in a virtual reality (VR) simulation.
methodsIn study 1, the metrics for a reference approach to an MT procedure for ischemic stroke of 10 phases, 46 steps, and 56 errors and critical errors, were presented to an international Delphi panel of 21 consultant level interventional neuroradiologists (INRs). In study 2, the metrics were used to assess 8 expert and 10 novice INRs performing a VR simulated routine MT procedure.
resultsIn study 1, the Delphi panel reached consensus on the appropriateness of the procedure metrics for a reference approach to MT in ischemic stroke. Group differences in median scores in study 2 demonstrated that experienced INRs performed the case 19% faster (P=0.029), completed 40% more procedure phases (P=0.009), 20% more steps (P=0.012), and made 42% fewer errors (P=0.016) than the novice group.
conclusionsThe international Delphi panel agreed metrics implemented in a VR simulation of MT distinguished between the computer scored procedure performance of INR experts and novices. The studies reported here support the demonstration of face, content, and construct validity of the MT metrics.
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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 OpenQuestion graph.