Evidence map›Paper›PMID 37193935›Full record

ArticleInternational journal of computer assisted radiology and surgery2023

A sensorized modular training platform to reduce vascular damage in endovascular surgery.

Nikola Fischer, Christian Marzi, Katrin Meisenbacher, Anna Kisilenko, Tornike Davitashvili, Martin Wagner, Franziska Mathis-Ullrich

Open access · hybridAbstract read
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
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

7 authors at 2 institutions in 1 country.

Nikola Fischer *Health Robotics and Automation, Karlsruhe Institute of Technology, Institute for Anthropomatics and Robotics, 76131, Karlsruhe, Germany.
Christian Marzi *Health Robotics and Automation, Karlsruhe Institute of Technology, Institute for Anthropomatics and Robotics, 76131, Karlsruhe, Germany.
Katrin MeisenbacherDepartment of Vascular and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Anna KisilenkoDepartment for General, Visceral and Transplantation Surgery, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Tornike DavitashviliDepartment for General, Visceral and Transplantation Surgery, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Martin WagnerDepartment for General, Visceral and Transplantation Surgery, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Franziska Mathis-UllrichHealth Robotics and Automation, Karlsruhe Institute of Technology, Institute for Anthropomatics and Robotics, 76131, Karlsruhe, Germany. franziska.mathis-ullrich@fau.de.ORCID http://orcid.org/0000-0001-5239-5305
Heidelberg University · DEKarlsruhe Institute of Technology · DE

Funding

Klaus Tschira Stiftung 00.021.2019
6 · The paper itself

Abstract

purposeEndovascular interventions require intense practice to develop sufficient dexterity in catheter handling within the human body. Therefore, we present a modular training platform, featuring 3D-printed vessel phantoms with patient-specific anatomy and integrated piezoresistive impact force sensing of instrument interaction at clinically relevant locations for feedback-based skill training to detect and reduce damage to the delicate vascular wall.

methodsThe platform was fabricated and then evaluated in a user study by medical ([Formula: see text]) and non-medical ([Formula: see text]) users. The users had to navigate a set of guidewire and catheter through a parkour of 3 modules including an aneurismatic abdominal aorta, while impact force and completion time were recorded. Eventually, a questionnaire was conducted.

resultsThe platform allowed to perform more than 100 runs in which it proved capable to distinguish between users of different experience levels. Medical experts in the fields of vascular and visceral surgery had a strong performance assessment on the platform. It could be shown, that medical students could improve runtime and impact over 5 runs. The platform was well received and rated as promising for medical education despite the experience of higher friction compared to real human vessels.

conclusionWe investigated an authentic patient-specific training platform with integrated sensor-based feedback functionality for individual skill training in endovascular surgery. The presented method for phantom manufacturing is easily applicable to arbitrary patient-individual imaging data. Further work shall address the implementation of smaller vessel branches, as well as real-time feedback and camera imaging for further improved training experience.

Indexed as

Education, MedicalEndovascular ProceduresAorta, AbdominalCatheterizationCathetersClinical CompetenceHumansEndovascular trainingImpact force sensingPiezoresistive sensingSensorized phantom

Identifiers

PMID37193935
PMCPMC10491519
OpenAlexW4376871080

What OpenQuestion 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 OpenQuestion graph.