ArticleFrontiers in surgery2023
A synthetic model simulator for intracranial aneurysm clipping: validation of the UpSurgeOn AneurysmBox.
Article in Frontiers in surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Surgeons' Perceptions on the Utility of a Conceptual Novel Force Sensor at the Surgeon-Tool Interface: Formative Interview Study.JMIR formative research · 2026Article
- Pitfalls in Intracranial Aneurysm Clipping: How to Avoid and How to Get out of Them.Journal of clinical medicine · 2025Article
- Development and external validation of a mixed-reality aneurysm clipping simulator.Neurosurgical review · 2025Article
- Reshaping neurosurgical training: a novel simulation-based concept for structured skill acquisition and curriculum integration.Neurosurgical review · 2025Article
- Modeling the Microsurgical Learning Curve Using a Poisson-Based Statistical Approach for Skill Assessment.Cureus · 2025Article
- Development and assessment of case-specific physical and augmented reality simulators for intracranial aneurysm clipping.3D printing in medicine · 2024Article
- Latex vascular injection as method for enhanced neurosurgical training and skills.Frontiers in surgery · 2024Article
- Neurosurgical Education Using Cadaver-Free Brain Models and Augmented Reality: First Experiences from a Hands-On Simulation Course for Medical Students.Medicina (Kaunas, Lithuania) · 2023Article
Corrections and comments
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Authors and funding
14 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and objectives: In recent decades, the rise of endovascular management of aneurysms has led to a significant decline in operative training for surgical aneurysm clipping. Simulation has the potential to bridge this gap and benchtop synthetic simulators aim to combine the best of both anatomical realism and haptic feedback. The aim of this study was to validate a synthetic benchtop simulator for aneurysm clipping (AneurysmBox, UpSurgeOn). Methods: Expert and novice surgeons from multiple neurosurgical centres were asked to clip a terminal internal carotid artery aneurysm using the AneurysmBox. Face and content validity were evaluated using Likert scales by asking experts to complete a post-task questionnaire. Construct validity was evaluated by comparing expert and novice performance using the modified Objective Structured Assessment of Technical Skills (mOSATS), developing a curriculum-derived assessment of Specific Technical Skills (STS), and measuring the forces exerted using a force-sensitive glove. Results: Ten experts and eighteen novices completed the task. Most experts agreed that the brain looked realistic (8/10), but far fewer agreed that the brain felt realistic (2/10). Half the expert participants (5/10) agreed that the aneurysm clip application task was realistic. When compared to novices, experts had a significantly higher median mOSATS (27 vs. 14.5; Conclusion: At present, the AneurysmBox has equivocal face and content validity, and future versions may benefit from materials that allow for improved haptic feedback. Nonetheless, it has good construct validity, suggesting it is a promising adjunct to training.
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