Evidence map›Paper›PMID 37670718›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2026

Virtual reality simulation training in stroke thrombectomy centers with limited patient volume-Simulator performance and patient outcome.

Olav Søvik, Arnstein Tveiten, Halvor Øygarden, Pål Johan Stokkeland, Hanne Brit Hetland, Magnus Sundgot Schneider, Knut Olav Sandve, Marianne Altmann, Dan Levi Hykkerud, Johanna Ospel and 4 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Impact of multidisciplinary simulation training on endovascular thrombectomy: Workflow, patient outcomes and anaesthetic management.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  5. Review
  6. 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

14 authors at 6 institutions in 3 countries.

Olav SøvikDepartment of Research, Sørlandet Hospital, Kristiansand, Norway.ORCID 0000-0002-7168-5559
Arnstein TveitenDepartment of Neurology, Sørlandet Hospital, Kristiansand, Norway.
Halvor ØygardenDepartment of Neurology, Sørlandet Hospital, Kristiansand, Norway.
Pål Johan StokkelandDepartment of Radiology, Sørlandet Hospital, Kristiansand, Norway.ORCID 0000-0002-8373-9390
Hanne Brit HetlandDepartment of Research, Section of Biostatistics, Stavanger University Hospital, Stavanger, Norway.
Magnus Sundgot SchneiderDepartment of Radiology, Stavanger University Hospital, Stavanger, Norway.ORCID 0000-0002-8397-8455
Knut Olav SandveDepartment of Radiology, Stavanger University Hospital, Stavanger, Norway.
Marianne AltmannDepartment of Neurology, Akershus University Hospital, Lørenskog, Norway.
Dan Levi HykkerudDepartment of Radiology, Akershus University Hospital, Lørenskog, Norway.
Johanna OspelDepartment of Radiology, Basel University Hospital, Basel, Switzerland.
Mayank GoyalDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0001-9060-2109
Hege Langli ErsdalFaculty of Health Sciences, University of Stavanger, Stavanger, Norway.
Martin Wilhelm KurzDepartment of Neurology, Neuroscience Research Group, Stavanger University Hospital, Stavanger, Norway.
Per Kristian HyldmoDepartment of Research, Sørlandet Hospital, Kristiansand, Norway.
Sørlandet Sykehus · NOStavanger University Hospital · NOAkershus University Hospital · NOUniversity of Calgary · CAUniversity of Agder · NOUniversity of Stavanger · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundVirtual reality simulation training may improve the technical skills of interventional radiologists when establishing endovascular thrombectomy at limited-volume stroke centers. The aim of this study was to investigate whether the technical thrombectomy performance of interventional radiologists improved after a defined virtual reality simulator training period. As part of the quality surveillance of clinical practice, we also assessed patient outcomes and thrombectomy quality indicators at the participating centers.MethodsInterventional radiologists and radiology residents from three thrombectomy-capable stroke centers participated in a five months thrombectomy skill-training curriculum on a virtual reality simulator. The simulator automatically registered procedure time, the number of predefined steps that were correctly executed, handling errors, contrast volume, fluoroscopy time, and radiation dose exposure. The design was a before-after study. Two simulated thrombectomy cases were used as pretest and posttest cases, while seven other cases were used for training. Utilizing the Norwegian Stroke Register, we investigated clinical results in thrombectomy during the study period.ResultsNineteen interventional radiologists and radiology residents participated in the study. The improvement between pretest and posttest cases was statistically significant for all outcome measures in both simulated cases, except for the contrast volume used in one case. Clinical patient outcomes in all three centers were well within the recommendations from multi-society consensus guidelines.ConclusionPerformance on the virtual reality simulator improved after training. Virtual reality simulation may improve the learning curve for interventional radiologists in limited-volume thrombectomy centers. No correlation alleged, the clinical data indicates that the centers studied performed thrombectomy in accordance with guideline-recommended standards.

Indexed as

Clinical CompetenceRadiology, InterventionalSimulation TrainingStrokeThrombectomyVirtual RealityAgedFemaleHumansInternship and ResidencyMaleMiddle AgedNorwayendovascular thrombectomyischemic strokereperfusion therapysimulation trainingVirtual reality

Identifiers

PMID37670718
PMCPMC12852635
OpenAlexW4386467007

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.