ArticlePrenatal diagnosis2025
Virtual Reality Simulation in Teaching Fetoscopic Laser Placental Photocoagulation in Twin-To-Twin Transfusion Syndrome.
Article in Prenatal diagnosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop and validate a novel virtual reality (VR) simulation system for training fetoscopic laser placental photocoagulation in twin-to-twin transfusion syndrome (TTTS).
methodsA VR-based simulator incorporating Meta Quest headsets and custom-designed hardware was developed. The system features realistic anatomical modeling, integrated performance metrics, and progressive training modules. Validation involved 31 participants (11 experienced fetal therapy specialists, 10 fetal therapy fellows, and 10 other maternal-fetal medicine specialists) who evaluated the simulator across five domains using a standardized questionnaire.
resultsThe simulator demonstrated excellent internal consistency (Cronbach's α = 0.92) with strong positive validation across all measured aspects. Training effectiveness received the highest endorsement (87%, 95% CI: 83%-91%), followed by user engagement (85%, 95% CI: 81%-89%). Experienced specialists rated environmental realism significantly higher (4.8 ± 0.3, p = 0.002), while fellows provided the strongest endorsement for training effectiveness (4.8 ± 0.3, p = 0.004).
conclusionsThis VR simulator represents a significant advancement in TTTS surgical education, offering comprehensive training capabilities without requiring practice on actual patients. Initial testing demonstrates feasibility for both local and remote teaching applications, with potential advantages in cost, portability, and educational capabilities compared to traditional physical simulators.
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