Evidence map›Paper›PMID 41641099›Full record

ArticleNeurology. Education2026

Education Research: Simulator-Based Training in Transcranial Doppler Ultrasound: Enhancing Competency in a Critical Neuroimaging Tool.

Aidan Shev, Florence Sheehan, Ziao Yin, Angela Straccia, Daniel F Leotta, Alberto Aliseda, R Eugene Zierler, Mark D Anderson, Deepak Sharma

Abstract read
In one paragraph

Article in Neurology. Education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Effect of optimal operator positioning on transcranial Doppler acquisition: a randomized controlled trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Trial
  2. 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

9 authors.

Aidan ShevMedicine, University of Washington, Seattle.ORCID https://orcid.org/0009-0004-9789-3040
Florence SheehanMedicine, University of Washington, Seattle.ORCID https://orcid.org/0000-0001-9283-3867
Ziao YinMedicine, University of Washington, Seattle.
Angela StracciaMechanical Engineering, University of Washington, Seattle.
Daniel F LeottaApplied Physics Laboratory, University of Washington, Seattle.
Alberto AlisedaMechanical Engineering, University of Washington, Seattle.
R Eugene ZierlerVascular Surgery, University of Washington, Seattle; and.
Mark D AndersonMedicine, University of Washington, Seattle.
Deepak SharmaAnesthesiology and Pain Medicine, University of Washington, Seattle.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Transcranial Doppler (TCD) ultrasound is recommended for measuring cerebral blood flow velocity to guide therapeutic intervention in patients with cerebrovascular diseases. However, the widespread use of TCD is hampered by a shortage of trained practitioners. This study evaluated the efficacy of a simulator-based curriculum in teaching novices the foundational skill to perform TCD insonation. Methods: We developed a curriculum on a novel simulator that incorporates interactive practice with real-time feedback. We assessed change in the skill levels of medical and premedical students without previous exposure to TCD from pretraining and posttraining tests. Psychomotor skill was assessed based on accuracy in insonating the middle cerebral, anterior cerebral, ophthalmic, basilar, and vertebral arteries. Cognitive skill (knowledge) was assessed using multiple-choice questions (MCQs). Results: Training significantly improved skill: the correct insonation rate increased from 16 ± 24% (95% CI 9%-23%) on the pretest to 61 ± 34% (95% CI 52%-70%) on the posttest (N = 56, Discussion: Simulator-based training rapidly improved the ability of novices to locate intracranial arteries for measurement of blood flow velocity. The data support the employment of simulator-based training as a foundational step to help alleviate the shortage of trained providers. The simulator's self-directed practice allows for scalable, standardized training.

Identifiers

PMID41641099
PMCPMC12867274

What OpenQuestion holds

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LicenceCC BY
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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.