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Porcine transfer st...
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Berry, Max,1969Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
(author)
Porcine transfer study: virtual reality simulator training compared with porcine training in endovascular novices
- Article/chapterEnglish2007
Publisher, publication year, extent ...
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2007-01-12
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Springer Science and Business Media LLC,2007
Numbers
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LIBRIS-ID:oai:gup.ub.gu.se/61208
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https://gup.ub.gu.se/publication/61208URI
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https://doi.org/10.1007/s00270-006-0161-1DOI
Supplementary language notes
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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PURPOSE: To compare the learning of endovascular interventional skills by training on pig models versus virtual reality simulators. METHODS: Twelve endovascular novices participated in a study consisting of a pig laboratory (P-Lab) and a virtual reality laboratory (VR-Lab). Subjects were stratified by experience and randomized into four training groups. Following 1 hr of didactic instruction, all attempted an iliac artery stenosis (IAS) revascularization in both laboratories. Onsite proctors evaluated performances using task-specific checklists and global rating scales, yielding a Total Score. Participants completed two training sessions of 3 hr each, using their group's assigned method (P-Lab x 2, P-Lab + VR-Lab, VR-Lab + P-Lab, or VR-Lab x 2) and were re-evaluated in both laboratories. A panel of two highly experienced interventional radiologists performed assessments from video recordings. ANCOVA analysis of Total Score against years of surgical, interventional radiology (IR) experience and cumulative number of P-Lab or VR-Lab sessions was conducted. Inter-rater reliability (IRR) was determined by comparing proctored scores with the video assessors in only the VR-Lab. RESULTS: VR-Lab sessions improved the VR-Lab Total Score (beta = 3.029, p = 0.0015) and P-Lab Total Score (beta = 1.814, p = 0.0452). P-Lab sessions increased the P-Lab Total Score (beta = 4.074, p < 0.0001) but had no effect on the VR-Lab Total Score. In the general statistical model, both P-Lab sessions (beta = 2.552, p = 0.0010) and VR-Lab sessions (beta = 2.435, p = 0.0032) significantly improved Total Score. Neither previous surgical experience nor IR experience predicted Total Score. VR-Lab scores were consistently higher than the P-Lab scores (Delta = 6.659, p < 0.0001). VR-Lab IRR was substantial (r = 0.649, p < 0.0008). CONCLUSIONS: Endovascular skills learned in the virtual environment may be transferable to the real catheterization laboratory as modeled in the P-Lab.
Subject headings and genre
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Adult
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Angioplasty
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Balloon/*education
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Animals
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Arterial Occlusive Diseases/*therapy
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Attitude of Health Personnel
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*Computer Simulation
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Curriculum
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*Disease Models
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Animal
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Female
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Humans
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*Iliac Artery
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Male
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Middle Aged
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Radiology
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Interventional/*education
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*Stents
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Swine
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*User-Computer Interface
Added entries (persons, corporate bodies, meetings, titles ...)
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Lystig, T
(author)
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Beard, J
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Klingestierna, H
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Reznick, R
(author)
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Lönn, Lars,1956Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences(Swepub:gu)xlonla
(author)
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Göteborgs universitetInstitutionen för kliniska vetenskaper
(creator_code:org_t)
Related titles
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In:Cardiovasc Intervent Radiol: Springer Science and Business Media LLC30:3, s. 455-610174-1551
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In:CardioVascular and Interventional Radiology: Springer Science and Business Media LLC30:3, s. 455-611432-086X
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