Rofo 2019; 191(06): 547-552
DOI: 10.1055/a-0759-2248
Academic Radiology
© Georg Thieme Verlag KG Stuttgart · New York

Simulation in Angiography – Experiences from 5 Years Teaching, Training, and Research

Article in several languages: English | deutsch
Kornelia Kreiser
Department of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University Munich, München, Germany
,
Kim Gehling
Department of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University Munich, München, Germany
,
Claus Zimmer
Department of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University Munich, München, Germany
› Author Affiliations
Further Information

Publication History

25 May 2018

03 October 2018

Publication Date:
12 February 2019 (online)

Abstract

Purpose The example of university radiology/neuroradiology illustrates how high-tech angiography simulators can be used meaningfully in teaching, clinical training and research.

Materials and Methods/Technical Basics A VIST LAB simulator (Mentice, Gothenburg, Sweden), which has been continuously developed both in terms of software and hardware, has been in use since 2013. Recently, the simulator has been integrated into the angiography suite Azurion (Philips, Amsterdam, Netherlands).

Results/Areas of Application In student education there is the possibility for intensive examination of cerebrovascular diseases and their therapy in small group lessons. The training of beginners in diagnostic and interventional angiography begins mandatorily on the simulator. Research questions are the proof of validity and the training effect, but also the influence on patient safety and the possible cost reduction of an intervention.

Conclusion As a result of continuous further development in recent years, simulators are now very well suited for both student teaching and beginner medical training. In the future, even experienced interventionalists could benefit from further technical advances, which should also be driven by academic research. Possible effects would be the reduction of examination times, complications and costs.

Key Points:

  • Angiography simulators are useful in teaching students, medical training and research.

  • Linking a simulator to an angiography suite increases the degree of reality even further.

  • Real patient cases can be practiced and thus patient safety can be increased.

  • Future developments should also increase the benefit for experienced interventionalists.

  • Integration of simulators into certification programs (e. g. DEGIR) is to be targeted in the future.

Citation Format

  • Kreiser K, Gehling K, Zimmer C. Simulation in Angiography – Experiences from 5 Years Teaching, Training, and Research. Fortschr Röntgenstr 2019; 191: 547 – 552

 
  • References

  • 1 Rolfe JM, Staples KJE. (eds.) Flight simulation. Cambridge Aerospace series. Cambridge University press; 1988
  • 2 Bradley P. The history of simulation in medical education and possible future directions. Med Educ 2006; 40: 254-262
  • 3 Jäger HR, Grieve JP. Advances in non-invasive imaging of intracranial vascular disease. Ann R Coll Surg Engl 2000; 82: 1-5
  • 4 Lu L, Zhang LJ, Poon CS. et al. Digital subtraction CT angiography for detection of intracranial aneurysms: comparison with three-dimensional digital subtraction angiography. Radiology 2012; 262: 605-612
  • 5 Pjontek R, Önenköprülü B, Scholz B. et al. Metal artifact reduction for flat panel detector intravenous CT angiography in patients with intracranial metallic implants after endovascular and surgical treatment. J Neurointerv Surg 2016; 8: 824-829
  • 6 Berlis A, Weber W. Nationwide care for acute ischemic stroke patients is ensured by radiologists and neuroradiologists. Rofo 2017; 189: 303-308
  • 7 www.mentice.com/laerdal-simman-vascular [Internet, cited 2018 Jun 24]
  • 8 www.laerdal.com/de/products/simulation-training/emergency-care--trauma/simman-vascular [Internet, cited 2018 Jun 24]
  • 9 Jensen UJ, Jensen J, Olivecrona GK. et al. Technical skills assessment in a coronary angiography simulator for construct validation. Simul Healthc 2013; 8: 324-328
  • 10 Bech B, Lönn L, Falkenberg M. et al. Construct validity and reliability of structured assessment of endovascular expertise in a simulated setting. Eur J Vasc Endovasc Surg 2011; 42: 539-548
  • 11 Spiotta AM, Rasmussen PA, Masaryk TJR. et al. Simulated diagnostic cerebral angiography in neurosurgical training: a pilot program. J Neurointerv Surg 2013; 5: 376-381
  • 12 Nguyen N, Eagleson R, Boulton M. et al. Realism, criterion validity, and training capability of simulated diagnostic cerebral angiography. Studies in health technology and informatics 2014; 196: 297-303