A purpose-built simulator for percutaneous ultrasound-guided renal biopsy

Woywodt, Alexander; How, T Lim; Schulz, Michael

doi:10.5414/cn107236

Cited by 8 publications

(2 citation statements)

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“…Five examined liver biopsies [52][53][54][55][56], six examined kidney procedures [58][59][60][61][62][63], one examined both liver and kidney biopsies [57], six examined unspecified abdominal procedures [64][65][66][67][68][69], and PTC drainage [50], abscess drainage [51], and paracentesis [49] were examined by a single study, respectively. Nine studies used homemade phantoms [49,51,54,55,58,[61][62][63]68], seven studies used virtual reality simulators [50,52,56,64,65,67,69], three studies used commercially available phantoms [53,60,66], and two used human cadavers [57,59]. Simulation based training was accompanied by educational co-interventions in six of the studies [49,55,57,60,…”

Section: Non-randomized Controlled Studiesmentioning

confidence: 99%

Simulation-Based Training of Ultrasound-Guided Procedures in Radiology – A Systematic Review

et al. 2019

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Purpose To perform a systematic review of the effect of simulation-based training (SBT) of percutaneous abdominal and thoracic ultrasound-guided procedures and to assess the transfer of procedural competence to a clinical context. Materials and Methods This systematic review was conducted in accordance with the PRISMA statement. Pubmed, Embase, Web of Science, and the Cochrane Library were searched for studies assessing procedural competence after SBT. Two authors independently reviewed all studies and extracted data. Risk of bias was assessed using the Cochrane tool for randomized studies (RoB) and non-randomized studies (ROBINS-I). Quality of evidence was assessed using the GRADE approach. Results 42 studies were included. 6 were randomized controlled, 3 non-randomized controlled, and 33 non-randomized non-controlled. 26 studies examined US-guided abdominal procedures, 13 examined thoracic procedures, and 3 examined both. The results favored SBT compared to other educational interventions and found that training was superior to no training. Only two studies examined the transfer of procedural skills to a clinical context. All studies had a high or critical risk of bias. Thus, the quality of evidence for the effect of SBT on procedural competence was low, and evidence for its transfer to a clinical context was very low. Conclusion The evidence supporting SBT of percutaneous abdominal and thoracic US-guided procedures remains insufficient due to methodological problems and a high risk of bias. Future studies should be randomized and single-blinded, use assessment tools supported by validity evidence, compare different educational strategies, and examine the transfer of skills to a clinical setting.

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Section: Non-randomized Controlled Studiesmentioning

confidence: 99%

Simulation-Based Training of Ultrasound-Guided Procedures in Radiology – A Systematic Review

et al. 2019

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“…Therefore, the invention of a practical simulation model is desired. There are several reports on simulations for renal biopsy, including the use of porcine kidneys in turkey 3 or gelatin, 4 the use of embalmed cadavers, 5 and silicon kidneys 6 . However, no simulation has been widely implemented in the nephrology training program, possibly due to the cost and complexity of creating the simulators.…”

Section: Introductionmentioning

confidence: 99%

Simulation for ultrasound‐guided renal biopsy using boiled egg

et al. 2022

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Real‐time ultrasound‐guided renal biopsy is generally applied to diagnose multiple kidney diseases. A practical simulation model is desired since it is an invasive technique with higher risks of complications such as bleeding. We developed a simple simulation tool for ultrasound‐guided renal biopsy using boiled eggs. Boiled chicken eggs were embedded in the agar, and a biopsy simulation was performed using a real‐time ultrasound‐guided technique as the renal biopsy simulator by trainees and biopsy‐proficient nephrologists, and the feedback from the participants was obtained. The ultrasonographic evaluation revealed a clear contrast between egg yolk and white, which clearly mimicked the kidney cortex and medulla region. In addition, we observed the needle entering the egg white under needle penetration, and we obtained the biopsy core consisting of egg white. As for the simulations, all the participants succeeded in obtaining the appropriate samples. A total of 92% of the trainees agreed that the simulation could reduce their fears of performing renal biopsies in patients. In addition, all the trainees and biopsy‐proficient nephrologists recommend using the simulator for trainees before conducting renal biopsies on patients. The total cost of the simulator was low (

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Evaluation of Homemade Ballistic Gelatin Phantoms as a Low-Cost Alternative to Commercial-Grade Phantoms in Medical Education

et al. 2016

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A purpose-built simulator for percutaneous ultrasound-guided renal biopsy

Abstract: We describe a purpose-built and affordable simulator for percutaneous ultrasound-guided renal biopsy. We suggest that others evaluate our simulator used as part of a structured approach to teach this important procedure.

Cited by 8 publications

References 0 publications

Simulation-Based Training of Ultrasound-Guided Procedures in Radiology – A Systematic Review

Simulation-Based Training of Ultrasound-Guided Procedures in Radiology – A Systematic Review

Simulation for ultrasound‐guided renal biopsy using boiled egg

Evaluation of Homemade Ballistic Gelatin Phantoms as a Low-Cost Alternative to Commercial-Grade Phantoms in Medical Education

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