title: ImaGiNe Seldinger: first simulator for Seldinger technique and angiography training.
abstract: In vascular interventional radiology, procedures generally start with the Seldinger technique to access the vasculature, using a needle through which a guidewire is inserted, followed by navigation of catheters within the vessels. Visual and tactile skills are learnt in a patient apprenticeship which is expensive and risky for patients. We propose a training alternative through a new virtual simulator supporting the Seldinger technique: ImaGiNe (imaging guided interventional needle) Seldinger. It is composed of two workstations: (1) a simulated pulse is palpated, in an immersive environment, to guide needle puncture and (2) two haptic devices provide a novel interface where a needle can direct a guidewire and catheter within the vessel lumen, using virtual fluoroscopy. Different complexities are provided by 28 real patient datasets. The feel of the simulation is enhanced by replicating, with the haptics, real force and flexibility measurements. A preliminary validation study has demonstrated training effectiveness for skills transfer.
authors.affiliation: Collaborators in Radiological Interventional Virtual Environments (CRaIVE), UK. vincent.luboz@gmail.com
authors.forename: V
authors.initials: V
authors.lastname: Luboz
authors.forename: Y
authors.initials: Y
authors.lastname: Zhang
authors.forename: S
authors.initials: S
authors.lastname: Johnson
authors.forename: Y
authors.initials: Y
authors.lastname: Song
authors.forename: C
authors.initials: C
authors.lastname: Kilkenny
authors.forename: C
authors.initials: C
authors.lastname: Hunt
authors.forename: H
authors.initials: H
authors.lastname: Woolnough
authors.forename: S
authors.initials: S
authors.lastname: Guediri
authors.forename: J
authors.initials: J
authors.lastname: Zhai
authors.forename: T
authors.initials: T
authors.lastname: Odetoyinbo
authors.forename: P
authors.initials: P
authors.lastname: Littler
authors.forename: A
authors.initials: A
authors.lastname: Fisher
authors.forename: C
authors.initials: C
authors.lastname: Hughes
authors.forename: N
authors.initials: N
authors.lastname: Chalmers
authors.forename: D
authors.initials: D
authors.lastname: Kessel
authors.forename: P J
authors.initials: PJ
authors.lastname: Clough
authors.forename: J
authors.initials: J
authors.lastname: Ward
authors.forename: R
authors.initials: R
authors.lastname: Phillips
authors.forename: T
authors.initials: T
authors.lastname: How
authors.forename: A
authors.initials: A
authors.lastname: Bulpitt
authors.forename: N W
authors.initials: NW
authors.lastname: John
authors.forename: F
authors.initials: F
authors.lastname: Bello
authors.forename: D
authors.initials: D
authors.lastname: Gould
mesh_terms: D000465:Algorithms; D000792:Angiography / Q000379:methods*; D000818:Animals; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D003198:Computer Simulation; D004548:Elasticity; D004867:Equipment Design; D005471:Fluoroscopy / Q000379:methods; D017276:Friction; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008962:Models, Theoretical; D009339:Needles; D015642:Radiology, Interventional / Q000193:education* / Q000379:methods*; D012984:Software; D013552:Swine; D013647:Task Performance and Analysis; D014584:User-Computer Interface; D014652:Vascular Diseases / Q000628:therapy*
keywords: Haptics devices; Interventional radiology; Seldinger technique; Training; Vascular surgery; Virtual simulation