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Metric based virtual simulation training for endovascular thrombectomy improves interventional neuroradiologists'

Magnus Sundgot Schneider1, Knut Olav Sandve1, Kathinka Dæhli Kurz1,2

  • 1Stavanger Medical Imaging Laboratory (SMIL), Department of Radiology, Stavanger University Hospital, Stavanger, Norway.

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Virtual reality (VR) simulation training improves interventional neuroradiologists' (INR) skills in endovascular thrombectomy. This study shows VR training enhances INR capabilities and positive attitudes toward simulation for improved patient outcomes.

Keywords:
Interventionalacute strokeneuroradiologyquality improvementsimulation

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Area of Science:

  • Medical Simulation
  • Neurosurgery
  • Interventional Radiology

Background:

  • Endovascular thrombectomy is a critical procedure for stroke treatment.
  • Metric-based virtual reality (VR) simulation offers a potential avenue for enhancing interventional neuroradiologists' (INR) skills.
  • A pilot study was conducted to assess the feasibility and utility of VR simulation for endovascular thrombectomy.

Purpose of the Study:

  • To evaluate the feasibility and utility of VR simulation for endovascular thrombectomy training.
  • To assess the impact of VR simulation on INR performance metrics.
  • To gauge INR attitudes towards VR simulation training.

Main Methods:

  • Six INR and four residents trained on a VR simulator (Mentice VIST 5G) using two benchmark case scenarios.
  • Participants performed benchmark cases before and after VR training.
  • Interventional neuroradiologists also completed a questionnaire on their expectations and attitudes toward VR simulation.

Main Results:

  • All participants demonstrated improved mean total procedure times.
  • Experts showed significant improvements in handling errors, reduced contrast volume, and fluoroscopy time.
  • Novices exhibited significant improvements in completed steps, reduced fluoroscopy time, and radiation exposure.

Conclusions:

  • VR simulation training effectively enhances INR capabilities in performing endovascular thrombectomy within the simulated environment.
  • Interventional neuroradiologists generally hold positive attitudes towards VR simulation training.
  • The translation of VR simulation training to enhanced clinical performance will be assessed in an ongoing national study.