Related Experiment Video
Updated: Jan 7, 2026
Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
Published on: June 23, 2023
Simulation-based training intervention using artificial intelligence to improve clinical bronchoscopy performance: a
Kristoffer M Cold1, Arman Arshad2, Christian Kildegaard2,3
1Copenhagen Academy for Medical Education and Simulation, Rigshospitalet, Copenhagen, Denmark kristoffer.mazanti.cold.01@regionh.dk.
Objectives:
Does a simulation-based training intervention with an artificial intelligence (AI) navigation system improve their clinical bronchoscopy performance? And can the AIs outcome measures be used to evaluate clinical performance?
Design:
Pre-postintervention study.
Setting:
Odense University Hospital of Southern Denmark, pulmonary endoscopy suite.
Participants:
Nine bronchoscopists (4 experienced, >500 bronchoscopies and 5 intermediates, 10-500 bronchoscopies).
Primary Outcome Measures:
Diagnostic completeness (DC), structured progress (SP), procedure time (PT) and procedure efficiency (DC/PT).
Results:
The primary outcome measures showed no statistically significant difference between the pre- and postintervention bronchoscopies DC: 53% versus 59%, p=0.16, SP: 29% versus 32%, p=0.35 and PT: 219 s versus 181 s, p=0.22. The experienced outperformed the intermediates regarding DC: 73% versus 43%, p<0.001, SP: 47% versus 13%, p<0.001 and procedure efficiency: 533 s/full inspection versus 274 s/full inspection, p<0.001 but not on PT: 189 s versus 208 s, p=0.53).
Conclusions:
DC, SP and PT showed no statistically significant difference after a simulation-based training intervention. DC, SP and procedure efficiency differentiated between experienced and intermediate bronchoscopists and can be used to evaluate clinical bronchoscopy performance.
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Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...