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Patient‐specific simulation for endovascular procedures: qualitative evaluation of the development process
Author(s) -
Willaert W. I. M.,
Aggarwal R.,
Nestel D. F.,
Gaines P. A.,
Vermassen F. E.,
Darzi A. W.,
Cheshire N. J.
Publication year - 2010
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.307
Subject(s) - computer science , process (computing) , process management , operating system , business
Background Recent advancements in simulation permit patient‐specific rehearsal of carotid artery stenting procedures. This study evaluates the feasibility of transferring patient‐specific CT data into the simulator, creating a 3D reconstruction and performing a rehearsal. The face validity of the model was assessed. Methods/Results By thematic analysis of qualitative data, an algorithm was generated, focusing on simulation set‐up, time of data transfer, software/compatibility issues and problem‐solving strategies. The face validity of the simulated case was evaluated by 15 expert interventionalists: realism (median 4/5), training potential (median 4/5) and pre‐procedure rehearsal potential for challenging CAS cases (median 4/5) were rated highly. Conclusions Setting up a procedure rehearsal is feasible and reproducible for different patients in different hospital settings without major software compatibility issues. The time to create a 3D reconstruction of patient‐specific CT data is a major factor in the total time necessary to set up a rehearsal. The face validity is highly rated by experts. Copyright © 2010 John Wiley & Sons, Ltd.