Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

Sosa-Valencia, Leonardo; Huppertz, Jerôme; Wanert, Fanélie; Haberzetser, Francois; Swanström, Lee L.; Mangiavillano, Benedetto; Eisendrath, Pierre; Deprez, Pierre Henri; Robles-Medranda, Carlos; Carrara, Sandro; Al‐Haddad, Mohammad; Vilmann, Peter; Koch, Stéphane; Larghi, Alberto; Khashab, Mouen A.

doi:10.4103/eus-d-21-00124

Cited by 4 publications

(3 citation statements)

References 31 publications

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“…Furthermore, an attempt has been made to increase the frame rate to achieve a higher level of detail. One possible novel contrast medium ultrasound technique that attempts to take advantage of all of the latest technical developments is high-intensity focused (HIFI) CEUS [28].…”

Section: Discussionmentioning

confidence: 99%

Color Mapping using Ultrasound System-integrated Perfusion Software for Evaluation of Focal Liver Lesions: A Possible First Step for More Independent Reading

Dropco,

Kaiser,

Wagner

et al. 2023

JGLD

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Aims: To assess the value of using integrated parametric ultrasound software for contrast-enhanced ultrasonography (CEUS) of liver tumors. Methods: 107 patients with liver tumors were studied. CEUS were performed to detect focal lesions. Parametric images were based on continuous CINE LOOPs, from the early-arterial phase (15 s) to the portal-venous phase (1 min) generated by perfusion software. The evaluations of the parametric images and their dignity for liver lesions were performed independently by an experienced and a less-experienced investigator. Computed tomography, magnetic resonance imaging scans or histological analysis were used as references. Results: High parametric image quality were obtained in all patients. Among the patients, 44% lesions were benign, 56% were malignant. The experienced investigator correctly classified 46 of 47 (98%) as benign, and 60 of 60 (100%) as malignant tumors based on the parametric images. The less-experienced investigator correctly classified 39 of 47 (83%) as benign, and 49 of 60 (82%) malignant tumors, acheaving a high statistical accuracy of 98% with this type of diagnostic. Conclusion: Parametric imaging for grading the malignant degree of tumor may be a good complement to existing ultrasound techniques and was particularly helpful for improving the assessments of the less-experienced examiner.

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Section: Discussionmentioning

confidence: 99%

Color Mapping using Ultrasound System-integrated Perfusion Software for Evaluation of Focal Liver Lesions: A Possible First Step for More Independent Reading

Dropco,

Kaiser,

Wagner

et al. 2023

JGLD

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show abstract

“…Another recent study developed and assessed a highfidelity simulated live animal model (HiFi SAM) to teach endoscopists IEUS procedures. 40 A curriculum was designed to incorporate the porcine model HiFi SAM, allowing trainees to perform realistic procedures with expert mentors. The 3-day program involved 27 trainees and 18 experts, with 22 IEUSs defined for each HiFi SAM, resulting in a total of 616 procedures performed.…”

Section: Grsmentioning

confidence: 99%

“…Another recent study developed and assessed a high‐fidelity simulated live animal model (HiFi SAM) to teach endoscopists IEUS procedures 40 . A curriculum was designed to incorporate the porcine model HiFi SAM, allowing trainees to perform realistic procedures with expert mentors.…”

Section: Evaluation Of Ieus Training Modelsmentioning

confidence: 99%

Impact and assessment of training models in interventional endoscopic ultrasound

Miutescu,

Dhir

2023

Digestive Endoscopy

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Interventional endoscopic ultrasound (IEUS) has gained significant popularity in recent years because of its diagnostic and therapeutic capabilities. The proper training of endoscopists is critical to ensure safe and effective procedures. This review study aims to assess the impact of different training models on the competence of trainees performing IEUS. Eight studies that evaluated simulators for IEUS were identified in the medical literature. Various training models have been used, including the EASIE‐R, Mumbai EUS, EUS Magic Box, EndoSim, Thai Association for Gastrointestinal Endoscopy model, and an ex vivo porcine model (HiFi SAM). The trainees underwent traditional didactic lectures, hands‐on training using simulators, and direct supervision by experienced endoscopists. The effectiveness of these models has been evaluated based on objective and subjective parameters such as technical proficiency, operative time, diagnostic success, and participant feedback. As expected, the majority of skills were improved after the training sessions concluded, although the risk of bias is high in the absence of external validation. It is difficult to determine the ideal simulator among the existing ones because of the wide variation between them in terms of costs, reusability, design, fidelity of anatomical structures and feedback, and types of procedures performed. There is a need for a standardized approach for the evaluation of IEUS simulators and the ways skills are acquired by trainees, as well as a clearer definition of the key personal attributes necessary for developing a physician into a skilled endoscopist capable of performing basic and advanced therapeutic EUS interventions.

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Endoscopic Ultrasound (EUS) Guided Biliary Drainage

Sosa-Valencia¹,

Swanström²

2023

The SAGES Manual Operating Through the Endoscope

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Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

Cited by 4 publications

References 31 publications

Color Mapping using Ultrasound System-integrated Perfusion Software for Evaluation of Focal Liver Lesions: A Possible First Step for More Independent Reading

Color Mapping using Ultrasound System-integrated Perfusion Software for Evaluation of Focal Liver Lesions: A Possible First Step for More Independent Reading

Impact and assessment of training models in interventional endoscopic ultrasound

Endoscopic Ultrasound (EUS) Guided Biliary Drainage

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