Upper gastrointestinal fluoroscopic simulator for neonates with bilious emesis

Benya, Ellen C; Wyers, Mary; O’Brien, Ellen K.; Nandhan, Vikram; Adler, Mark

doi:10.1007/s00247-015-3330-z

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…However, most commonly simulation focuses on clinical scenarios such as contrast reaction management [ 7 ] and training of procedural skills such as those for image-guided procedures [ 8 – 10 ]. In terms of diagnostic imaging, some simulation has focused on improving acquisition in operator-dependent settings such as fluoroscopic upper gastrointestinal exams [ 11 ]. Simulation for education in the interpretive side of radiology is less common but an emerging field.…”

Section: Discussionmentioning

confidence: 99%

Artificial Intelligence-Powered Clinical Decision Support and Simulation Platform for Radiology Trainee Education

et al. 2022

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Technological tools can redesign traditional approaches to radiology education, for example, with simulation cases and via computer-generated feedback. In this study, we investigated the use of an AI-powered, Bayesian inference-based clinical decision support (CDS) software to provide automated “real-time” feedback to trainees during interpretation of clinical and simulation brain MRI examinations. Radiology trainees participated in sessions in which they interpreted 3 brain MRIs: two cases from a routine clinical worklist (one without and one with CDS) and a teaching file-based simulation case with CDS. The CDS software required trainees to input imaging features and differential diagnoses, after which inferred diagnoses were displayed, and the case was reviewed with an attending neuroradiologist. An observer timed each case, including time spent on education, and trainees completed a survey rating their confidence in their findings and the educational value of the case. Ten trainees reviewed 75 brain MRI examinations during 25 reading sessions. Trainees had slightly lower confidence in their findings and diagnosis and rated the educational value slightly higher for simulation cases with CDS compared to clinical cases without CDS ( p < 0.05). There were no significant differences in ratings of clinical cases with or without CDS. No differences in overall timing were found among the reading scenarios. Simulation cases with “CDS-provided feedback” may improve the educational value of interpreting imaging studies at a workstation without adding additional time. Further investigation will help drive innovation in trainee education, which may be particularly relevant in this era of increasing remote work and asynchronous attending review.

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Section: Discussionmentioning

confidence: 99%

Artificial Intelligence-Powered Clinical Decision Support and Simulation Platform for Radiology Trainee Education

et al. 2022

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“…Children under the age of 1 year are more likely to first present with malrotation and volvulus. 12 Nehra and Goldstein reviewed a large cohort of patients with malrotation across all ages and demonstrated that among the paediatric patients, 59% were less than one year of age. 13 This was slightly lower than in our study with 65% of patients being less than 1 year of age.…”

Section: Discussionmentioning

confidence: 99%

The adequacy of fluoroscopic upper gastrointestinal studies for suspected intestinal volvulus in a tertiary care centre vs. secondary centres: A regional multicentre study

et al. 2021

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Introduction: Early diagnosis and treatment of intestinal volvulus are important to reduce morbidity. A fluoroscopic upper GI study is the gold standard for diagnosis and may be performed in a secondary or tertiary care centre prior to surgery. It is important the reporting radiologist is confident in the findings. We aim to assess whether there is any difference in confidence and study quality between paediatric and general radiologists who work in secondary or tertiary care centres. Methods: Retrospective review of initial radiology reports and blinded review of the study images by paediatric radiologists. Results: A total of 277 children underwent a fluoroscopic study for intestinal volvulus over a four-year period. The majority were performed at a tertiary care centre, by paediatric radiologists. The confidence of initial reporting was higher in paediatric than general radiologists despite whether they worked in a secondary or tertiary care centre (P-value < 0.001). On retrospective review, studies performed by paediatric radiologists were rated as having a higher confidence in identifying the location of the duodenojejunal flexure. General radiologists tended to have a slightly higher rate of repeat studies but still low at 2.2%. Despite this, there was no significant difference in the diagnosis rates and secondary centre general radiologists excluded malrotation in 62% of studies likely reducing transfer rates. Conclusion: Confidence in initial reporting and on review of the duodenojejunal flexure location in suspected intestinal volvulus is higher in paediatric radiologists compared with general radiologists, although diagnosis rates are no different.

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Simulation in Radiology Education

Makris

2022

Image-Based Teaching

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Upper gastrointestinal fluoroscopic simulator for neonates with bilious emesis

Cited by 5 publications

References 7 publications

Artificial Intelligence-Powered Clinical Decision Support and Simulation Platform for Radiology Trainee Education

Artificial Intelligence-Powered Clinical Decision Support and Simulation Platform for Radiology Trainee Education

The adequacy of fluoroscopic upper gastrointestinal studies for suspected intestinal volvulus in a tertiary care centre vs. secondary centres: A regional multicentre study

Simulation in Radiology Education

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