Development and face validation of ultrasound‐guided renal biopsy virtual trainer. Issue 6 (26th November 2019)

• Record Type: Journal Article
• Authors: Enquobahrie, Andinet; Horvath, Sam; Arikatla, Sreekanth; Rosenberg, Avi; Cleary, Kevin; Sharma, Karun
• Is Part Of: Healthcare technology letters. Volume 6:Issue 6(2019)
• Page Start: 210
• Page End: 213
• Publication Date: 2019-11-26
• Subjects: biomedical ultrasonics -- public domain software -- paediatrics -- computer based training -- diseases -- patient treatment -- medical computing -- surgery -- biomedical education -- kidney -- needles; kidney failure -- renal pathologies -- competent biopsy technique -- high yield biopsy samples -- virtual simulator -- procedural skill competence -- US‐guided renal biopsy -- low‐cost hardware components -- open source software libraries -- face validation -- US images -- needle visualisation -- US‐guided needle biopsy -- clinical experts -- clinical validation study -- ultrasound‐guided renal biopsy virtual trainer -- chronic kidney disease -- adult‐paediatric nephrologists -- interventional‐diagnostic radiologists -- hand‐eye coordination -- Web‐based application -- automated skill assessment -- tracking modules -- time 3.0 year to 23.0 year; Biomedical engineering -- Periodicals; Medical technology -- Periodicals; 610.28
• DOI: 10.1049/htl.2019.0081
• Languages: English
• ISSNs: 2053-3713

Abstract

Abstract : The overall prevalence of chronic kidney disease in the general population is ∼14% with more than 661, 000 Americans having a kidney failure. Ultrasound (US)‐guided renal biopsy is a critically important tool in the evaluation and management of renal pathologies. This Letter presents KBVTrainer, a virtual simulator that the authors developed to train clinicians to improve procedural skill competence in US‐guided renal biopsy. The simulator was built using low‐cost hardware components and open source software libraries. They conducted a face validation study with five experts who were either adult/pediatric nephrologists or interventional/diagnostic radiologists. The trainer was rated very highly (>4.4) for the usefulness of the real US images (highest at 4.8), potential usefulness of the trainer in training for needle visualization, tracking, steadiness and hand‐eye coordination, and overall promise of the trainer to be useful for training US‐guided needle biopsies. The lowest score of 2.4 was received for the look and feel of the US probe and needle compared to clinical practice. The force feedback received a moderate score of 3.0. The clinical experts provided abundant verbal and written subjective feedback and were highly enthusiastic about using the trainer as a valuable tool for future trainees.