1. Simulation education utilizing phantom and angle reference guide in pulmonary nodule CT localization
- Author
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Chiao-Yun Tsai, Stella Chin-Shaw Tsai, Guang-Qian Shen, Guan-Liang Robert Guo, Zhe-Luen Gerald Tsui, Ming-Yu Hsieh, Cadmus Yuan, and Frank Cheau-Feng Lin
- Subjects
Pulmonary nodule ,Computed tomography-guided localization ,Phantom ,Simulation ,Medical education ,Angle reference device ,Science (General) ,Q1-390 ,Social sciences (General) ,H1-99 - Abstract
Objective: The incidence of sub-centimeter pulmonary nodules has been increasing along with the use of low-dose computed tomography (LDCT) as a screening tool for early lung cancer detection. In our institution, pulmonary nodule computed tomography-guided localization (PNCL) is performed preoperatively with the laser angle guided assembly (LAGA), an angle reference device. This study aims to investigate the efficacy of postgraduate education in a phantom simulation of PNCL, with or without LAGA. Setting design: This prospective study was conducted in an academic hospital in Taiwan. Seven thoracic surgery residents and three experienced senior physicians were recruited to perform PNCL using a phantom simulation, with or without LAGA, for five nodules each and complete a questionnaire. Performance data were collected. χ2 tests, Mann-Whitney U test, univariate and multivariate linear regression were used for statistical analyses. Results: The confidence level increased from median 7[range 1, 9] to 8, range [6,9] (p = 0.001) before and after the simulation education course. The scores of enhanced PNCL ability and course satisfaction were as high as 8 [5,9], and 9 [7,9]. LAGA enabled broader puncture angles (with 27.5° [0°,80°]; without 14° [0°, 80°], p = 0.003), a lower puncture frequency (with 1 [1,4]; without 2 [1,5], p
- Published
- 2023
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