Sarah Stamler MD, Presenter: Nothing to Disclose

Bryan Su-Hyun Jeun MD, Abstract Co-Author: Nothing to Disclose

Kemi Tokunbo Babagbemi MD, Abstract Co-Author: Nothing to Disclose

Bradley Bryan Pua MD, Abstract Co-Author: Nothing to Disclose

Simulation continues to be underutilized in medical training. However, there are potentially significant benefits to utilizing such technologies, such as identifying and validating milestones for trainee progression as well as aiding in the development of procedural proficiency without compromising patient safety. In an attempt to increase simulation technology utilization, we introduce a training module intended to teach the user key technical aspects and necessary steps required for an ultrasound guided breast biopsy.

The training module incorporates a full length video compilation and several short segment video clips of an actual ultrasound guided breast biopsy. The graphics user interface was written in Actionscript 2.0, Adobe’s (San Jose, CA) proprietary programming language for the Flash platform. Flash was chosen for this simulation to create a dynamic, interactive multimedia user experience along with easy access and widespread dissemination over the internet. Proper patient consent was obtained and anonymity maintained. The video was recorded in high definition at a native resolution of 1920 x 1080 (1080p) and converted to Flash video at a reduced resolution of 1280 x 720 (720p).

The module features a full length video of an ultrasounded guided breast biopsy with accompanying narrative providing patient background information and important considerations. This is followed by an exercise where the user is asked to place key steps of the procedure in proper order. The user is allowed to view clips of the video as an aid. The program will track the amount of time it takes for the user to complete the exercise as well as log the number of mistakes made.

The benefits of simulation training have been clearly documented in the surgical literature in which advanced simulators permit surgeons in training to practice to achieve proficiency. It is our intention to extend the utilization of simulation training to radiology training through the use of this and other modules based on this platform. It is expected that radiology trainees will be better prepared for the technical aspects of procedures, which will increase trainee comfort prior to patient contact.

Stamler, S, Jeun, B, Babagbemi, K, Pua, B, Simulation Training in Image Guided Interventions: Ultrasound Guided Breast Biopsy.  Radiological Society of North America 2012 Scientific Assembly and Annual Meeting, November 25 - November 30, 2012 ,Chicago IL. http://archive.rsna.org/2012/12035290.html