Training with Perk Tutor improves ultrasound-guided in-plane needle insertion skill

Hillary Lia; Zsuzsanna Keri; Matthew S. Holden; Vinyas Harish; Christopher H. Mitchell; Tamas Ungi; Gabor Fichtinger

doi:10.1117/12.2255840

Training with Perk Tutor improves ultrasound-guided in-plane needle insertion skill

Hillary Lia, Zsuzsanna Keri, Matthew S. Holden, Vinyas Harish, Christopher H. Mitchell, Tamas Ungi, Gabor Fichtinger

Research output: Chapter in Book/Conference paper › Conference paper › peer-review

3 Citations (Scopus)

Abstract

PURPOSE: The open-source Perk Tutor training platform has been shown to improve trainee performance in interventions that require ultrasound guidance. Our goal was to determine if needle coordination of medical trainees can be improved by training with Perk Tutor compared to training with ultrasound only.

METHODS: Twenty participants with no previous experience were randomized into two groups; the Perk Tutor group and the Control group. The Perk Tutor group had access to the 3D visualization while the Control group used ultrasound only during their training. Performance was analyzed, measured and compared by Perk Tutor with regards to four needle coordination metrics. None of the groups had access to 3D visualization during performance testing.

RESULTS: The needle tracking measurements showed, for the Perk Tutor group, lower average distance between the needle tip and ultrasound (1.2 [0.9 - 2.8] mm vs 2.7 [2.3 - 4.0] mm, respectively; P = 0.023) and lower maximum distance between the needle tip and ultrasound (2.2 [1.9 - 3.2] mm vs 4.6 [3.9 - 6.2] mm, respectively; P = 0.013). There was no significant difference in average needle to ultrasound plane angle and maximum needle to ultrasound plane distance. All participants were successful in the procedure.

CONCLUSION: The Perk Tutor group had significantly reduced distance from the needle tip to the ultrasound plane. Training with Perk Tutor can improve trainees' needle and ultrasound coordination.

Original language	English
Title of host publication	Medical imaging 2017
Subtitle of host publication	Image-Guided Procedures, Robotic Interventions, and Modeling
Editors	Robert J. Webster, Baowei Fei
Place of Publication	United States
Publisher	SPIE
Number of pages	8
ISBN (Electronic)	9781510607156
ISBN (Print)	9781510607156
DOIs	https://doi.org/10.1117/12.2255840
Publication status	Published - 2017
Externally published	Yes
Event	2017 Conference on Medical Imaging - Orlando, United States Duration: 14 Feb 2017 → 16 Feb 2017

Publication series

Name	Progress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume	10135
ISSN (Print)	1605-7422

Conference

Conference	2017 Conference on Medical Imaging
Country/Territory	United States
City	Orlando
Period	14/02/17 → 16/02/17

Access to Document

10.1117/12.2255840

Cite this

Lia, H., Keri, Z., Holden, M. S., Harish, V., Mitchell, C. H., Ungi, T., & Fichtinger, G. (2017). Training with Perk Tutor improves ultrasound-guided in-plane needle insertion skill. In R. J. Webster, & B. Fei (Eds.), Medical imaging 2017 : Image-Guided Procedures, Robotic Interventions, and Modeling Article 101350T (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 10135). SPIE. https://doi.org/10.1117/12.2255840

@inproceedings{e2de940bb4024414902f2279f5d4f952,

title = "Training with Perk Tutor improves ultrasound-guided in-plane needle insertion skill",

abstract = "PURPOSE: The open-source Perk Tutor training platform has been shown to improve trainee performance in interventions that require ultrasound guidance. Our goal was to determine if needle coordination of medical trainees can be improved by training with Perk Tutor compared to training with ultrasound only.METHODS: Twenty participants with no previous experience were randomized into two groups; the Perk Tutor group and the Control group. The Perk Tutor group had access to the 3D visualization while the Control group used ultrasound only during their training. Performance was analyzed, measured and compared by Perk Tutor with regards to four needle coordination metrics. None of the groups had access to 3D visualization during performance testing.RESULTS: The needle tracking measurements showed, for the Perk Tutor group, lower average distance between the needle tip and ultrasound (1.2 [0.9 - 2.8] mm vs 2.7 [2.3 - 4.0] mm, respectively; P = 0.023) and lower maximum distance between the needle tip and ultrasound (2.2 [1.9 - 3.2] mm vs 4.6 [3.9 - 6.2] mm, respectively; P = 0.013). There was no significant difference in average needle to ultrasound plane angle and maximum needle to ultrasound plane distance. All participants were successful in the procedure.CONCLUSION: The Perk Tutor group had significantly reduced distance from the needle tip to the ultrasound plane. Training with Perk Tutor can improve trainees' needle and ultrasound coordination.",

keywords = "Perk Tutor, 3D Slicer, SlicerIGT, PLUS Toolkit, Image-Guided Intervention, Visualization, Competency-based medical education, Ultrasound-guided needle insertion, PLACEMENT, GUIDANCE, PHANTOM, SYSTEM, TRIAL",

author = "Hillary Lia and Zsuzsanna Keri and Holden, {Matthew S.} and Vinyas Harish and Mitchell, {Christopher H.} and Tamas Ungi and Gabor Fichtinger",

year = "2017",

doi = "10.1117/12.2255840",

language = "English",

isbn = "9781510607156 ",

series = "Progress in Biomedical Optics and Imaging - Proceedings of SPIE",

publisher = "SPIE",

editor = "Webster, {Robert J. } and Baowei Fei",

booktitle = "Medical imaging 2017",

address = "United States",

note = "2017 Conference on Medical Imaging ; Conference date: 14-02-2017 Through 16-02-2017",

}

Lia, H, Keri, Z, Holden, MS, Harish, V, Mitchell, CH, Ungi, T & Fichtinger, G 2017, Training with Perk Tutor improves ultrasound-guided in-plane needle insertion skill. in RJ Webster & B Fei (eds), Medical imaging 2017 : Image-Guided Procedures, Robotic Interventions, and Modeling ., 101350T, Progress in Biomedical Optics and Imaging - Proceedings of SPIE, vol. 10135, SPIE, United States, 2017 Conference on Medical Imaging , Orlando, United States, 14/02/17. https://doi.org/10.1117/12.2255840

Training with Perk Tutor improves ultrasound-guided in-plane needle insertion skill. / Lia, Hillary; Keri, Zsuzsanna; Holden, Matthew S. et al.
Medical imaging 2017 : Image-Guided Procedures, Robotic Interventions, and Modeling . ed. / Robert J. Webster; Baowei Fei. United States: SPIE, 2017. 101350T (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 10135).

Research output: Chapter in Book/Conference paper › Conference paper › peer-review

TY - GEN

T1 - Training with Perk Tutor improves ultrasound-guided in-plane needle insertion skill

AU - Lia, Hillary

AU - Keri, Zsuzsanna

AU - Holden, Matthew S.

AU - Harish, Vinyas

AU - Mitchell, Christopher H.

AU - Ungi, Tamas

AU - Fichtinger, Gabor

PY - 2017

Y1 - 2017

N2 - PURPOSE: The open-source Perk Tutor training platform has been shown to improve trainee performance in interventions that require ultrasound guidance. Our goal was to determine if needle coordination of medical trainees can be improved by training with Perk Tutor compared to training with ultrasound only.METHODS: Twenty participants with no previous experience were randomized into two groups; the Perk Tutor group and the Control group. The Perk Tutor group had access to the 3D visualization while the Control group used ultrasound only during their training. Performance was analyzed, measured and compared by Perk Tutor with regards to four needle coordination metrics. None of the groups had access to 3D visualization during performance testing.RESULTS: The needle tracking measurements showed, for the Perk Tutor group, lower average distance between the needle tip and ultrasound (1.2 [0.9 - 2.8] mm vs 2.7 [2.3 - 4.0] mm, respectively; P = 0.023) and lower maximum distance between the needle tip and ultrasound (2.2 [1.9 - 3.2] mm vs 4.6 [3.9 - 6.2] mm, respectively; P = 0.013). There was no significant difference in average needle to ultrasound plane angle and maximum needle to ultrasound plane distance. All participants were successful in the procedure.CONCLUSION: The Perk Tutor group had significantly reduced distance from the needle tip to the ultrasound plane. Training with Perk Tutor can improve trainees' needle and ultrasound coordination.

AB - PURPOSE: The open-source Perk Tutor training platform has been shown to improve trainee performance in interventions that require ultrasound guidance. Our goal was to determine if needle coordination of medical trainees can be improved by training with Perk Tutor compared to training with ultrasound only.METHODS: Twenty participants with no previous experience were randomized into two groups; the Perk Tutor group and the Control group. The Perk Tutor group had access to the 3D visualization while the Control group used ultrasound only during their training. Performance was analyzed, measured and compared by Perk Tutor with regards to four needle coordination metrics. None of the groups had access to 3D visualization during performance testing.RESULTS: The needle tracking measurements showed, for the Perk Tutor group, lower average distance between the needle tip and ultrasound (1.2 [0.9 - 2.8] mm vs 2.7 [2.3 - 4.0] mm, respectively; P = 0.023) and lower maximum distance between the needle tip and ultrasound (2.2 [1.9 - 3.2] mm vs 4.6 [3.9 - 6.2] mm, respectively; P = 0.013). There was no significant difference in average needle to ultrasound plane angle and maximum needle to ultrasound plane distance. All participants were successful in the procedure.CONCLUSION: The Perk Tutor group had significantly reduced distance from the needle tip to the ultrasound plane. Training with Perk Tutor can improve trainees' needle and ultrasound coordination.

KW - Perk Tutor

KW - 3D Slicer

KW - SlicerIGT

KW - PLUS Toolkit

KW - Image-Guided Intervention

KW - Visualization

KW - Competency-based medical education

KW - Ultrasound-guided needle insertion

KW - PLACEMENT

KW - GUIDANCE

KW - PHANTOM

KW - SYSTEM

KW - TRIAL

U2 - 10.1117/12.2255840

DO - 10.1117/12.2255840

M3 - Conference paper

SN - 9781510607156

T3 - Progress in Biomedical Optics and Imaging - Proceedings of SPIE

BT - Medical imaging 2017

A2 - Webster, Robert J.

A2 - Fei, Baowei

PB - SPIE

CY - United States

T2 - 2017 Conference on Medical Imaging

Y2 - 14 February 2017 through 16 February 2017

ER -

Lia H, Keri Z, Holden MS, Harish V, Mitchell CH, Ungi T et al. Training with Perk Tutor improves ultrasound-guided in-plane needle insertion skill. In Webster RJ, Fei B, editors, Medical imaging 2017 : Image-Guided Procedures, Robotic Interventions, and Modeling . United States: SPIE. 2017. 101350T. (Progress in Biomedical Optics and Imaging - Proceedings of SPIE). doi: 10.1117/12.2255840

Training with Perk Tutor improves ultrasound-guided in-plane needle insertion skill

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