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介入放射学培训:技术将把我们带向何方?

Interventional radiology training: where will technology take us?

作者信息

Mashar Meghavi, Nanapragasam Andrew, Haslam Philip

机构信息

Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.

King's College Hospital, London, United Kingdom.

出版信息

BJR Open. 2019 Aug 16;1(1):20190002. doi: 10.1259/bjro.20190002. eCollection 2019.

Abstract

Interventional radiology is a relatively young specialty, and it is undergoing a period of considerable growth. The benefits of a minimally invasive approach are clear, with smaller incisions, less pain, and faster recovery times being the principal benefits compared to surgical alternatives. Trainees need to acquire the technical skills and the clinical acumen to accurately deliver targeted treatment and safely follow up patients after the procedure. The need to maintain an efficient interventional radiology service whilst also giving sufficient time for trainee education is a challenge. In order to compensate for this, novel technologies like virtual reality (VR), augmented reality (AR), cadaveric simulation, and three-dimensional (3D) printing have been postulated as a means of supplementing training. In this article, we outline the main features of these innovative strategies and discuss the evidence base behind them. Benefits of these techniques beyond pure clinical training include the standardization of educational cases, access to training at any time, and less risk to patients. The main disadvantage is the large financial outlay required. Therefore, before widespread uptake can be recommended, further research is needed to confirm the educational benefit of these novel techniques, both in and of themselves and in comparison to existing clinical-based education.

摘要

介入放射学是一个相对年轻的专业领域,目前正处于显著发展时期。与手术替代方案相比,微创方法的优势显而易见,主要优势在于切口更小、疼痛更少且恢复时间更快。学员需要掌握技术技能和临床敏锐度,以便准确地进行靶向治疗并在术后安全地随访患者。在维持高效的介入放射学服务的同时,还要为学员教育留出足够时间,这是一项挑战。为了弥补这一点,虚拟现实(VR)、增强现实(AR)、尸体模拟和三维(3D)打印等新技术被认为是补充培训的一种方式。在本文中,我们概述了这些创新策略的主要特点,并讨论其背后的证据基础。这些技术除了单纯的临床培训之外的好处包括教育案例的标准化、随时可进行培训以及对患者风险更小。主要缺点是需要大量资金投入。因此,在推荐广泛采用之前,需要进一步研究以确认这些新技术本身以及与现有基于临床的教育相比的教育益处。

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Interventional radiology training: where will technology take us?介入放射学培训:技术将把我们带向何方?
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