Cryo-preserved porcine kidneys are feasible for teaching and training renal biopsy: “the bento kidney”
Identifieur interne : 002495 ( Main/Exploration ); précédent : 002494; suivant : 002496Cryo-preserved porcine kidneys are feasible for teaching and training renal biopsy: “the bento kidney”
Auteurs : Kenjiro Konno [Japon] ; Koichi Nakanishi [Japon] ; Shuji Hishikawa [Japon] ; Hozumi Tanaka [Japon] ; Norishige Yoshikawa [Japon] ; Yoshikazu Yasuda [Japon] ; Eiji Kobayashi [Japon] ; Alan Lefor [Japon]Source :
- Transplantation Research [ 2047-1440 ] ; 2012.
Abstract
The use of patients as the primary teaching modality for learning procedures is being questioned. While there have been advancements in the technology used for performing needle biopsies in both native and transplanted kidneys, there has been little advancement in teaching and training tools. We have developed a portable
The kidney is thawed, perfused by a pump, covered with skin for realistic haptic feedback, and then used with existing biopsy technology to teach the technique.
Thirty porcine kidneys were used in this pilot research, and nine were shipped to physicians at a distant facility. Renal biopsy was then performed using a core biopsy needle and ultrasound guidance. There was some leakage of fluid from all kidneys noted. All trainees felt that the model was realistic, and judged at a mean score of 8.7 (SD 0.8) on a scale of 1 (not useful) to 10 (very useful).
This feasibility study demonstrates that cryo-preserved porcine kidneys can be successfully used to teach and train renal biopsy techniques, and provides haptic feedback as well as realistic real-time ultrasound images. Further large scale studies are needed to demonstrate value from the educational point of view for nephrology and transplantation.
Url:
DOI: 10.1186/2047-1440-1-5
PubMed: 23369318
PubMed Central: 3552570
Affiliations:
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<author><name sortKey="Yoshikawa, Norishige" sort="Yoshikawa, Norishige" uniqKey="Yoshikawa N" first="Norishige" last="Yoshikawa">Norishige Yoshikawa</name>
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<author><name sortKey="Yasuda, Yoshikazu" sort="Yasuda, Yoshikazu" uniqKey="Yasuda Y" first="Yoshikazu" last="Yasuda">Yoshikazu Yasuda</name>
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<series><title level="j">Transplantation Research</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The use of patients as the primary teaching modality for learning procedures is being questioned. While there have been advancements in the technology used for performing needle biopsies in both native and transplanted kidneys, there has been little advancement in teaching and training tools. We have developed a portable <italic>ex-vivo</italic>
kidney, the Bento Kidney, using cryo-preserved porcine kidneys for teaching this procedure.</p>
</sec>
<sec><title>Methods</title>
<p>The kidney is thawed, perfused by a pump, covered with skin for realistic haptic feedback, and then used with existing biopsy technology to teach the technique.</p>
</sec>
<sec><title>Results</title>
<p>Thirty porcine kidneys were used in this pilot research, and nine were shipped to physicians at a distant facility. Renal biopsy was then performed using a core biopsy needle and ultrasound guidance. There was some leakage of fluid from all kidneys noted. All trainees felt that the model was realistic, and judged at a mean score of 8.7 (SD 0.8) on a scale of 1 (not useful) to 10 (very useful).</p>
</sec>
<sec><title>Conclusions</title>
<p>This feasibility study demonstrates that cryo-preserved porcine kidneys can be successfully used to teach and train renal biopsy techniques, and provides haptic feedback as well as realistic real-time ultrasound images. Further large scale studies are needed to demonstrate value from the educational point of view for nephrology and transplantation.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Japon</li>
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<tree><country name="Japon"><noRegion><name sortKey="Konno, Kenjiro" sort="Konno, Kenjiro" uniqKey="Konno K" first="Kenjiro" last="Konno">Kenjiro Konno</name>
</noRegion>
<name sortKey="Hishikawa, Shuji" sort="Hishikawa, Shuji" uniqKey="Hishikawa S" first="Shuji" last="Hishikawa">Shuji Hishikawa</name>
<name sortKey="Hishikawa, Shuji" sort="Hishikawa, Shuji" uniqKey="Hishikawa S" first="Shuji" last="Hishikawa">Shuji Hishikawa</name>
<name sortKey="Kobayashi, Eiji" sort="Kobayashi, Eiji" uniqKey="Kobayashi E" first="Eiji" last="Kobayashi">Eiji Kobayashi</name>
<name sortKey="Kobayashi, Eiji" sort="Kobayashi, Eiji" uniqKey="Kobayashi E" first="Eiji" last="Kobayashi">Eiji Kobayashi</name>
<name sortKey="Lefor, Alan" sort="Lefor, Alan" uniqKey="Lefor A" first="Alan" last="Lefor">Alan Lefor</name>
<name sortKey="Lefor, Alan" sort="Lefor, Alan" uniqKey="Lefor A" first="Alan" last="Lefor">Alan Lefor</name>
<name sortKey="Lefor, Alan" sort="Lefor, Alan" uniqKey="Lefor A" first="Alan" last="Lefor">Alan Lefor</name>
<name sortKey="Nakanishi, Koichi" sort="Nakanishi, Koichi" uniqKey="Nakanishi K" first="Koichi" last="Nakanishi">Koichi Nakanishi</name>
<name sortKey="Tanaka, Hozumi" sort="Tanaka, Hozumi" uniqKey="Tanaka H" first="Hozumi" last="Tanaka">Hozumi Tanaka</name>
<name sortKey="Yasuda, Yoshikazu" sort="Yasuda, Yoshikazu" uniqKey="Yasuda Y" first="Yoshikazu" last="Yasuda">Yoshikazu Yasuda</name>
<name sortKey="Yoshikawa, Norishige" sort="Yoshikawa, Norishige" uniqKey="Yoshikawa N" first="Norishige" last="Yoshikawa">Norishige Yoshikawa</name>
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