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A low-cost, durable, combined ultrasound and fluoroscopic phantom for cervical transforaminal injections.

Identifieur interne : 002464 ( PubMed/Checkpoint ); précédent : 002463; suivant : 002465

A low-cost, durable, combined ultrasound and fluoroscopic phantom for cervical transforaminal injections.

Auteurs : Imanuel R. Lerman [États-Unis] ; Dmitri Souzdalnitski ; Samer Narouze

Source :

RBID : pubmed:22476241

English descriptors

Abstract

This technical report describes a durable, low-cost, anatomically accurate, and easy-to-prepare combined ultrasound (US) and fluoroscopic phantom of the cervical spine. This phantom is meant to augment training in US- and fluoroscopic-guided pain medicine procedures.

DOI: 10.1097/AAP.0b013e31824f3763
PubMed: 22476241


Affiliations:


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pubmed:22476241

Le document en format XML

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<title xml:lang="en">A low-cost, durable, combined ultrasound and fluoroscopic phantom for cervical transforaminal injections.</title>
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<name sortKey="Lerman, Imanuel R" sort="Lerman, Imanuel R" uniqKey="Lerman I" first="Imanuel R" last="Lerman">Imanuel R. Lerman</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Anesthesiology Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA, USA. irlerman@partners.org</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Anesthesiology Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA</wicri:regionArea>
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<region type="state">Massachusetts</region>
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<name sortKey="Souzdalnitski, Dmitri" sort="Souzdalnitski, Dmitri" uniqKey="Souzdalnitski D" first="Dmitri" last="Souzdalnitski">Dmitri Souzdalnitski</name>
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<name sortKey="Narouze, Samer" sort="Narouze, Samer" uniqKey="Narouze S" first="Samer" last="Narouze">Samer Narouze</name>
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<title xml:lang="en">A low-cost, durable, combined ultrasound and fluoroscopic phantom for cervical transforaminal injections.</title>
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<title level="j">Regional anesthesia and pain medicine</title>
<idno type="eISSN">1532-8651</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Cervical Vertebrae (blood supply)</term>
<term>Cervical Vertebrae (radiography)</term>
<term>Cervical Vertebrae (ultrasonography)</term>
<term>Clinical Competence</term>
<term>Costs and Cost Analysis</term>
<term>Equipment Design</term>
<term>Fluoroscopy (economics)</term>
<term>Fluoroscopy (instrumentation)</term>
<term>Humans</term>
<term>Injections</term>
<term>Models, Anatomic</term>
<term>Models, Cardiovascular</term>
<term>Motor Skills</term>
<term>Phantoms, Imaging (economics)</term>
<term>Pulsatile Flow</term>
<term>Radiography, Interventional (economics)</term>
<term>Radiography, Interventional (instrumentation)</term>
<term>Ultrasonography, Doppler, Color (economics)</term>
<term>Ultrasonography, Doppler, Color (instrumentation)</term>
<term>Ultrasonography, Interventional (economics)</term>
<term>Ultrasonography, Interventional (instrumentation)</term>
<term>Vertebral Artery (radiography)</term>
<term>Vertebral Artery (ultrasonography)</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en">
<term>Cervical Vertebrae</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en">
<term>Fluoroscopy</term>
<term>Phantoms, Imaging</term>
<term>Radiography, Interventional</term>
<term>Ultrasonography, Doppler, Color</term>
<term>Ultrasonography, Interventional</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Fluoroscopy</term>
<term>Radiography, Interventional</term>
<term>Ultrasonography, Doppler, Color</term>
<term>Ultrasonography, Interventional</term>
</keywords>
<keywords scheme="MESH" qualifier="radiography" xml:lang="en">
<term>Cervical Vertebrae</term>
<term>Vertebral Artery</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en">
<term>Cervical Vertebrae</term>
<term>Vertebral Artery</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Clinical Competence</term>
<term>Costs and Cost Analysis</term>
<term>Equipment Design</term>
<term>Humans</term>
<term>Injections</term>
<term>Models, Anatomic</term>
<term>Models, Cardiovascular</term>
<term>Motor Skills</term>
<term>Pulsatile Flow</term>
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<div type="abstract" xml:lang="en">This technical report describes a durable, low-cost, anatomically accurate, and easy-to-prepare combined ultrasound (US) and fluoroscopic phantom of the cervical spine. This phantom is meant to augment training in US- and fluoroscopic-guided pain medicine procedures.</div>
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<Day>25</Day>
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<Year>2012</Year>
<Month>08</Month>
<Day>21</Day>
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<ISSN IssnType="Electronic">1532-8651</ISSN>
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<Volume>37</Volume>
<Issue>3</Issue>
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<Title>Regional anesthesia and pain medicine</Title>
<ISOAbbreviation>Reg Anesth Pain Med</ISOAbbreviation>
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<ArticleTitle>A low-cost, durable, combined ultrasound and fluoroscopic phantom for cervical transforaminal injections.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">This technical report describes a durable, low-cost, anatomically accurate, and easy-to-prepare combined ultrasound (US) and fluoroscopic phantom of the cervical spine. This phantom is meant to augment training in US- and fluoroscopic-guided pain medicine procedures.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The combined US and fluoroscopic phantom (CUF-P) is prepared from commercially available liquid plastic that is ordinarily used to prepare synthetic fishing lures. The liquid plastic is heated and then poured into a metal canister that houses an anatomical cervical spine model. Drops of dark purple dye are added to make the phantom opaque. After cooling, tubing is attached to the CUF-P to simulate blood vessels.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The CUF-P accurately simulates human tissue by imitating both the tactile texture of skin and the haptic resistance of human tissue as the needle is advanced. This phantom contains simulated fluid-filled vertebral arteries that exhibit pulsed flow under color Doppler US. Under fluoroscopic examination, the CUF-P-simulated vertebral arteries also exhibit uptake of contrast dye if mistakenly injected.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The creation of a training phantom allows the pain physician to practice needle positioning technique while simultaneously visualizing both targeted and avoidable vascular structures under US and fluoroscopic guidance. This low-cost CUF-P is easy to prepare and is reusable, making it an attractive alternative to current homemade and commercially available phantom simulators.</AbstractText>
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<LastName>Lerman</LastName>
<ForeName>Imanuel R</ForeName>
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<Affiliation>Department of Anesthesiology Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA, USA. irlerman@partners.org</Affiliation>
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