Simulation of real-time ultrasound-guided renal biopsy.

Kidney International
Michal Mrug, John J Bissler

Abstract

Percutaneous renal biopsy has an essential role in the diagnosis and treatment of multiple kidney disorders. Unfortunately, this invasive procedure is associated with increased risk for adverse, even lethal, outcomes. Simulation training has been shown to improve procedure competencies; therefore, we developed an inexpensive simulation tool for teaching and practicing real-time ultrasound-guided percutaneous renal biopsy. This model mimics human kidney biopsy conditions in terms of kidney size, depth, tissue echogenicity, and overall structural characteristics. The preparation is simple, consisting of inserting a porcine kidney phantom under a turkey breast, using standard ultrasound imaging and semiautomatic needles, and allowing repetitive sampling. Our tool for initial renal biopsy training and for maintenance of already acquired skills has received positive feedback from fellows in major adult and pediatric nephrology training programs. Future controlled studies are needed to establish the efficacy of this simulation training in reducing discomfort and adverse renal biopsy outcomes in patients.

References

Oct 3, 2007·Pediatrics·Michael G GaiesThomas J Sandora
May 27, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Bruce MackinnonColin Geddes
Feb 28, 2009·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Bryan WaldoEdmund J Lewis
Oct 27, 2009·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Bruce MackinnonColin Geddes

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Citations

Dec 12, 2012·American Journal of Nephrology·Dalia DawoudMichal Mrug
Jun 15, 2014·Academic Radiology·Aarti SekharBettina Siewert
Nov 5, 2015·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Maite Rivera GorrínCarlos Quereda
Sep 5, 2015·Clinical Journal of the American Society of Nephrology : CJASN·Jonathan J HoganJeffrey S Berns
Mar 13, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Lisa K PrinceChristina M Yuan
Jul 3, 2013·Advances in Chronic Kidney Disease·Kenar D JhaveriHitesh H Shah
May 25, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·A-G CordierA Benachi
Dec 15, 2015·BMC Nephrology·Scott W OliverBruce MacKinnon
Jun 9, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Edward ClarkRory McQuillan
Aug 27, 2016·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Pauline FilippouThomas Chi
Apr 20, 2018·Clinical Journal of the American Society of Nephrology : CJASN·Christina M YuanUNKNOWN Nephrology Education Research and Development Consortium (NERDC)
Feb 11, 2021·Clinical Kidney Journal·Mickaël BobotUNKNOWN Comité scientifique du Club des Jeunes Néphrologues

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