{"id":"https://openalex.org/W4389542944","doi":"https://doi.org/10.1109/embc40787.2023.10339975","title":"The ITAG Spinal Simulator (ISS): A New Simulator for Difficult Lumbar Punctures","display_name":"The ITAG Spinal Simulator (ISS): A New Simulator for Difficult Lumbar Punctures","publication_year":2023,"publication_date":"2023-07-24","ids":{"openalex":"https://openalex.org/W4389542944","doi":"https://doi.org/10.1109/embc40787.2023.10339975","pmid":"https://pubmed.ncbi.nlm.nih.gov/38083069"},"language":"en","primary_location":{"id":"doi:10.1109/embc40787.2023.10339975","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1109/embc40787.2023.10339975","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2023 45th Annual International Conference of the IEEE Engineering in Medicine &amp; Biology Society (EMBC)","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048935438","display_name":"Sean Jeffries","orcid":null},"institutions":[{"id":"https://openalex.org/I5023651","display_name":"McGill University","ror":"https://ror.org/01pxwe438","country_code":"CA","type":"education","lineage":["https://openalex.org/I5023651"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Sean D Jeffries","raw_affiliation_strings":["McGill University,Department of Experimental Surgery,Montreal,Quebec,Canada","Department of Experimental Surgery, McGill University, Montreal, Quebec, Canada"],"affiliations":[{"raw_affiliation_string":"McGill University,Department of Experimental Surgery,Montreal,Quebec,Canada","institution_ids":["https://openalex.org/I5023651"]},{"raw_affiliation_string":"Department of Experimental Surgery, McGill University, Montreal, Quebec, Canada","institution_ids":["https://openalex.org/I5023651"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087315741","display_name":"Robert Harutyunyan","orcid":"https://orcid.org/0000-0003-0982-6741"},"institutions":[{"id":"https://openalex.org/I5023651","display_name":"McGill University","ror":"https://ror.org/01pxwe438","country_code":"CA","type":"education","lineage":["https://openalex.org/I5023651"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Robert Harutyunyan","raw_affiliation_strings":["McGill University,Department of Experimental Surgery,Montreal,Quebec,Canada","Department of Experimental Surgery, McGill University, Montreal, Quebec, Canada"],"affiliations":[{"raw_affiliation_string":"McGill University,Department of Experimental Surgery,Montreal,Quebec,Canada","institution_ids":["https://openalex.org/I5023651"]},{"raw_affiliation_string":"Department of Experimental Surgery, McGill University, Montreal, Quebec, Canada","institution_ids":["https://openalex.org/I5023651"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093446446","display_name":"Noam Suissa","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Noam Suissa","raw_affiliation_strings":[],"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5019135199","display_name":"Thomas M. Hemmerling","orcid":"https://orcid.org/0000-0002-1447-0703"},"institutions":[{"id":"https://openalex.org/I5023651","display_name":"McGill University","ror":"https://ror.org/01pxwe438","country_code":"CA","type":"education","lineage":["https://openalex.org/I5023651"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Thomas M Hemmerling","raw_affiliation_strings":["McGill University,Department of Anesthesiology and Division of Experimental Surgery,Montreal,Quebec,Canada","Department of Anesthesiology and Division of Experimental Surgery, McGill University, Montreal, Quebec, Canada"],"affiliations":[{"raw_affiliation_string":"McGill University,Department of Anesthesiology and Division of Experimental Surgery,Montreal,Quebec,Canada","institution_ids":["https://openalex.org/I5023651"]},{"raw_affiliation_string":"Department of Anesthesiology and Division of Experimental Surgery, McGill University, Montreal, Quebec, Canada","institution_ids":["https://openalex.org/I5023651"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5048935438"],"corresponding_institution_ids":["https://openalex.org/I5023651"],"apc_list":null,"apc_paid":null,"fwci":0.1805,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.56263589,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":94},"biblio":{"volume":"2023","issue":null,"first_page":"1","last_page":"4"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.9944999814033508,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.98089998960495,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/simulation","display_name":"Simulation","score":0.7012012004852295},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.6099786758422852},{"id":"https://openalex.org/keywords/driving-simulator","display_name":"Driving simulator","score":0.5056154727935791},{"id":"https://openalex.org/keywords/lumbar","display_name":"Lumbar","score":0.48846688866615295},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.16290953755378723},{"id":"https://openalex.org/keywords/surgery","display_name":"Surgery","score":0.10988417267799377}],"concepts":[{"id":"https://openalex.org/C44154836","wikidata":"https://www.wikidata.org/wiki/Q45045","display_name":"Simulation","level":1,"score":0.7012012004852295},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6099786758422852},{"id":"https://openalex.org/C2780689630","wikidata":"https://www.wikidata.org/wiki/Q2081815","display_name":"Driving simulator","level":2,"score":0.5056154727935791},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.48846688866615295},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.16290953755378723},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.10988417267799377}],"mesh":[{"descriptor_ui":"D003198","descriptor_name":"Computer Simulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003198","descriptor_name":"Computer Simulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003198","descriptor_name":"Computer Simulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003198","descriptor_name":"Computer Simulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003198","descriptor_name":"Computer Simulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008953","descriptor_name":"Models, Anatomic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008953","descriptor_name":"Models, Anatomic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008953","descriptor_name":"Models, Anatomic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008953","descriptor_name":"Models, Anatomic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008953","descriptor_name":"Models, Anatomic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013129","descriptor_name":"Spinal Puncture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013129","descriptor_name":"Spinal Puncture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013129","descriptor_name":"Spinal Puncture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013129","descriptor_name":"Spinal Puncture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013129","descriptor_name":"Spinal Puncture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066330","descriptor_name":"Printing, Three-Dimensional","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066330","descriptor_name":"Printing, Three-Dimensional","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066330","descriptor_name":"Printing, Three-Dimensional","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066330","descriptor_name":"Printing, Three-Dimensional","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066330","descriptor_name":"Printing, Three-Dimensional","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1109/embc40787.2023.10339975","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1109/embc40787.2023.10339975","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2023 45th Annual International Conference of the IEEE Engineering in Medicine &amp; Biology Society (EMBC)","raw_type":"proceedings-article"},{"id":"pmid:38083069","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38083069","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W2135003856","https://openalex.org/W2597154034","https://openalex.org/W2904437896","https://openalex.org/W2921025394","https://openalex.org/W2971903759","https://openalex.org/W3127760363","https://openalex.org/W3163497624","https://openalex.org/W4244035165","https://openalex.org/W6784564295"],"related_works":["https://openalex.org/W2258033839","https://openalex.org/W4297884099","https://openalex.org/W3203668668","https://openalex.org/W4391055430","https://openalex.org/W3214769583","https://openalex.org/W2116812645","https://openalex.org/W1980239608","https://openalex.org/W4377157894","https://openalex.org/W2395327451","https://openalex.org/W3108338563"],"abstract_inverted_index":{"Lumbar":[0],"punctures":[1],"present":[2],"a":[3,23,58,82,171],"specific":[4,18],"challenge":[5],"in":[6,38,44,52,126],"various":[7],"medical":[8,175],"specialties;":[9],"appropriate":[10],"simulators":[11],"need":[12],"to":[13,22,30,77,89,108,173],"take":[14],"into":[15],"account":[16],"the":[17,32,45,118,139,164,167],"technical":[19],"difficulties":[20],"related":[21],"realistic":[24,60],"patient":[25,85,180],"population,":[26],"but":[27],"currently":[28],"fail":[29],"address":[31],"variety":[33,83],"of":[34,47,80,84,91,104,154,157],"anatomical":[35],"differences":[36],"seen":[37],"practice.":[39],"We":[40],"interviewed":[41],"several":[42,110],"leaders":[43],"field":[46],"anesthesiology":[48],"with":[49,99,149],"extensive":[50],"experience":[51,105],"lumbar":[53],"puncture":[54],"procedures,":[55],"subsequently":[56],"developing":[57],"more":[59],"training":[61],"simulator.":[62],"This":[63],"novel":[64],"simulator":[65,119],"was":[66],"built":[67],"using":[68],"silicone-based":[69],"materials":[70],"and":[71,130,178],"advanced":[72],"3D-printing":[73],"techniques,":[74],"specifically":[75],"tailored":[76],"be":[78],"capable":[79],"mimicking":[81],"populations":[86],"without":[87],"having":[88],"dispose":[90],"essential":[92],"components":[93],"after":[94],"each":[95],"use.":[96],"Two":[97],"Anesthesiologists":[98],"at":[100],"least":[101],"20":[102],"years":[103],"were":[106],"asked":[107],"perform":[109],"spinal":[111],"tap":[112],"procedures.":[113],"Following":[114],"testing,":[115],"experts":[116,144],"rated":[117],"based":[120,137],"on":[121,138],"its":[122],"procedural":[123],"realism,":[124],"usefulness":[125],"improving":[127],"skill":[128],"set,":[129],"overall":[131,151],"simulation":[132,176],"efficacy.The":[133],"gathered":[134],"validation":[135],"outcomes":[136],"questionnaire":[140],"evaluations":[141],"completed":[142],"by":[143],"show":[145],"excellent":[146],"preliminary":[147,161],"results,":[148],"an":[150],"mean":[152],"score":[153],"4.8":[155],"out":[156],"5":[158],"(96%).":[159],"These":[160],"results":[162],"highlight":[163],"potential":[165],"for":[166],"simulator's":[168],"application":[169],"as":[170],"tool":[172],"improve":[174],"education":[177],"future":[179],"outcomes.":[181]},"counts_by_year":[{"year":2024,"cited_by_count":1}],"updated_date":"2025-12-25T23:11:45.687758","created_date":"2025-10-10T00:00:00"}
