ArticleNeurological research2026
(Holo-PACS): use of holograms to improve provider acumen when reading clinical radiographic scans.
Article in Neurological research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
background and purposeVascular Neurology (VN) fellowship education in CTA interpretation is critical, given the increased opportunities for tissue salvage via neurointervention. Holo-Stroke-CTA 3D visualization has already shown improved accuracy and satisfaction for vessel occlusion detection. Our aim in this present analysis was to determine if focused education in CTA reading, including addition of Holo-Stroke-CTA and immediate access to clinical PACS images during team meetings (Holo-PACS), would improve fellow and team education.
methodsFour VN fellows scored 3 sets of de-identified CTAs (DICOM Group-A (
resultsThe overall correct percentage was 63% DICOM Group A vs. 97% Group C Holo-PACS. MCA (75%,94%), ICA (75%,100%), and Basilar (100%,100%) locations scored high, with marked improvement for ACA (13%,100%), and PCA (38%,94%). Likert satisfaction overall was 47% DICOM vs. 94% Holo-PACS. 'Satisfaction' scores were (55%,90%), 'Immersion' (34%,96%), 'Ease of Use' (53%,87%), 'Accuracy' (55%,93%), 'Technology Advancement' (42%,98%), and 'Enthusiasm' (45%,97%).
conclusionsThe Holo-PACS initiative, including focused CTA education and implementing both Holo-Stroke-CTA and secure connection to PACS imaging using Holo-PACS during weekly team meetings, resulted in an improved ability to interpret CTAs and robust immersive satisfaction. Holo-PACS is becoming integral to our stroke education and training, and may serve as a model for vascular neurology fellowship training programs.
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