NeurobookMind / Vascular

Post-board Endovascular Fellowship
OFFLINE INTERACTIVECURRICULUM · V6
POST-BOARD / STRUCTURED TRAINING

Your endovascular fellowship pathway

Anatomy first. Progress through imaging, devices, techniques, complex pathology, complications and assessment.

LESSON 01 · 5–8 MIN
NEUROBOOKMIND ACADEMY · VERSION 6

Mastery pathway, not a case library

A structured, post-board theoretical neuroendovascular program. Start with anatomical relationships that directly affect angiographic interpretation and later procedural planning.

PHASE 01 ACTIVE
YOUR NEXT LESSON

01 · Basilar apex, P1 origins & perforator territory

Advanced anatomy viewed as an interventionalist: projection dependence, incorporated branches, perforator uncertainty, and interpretation limits of 3D models.

◷ 5–8 minutes◇ Real interactive 3D◎ 4-question checkpoint
NOT STARTED
PROPOSED FELLOWSHIP SEQUENCE
PHASE 08 • PLANNEDLongitudinal mastery portfolio

Spaced repetition, competency mapping, research literacy and supervised practical logbook integration.

Planned only · not implemented

This is a proposed educational roadmap, informed by ESMINT ECMINT, CAST requirements and SCFHS training principles. A complete fellowship syllabus, clinical datasets, formal accreditation and validated practical simulation have not yet been built.

PHASE 05 / COMPLEX CASE · PREVIEW

Ruptured wide-neck basilar apex aneurysm

Make a provisional management plan from limited, deliberately synthetic information.

SAH · EXPERT CASE
VASCULAR MORPHOLOGY / SCHEMATIC
NOT REAL PATIENT IMAGING
APEX SACP1 ORIGINPCA
BA TIPLEFT P1 AT NECKWIDE NECKACUTE RUPTURE
Dome height7.1 mm
Dome width6.8 mm
Neck width5.4 mm
Clinical gradeWFNS II
Presentation

54-year-old; aneurysmal SAH following sudden severe headache. Stable following acute resuscitation. Modified Fisher 3.

Critical anatomy

Left P1 origin closely related to the neck. Perforator configuration remains uncertain on the supplied synthetic views.

Discussion priorities

Early rupture protection, branch preservation, implant-related antiplatelet exposure and durability.

Missing evidence

Full 3D-DSA, true branch/perforator anatomy, access anatomy, collateral circulation and multidisciplinary review.

Educational challenge: choose how you would investigate neck/P1 separation before committing to a device strategy. This is a fabricated case, not patient imaging.
PHASE 02 / IMAGING LAB · PREVIEW

DSA workstation

Simulated contrast cine, frame stepping, projection change and selectable vascular structures.

SYNTHETIC DSA
DSA · LEFT VERTEBRAL SELECTIVEAP · FRAME 00/60
CONTRAST READY
ILLUSTRATIVE · NOT CLINICAL DSA
00 / 60
PROJECTION PRESETS
STRUCTURES / CLICK TO INSPECT
Inspect vascular geometry

Run the cine, choose a projection and tap a structure. Projection changes are mathematically derived from a synthetic 3D model, not real acquisition angles.

PHASE 01 · LESSON 01 / POST-BOARD VASCULAR ANATOMY

Basilar apex: branch geometry & perforators

Interrogate the anatomy at a level relevant to endovascular planning. Rotate the 3D model, identify the left P1 origin, and examine what a synthetic reconstruction cannot establish.

LIVE WebGL 3D
WHY THIS MATTERS / THREE EXPERT OBJECTIVES
01 · Branch origins

Distinguish basilar apex configuration, P1 incorporation and the limitations of projection-based impressions.

02 · Perforator territory

Recognize that basilar tip, P1 and nearby perforator anatomy is variable and may not be visualized by a schematic reconstruction.

03 · Interpret evidence

Differentiate a manipulable illustration from verified 3D-DSA and document which structures remain uncertain.

○ Identify left P1
○ Rotate 3D view
○ Toggle perforator layer
○ Pass 3/4 checkpoint
VASCULAR 3D · SIMULATED ROTATIONAL RECONSTRUCTIONROTATION +0° / +12°
RECONSTRUCTION · 3D MESH
OFFLINE RENDER / SYNTHETIC
ONE FINGER: ORBIT · TWO: PAN / ZOOM · TAP: SELECT
SYNTHETIC MESH
Layers
SELECTED STRUCTURENone · tap a vessel in the imageActual GPU-rendered 3D / illustrative geometry
Interactive reconstruction

This is an original illustrative 3D mesh, not CT/3D-DSA segmentation. Rotate to appreciate how viewing angle changes apparent neck/branch overlap.

ACTIVE RECALL / ADVANCED ANATOMY

Lesson 01 mastery checkpoint

Four reasoning questions. Choose one answer to see feedback, then check mastery. This is not an accredited examination.

PASS ≥ 3/4
Your next task

Explore the model and answer all four questions. Completion is saved on this device when available.

PHASE 03 / DEVICES & PLANNING · PREVIEW

Compare treatment strategies

Choose a provisional approach, then inspect devices and their clinical trade-offs.

DECISION LAB
No approach selected

There is no universally optimal device strategy from schematic images alone. Pick a provisional option to see the expert trade-offs.

DEVICE ROOM

Instrument tray

All illustrations are selectable. Explore what each category contributes and what must be verified.

Select an instrument

Touch a device card to inspect its intended role and the constraints that matter in this case.

PHASE 04 / TECHNIQUES & COMPLICATIONS · PREVIEW

Simulated branch-protection challenge

Conceptual catheter and coil display with staged safety decisions, not patient-specific device guidance.

READY
01 · Access review
02 · Catheter
03 · Coil frame
04 · Reassess
PROCEDURE LAB · SYNTHETIC VISUALIZATIONSTAGE 0 / 3
AWAITING INPUT
NOT A DEVICE TRAINER
Prepare the case

The priority is anatomical reasoning and branch-risk recognition, not learning how to deploy a device by following onscreen instructions.

PHASE 07 / CASE VIVA · PREVIEW

Defend your decisions

Four short expert-level judgments; immediate feedback and final downloadable reasoning report.

FORMATIVE SCORE
QUESTION 01 / 04
ANATOMY