Development of force-based metrics for skills assessment in minimally invasive surgery.
Identifieur interne : 002D03 ( Ncbi/Merge ); précédent : 002D02; suivant : 002D04Development of force-based metrics for skills assessment in minimally invasive surgery.
Auteurs : Ana Luisa Trejos [Canada] ; Rajni V. Patel ; Richard A. Malthaner ; Christopher M. SchlachtaSource :
- Surgical endoscopy [ 1432-2218 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- education : Laparoscopy.
- Clinical Competence, Feedback, Female, Humans, Male, Mechanical Phenomena, Models, Biological, Motor Skills, Software, Time Factors.
Abstract
The loss of haptic information that results from the reduced-access conditions present in minimally invasive surgery (MIS) may compromise the safety of the procedures. This limitation must be overcome through training. However, current methods for determining the skill level of trainees do not measure critical elements of skill attainment. This study aimed to evaluate the usefulness of force information for the assessment of skill during MIS.
DOI: 10.1007/s00464-014-3442-9
PubMed: 24519030
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pubmed:24519030Le document en format XML
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<author><name sortKey="Trejos, Ana Luisa" sort="Trejos, Ana Luisa" uniqKey="Trejos A" first="Ana Luisa" last="Trejos">Ana Luisa Trejos</name>
<affiliation wicri:level="1"><nlm:affiliation>Canadian Surgical Technologies and Advanced Robotics, Lawson Health Research Institute, 339 Windermere Road, London, ON, Canada, atrejos@uwo.ca.</nlm:affiliation>
<country wicri:rule="url">Canada</country>
<wicri:regionArea>Canadian Surgical Technologies and Advanced Robotics, Lawson Health Research Institute, 339 Windermere Road, London, ON, Canada</wicri:regionArea>
<wicri:noRegion>Canada</wicri:noRegion>
</affiliation>
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<author><name sortKey="Patel, Rajni V" sort="Patel, Rajni V" uniqKey="Patel R" first="Rajni V" last="Patel">Rajni V. Patel</name>
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<author><name sortKey="Malthaner, Richard A" sort="Malthaner, Richard A" uniqKey="Malthaner R" first="Richard A" last="Malthaner">Richard A. Malthaner</name>
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<author><name sortKey="Schlachta, Christopher M" sort="Schlachta, Christopher M" uniqKey="Schlachta C" first="Christopher M" last="Schlachta">Christopher M. Schlachta</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Development of force-based metrics for skills assessment in minimally invasive surgery.</title>
<author><name sortKey="Trejos, Ana Luisa" sort="Trejos, Ana Luisa" uniqKey="Trejos A" first="Ana Luisa" last="Trejos">Ana Luisa Trejos</name>
<affiliation wicri:level="1"><nlm:affiliation>Canadian Surgical Technologies and Advanced Robotics, Lawson Health Research Institute, 339 Windermere Road, London, ON, Canada, atrejos@uwo.ca.</nlm:affiliation>
<country wicri:rule="url">Canada</country>
<wicri:regionArea>Canadian Surgical Technologies and Advanced Robotics, Lawson Health Research Institute, 339 Windermere Road, London, ON, Canada</wicri:regionArea>
<wicri:noRegion>Canada</wicri:noRegion>
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<author><name sortKey="Patel, Rajni V" sort="Patel, Rajni V" uniqKey="Patel R" first="Rajni V" last="Patel">Rajni V. Patel</name>
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<author><name sortKey="Malthaner, Richard A" sort="Malthaner, Richard A" uniqKey="Malthaner R" first="Richard A" last="Malthaner">Richard A. Malthaner</name>
</author>
<author><name sortKey="Schlachta, Christopher M" sort="Schlachta, Christopher M" uniqKey="Schlachta C" first="Christopher M" last="Schlachta">Christopher M. Schlachta</name>
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<series><title level="j">Surgical endoscopy</title>
<idno type="eISSN">1432-2218</idno>
<imprint><date when="2014" type="published">2014</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical Competence</term>
<term>Feedback</term>
<term>Female</term>
<term>Humans</term>
<term>Laparoscopy (education)</term>
<term>Male</term>
<term>Mechanical Phenomena</term>
<term>Models, Biological</term>
<term>Motor Skills</term>
<term>Software</term>
<term>Time Factors</term>
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<keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Laparoscopy</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Clinical Competence</term>
<term>Feedback</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mechanical Phenomena</term>
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<front><div type="abstract" xml:lang="en">The loss of haptic information that results from the reduced-access conditions present in minimally invasive surgery (MIS) may compromise the safety of the procedures. This limitation must be overcome through training. However, current methods for determining the skill level of trainees do not measure critical elements of skill attainment. This study aimed to evaluate the usefulness of force information for the assessment of skill during MIS.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24519030</PMID>
<DateCreated><Year>2014</Year>
<Month>06</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted><Year>2014</Year>
<Month>10</Month>
<Day>17</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-2218</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>28</Volume>
<Issue>7</Issue>
<PubDate><Year>2014</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Surgical endoscopy</Title>
<ISOAbbreviation>Surg Endosc</ISOAbbreviation>
</Journal>
<ArticleTitle>Development of force-based metrics for skills assessment in minimally invasive surgery.</ArticleTitle>
<Pagination><MedlinePgn>2106-19</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00464-014-3442-9</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The loss of haptic information that results from the reduced-access conditions present in minimally invasive surgery (MIS) may compromise the safety of the procedures. This limitation must be overcome through training. However, current methods for determining the skill level of trainees do not measure critical elements of skill attainment. This study aimed to evaluate the usefulness of force information for the assessment of skill during MIS.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">To achieve the study goal, experiments were performed using a set of sensorized instruments capable of measuring instrument position and tissue interaction forces. Several force-based metrics were developed as well as metrics that combine force and position information.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The results show that experience level has a strong correlation with the new force-based metrics presented in this article. In particular, the integral and the derivative of the forces or the metrics that combine force and position provide the strongest correlations.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study showed that force-based metrics are better indications of performance than metrics based on task completion time or position information alone. The proposed metrics can be automatically computed, are completely objective, and measure important aspects of performance.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Trejos</LastName>
<ForeName>Ana Luisa</ForeName>
<Initials>AL</Initials>
<AffiliationInfo><Affiliation>Canadian Surgical Technologies and Advanced Robotics, Lawson Health Research Institute, 339 Windermere Road, London, ON, Canada, atrejos@uwo.ca.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Patel</LastName>
<ForeName>Rajni V</ForeName>
<Initials>RV</Initials>
</Author>
<Author ValidYN="Y"><LastName>Malthaner</LastName>
<ForeName>Richard A</ForeName>
<Initials>RA</Initials>
</Author>
<Author ValidYN="Y"><LastName>Schlachta</LastName>
<ForeName>Christopher M</ForeName>
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<Language>eng</Language>
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<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>02</Month>
<Day>12</Day>
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<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>Surg Endosc</MedlineTA>
<NlmUniqueID>8806653</NlmUniqueID>
<ISSNLinking>0930-2794</ISSNLinking>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D010535">Laparoscopy</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D055595">Mechanical Phenomena</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008954">Models, Biological</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009048">Motor Skills</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D012984">Software</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName>
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<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year>
<Month>6</Month>
<Day>24</Day>
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<affiliations><list><country><li>Canada</li>
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<tree><noCountry><name sortKey="Malthaner, Richard A" sort="Malthaner, Richard A" uniqKey="Malthaner R" first="Richard A" last="Malthaner">Richard A. Malthaner</name>
<name sortKey="Patel, Rajni V" sort="Patel, Rajni V" uniqKey="Patel R" first="Rajni V" last="Patel">Rajni V. Patel</name>
<name sortKey="Schlachta, Christopher M" sort="Schlachta, Christopher M" uniqKey="Schlachta C" first="Christopher M" last="Schlachta">Christopher M. Schlachta</name>
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<country name="Canada"><noRegion><name sortKey="Trejos, Ana Luisa" sort="Trejos, Ana Luisa" uniqKey="Trejos A" first="Ana Luisa" last="Trejos">Ana Luisa Trejos</name>
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