Evidence map›Paper›PMID 26546381›Full record

ArticleHuman factors2016

Evaluation of Simulated Clinical Breast Exam Motion Patterns Using Marker-Less Video Tracking.

David P Azari, Carla M Pugh, Shlomi Laufer, Calvin Kwan, Chia-Hsiung Chen, Thomas Y Yen, Yu Hen Hu, Robert G Radwin

Abstract read
In one paragraph

Article in Human factors, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Familiarity and Communication in the Operating Room.The Journal of surgical research · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

David P AzariUniversity of Wisconsin-Madison, Madison, WI.
Carla M PughUniversity of Wisconsin-Madison, Madison, WI.
Shlomi LauferUniversity of Wisconsin-Madison, Madison, WI.
Calvin KwanUniversity of Wisconsin-Madison, Madison, WI.
Chia-Hsiung ChenUniversity of Wisconsin-Madison, Madison, WI.
Thomas Y YenUniversity of Wisconsin-Madison, Madison, WI.
Yu Hen HuUniversity of Wisconsin-Madison, Madison, WI.
Robert G RadwinUniversity of Wisconsin-Madison, Madison, WI radwin@discovery.wisc.edu.

Funding

Validation of Sensorized Breast Models for High-Stakes Clinical Skills AssessmentR01EB011524 · NIBIB · UNIVERSITY OF WISCONSIN-MADISON · PI PUGH, CARLA M · 2010 to 2016
$2.1M
Video Motion Analysis of Repetitive ExertionsR21EB014583 · NIBIB · UNIVERSITY OF WISCONSIN-MADISON · PI RADWIN, ROBERT G · 2012 to 2013
$391k
NIBIB NIH HHS R01 EB011524NIBIB NIH HHS R01EB011524NIBIB NIH HHS R21 EB014583NIBIB NIH HHS R21EB014583
6 · The paper itself

Abstract

objectiveThis study investigates using marker-less video tracking to evaluate hands-on clinical skills during simulated clinical breast examinations (CBEs).

backgroundThere are currently no standardized and widely accepted CBE screening techniques.

methodsExperienced physicians attending a national conference conducted simulated CBEs presenting different pathologies with distinct tumorous lesions. Single hand exam motion was recorded and analyzed using marker-less video tracking. Four kinematic measures were developed to describe temporal (time pressing and time searching) and spatial (area covered and distance explored) patterns.

resultsMean differences between time pressing, area covered, and distance explored varied across the simulated lesions. Exams were objectively categorized as either sporadic, localized, thorough, or efficient for both temporal and spatial categories based on spatiotemporal characteristics. The majority of trials were temporally or spatially thorough (78% and 91%), exhibiting proportionally greater time pressing and time searching (temporally thorough) and greater area probed with greater distance explored (spatially thorough). More efficient exams exhibited proportionally more time pressing with less time searching (temporally efficient) and greater area probed with less distance explored (spatially efficient). Just two (5.9 %) of the trials exhibited both high temporal and spatial efficiency.

conclusionsMarker-less video tracking was used to discriminate different examination techniques and measure when an exam changes from general searching to specific probing. The majority of participants exhibited more thorough than efficient patterns. APPLICATION: Marker-less video kinematic tracking may be useful for quantifying clinical skills for training and assessment.

Indexed as

AlgorithmsBreastComputer SimulationFemaleHumansImage Processing, Computer-AssistedModels, TheoreticalPhysical ExaminationVideo Recordingexamination techniquehands-on clinical examinationmedical simulationtactile inspection

Identifiers

PMID26546381
PMCPMC4924820

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.