ArticleInternational journal of computer assisted radiology and surgery2018
The intelligent OR: design and validation of a context-aware surgical working environment.
Article in International journal of computer assisted radiology and surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 30 citations in OpenAlex.
- In-depth characterization of a laparoscopic radical prostatectomy procedure based on surgical process modeling.International journal of computer assisted radiology and surgery · 2026Article
- Artificial intelligence for intraoperative video analysis in robotic-assisted esophagectomy.Surgical endoscopy · 2025Review
- Transferable situation recognition system for scenario-independent context-aware surgical assistance systems: a proof of concept.International journal of computer assisted radiology and surgery · 2025Article
- Deep learning-based surgical step recognition for laparoscopic right-sided colectomy.Langenbeck's archives of surgery · 2024Article
- Review
- Automatic surgical phase recognition-based skill assessment in laparoscopic distal gastrectomy using multicenter videos.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024Article
- Toward an interoperable, intraoperative situation recognition system via process modeling, execution, and control using the standards BPMN and CMMN.International journal of computer assisted radiology and surgery · 2024Article
- Context-Aware Medical Systems within Healthcare Environments: A Systematic Scoping Review to Identify Subdomains and Significant Medical Contexts.International journal of environmental research and public health · 2023Article
- A high-fidelity prototype of a sterile information system for the perioperative area: OR-Pad.International journal of computer assisted radiology and surgery · 2023Article
- State-of-the-art of situation recognition systems for intraoperative procedures.Medical & biological engineering & computing · 2022Review
- Design and validation of a medical robotic device system to control two collaborative robots for ultrasound-guided needle insertions.Frontiers in robotics and AI · 2022Article
- PhacoTrainer: A Multicenter Study of Deep Learning for Activity Recognition in Cataract Surgical Videos.Translational vision science & technology · 2021Article
- Extending BPMN 2.0 for intraoperative workflow modeling with IEEE 11073 SDC for description and orchestration of interoperable, networked medical devices.International journal of computer assisted radiology and surgery · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
purposeInteroperability of medical devices based on standards starts to establish in the operating room (OR). Devices share their data and control functionalities. Yet, the OR technology rarely implements cooperative, intelligent behavior, especially in terms of active cooperation with the OR team. Technical context-awareness will be an essential feature of the next generation of medical devices to address the increasing demands to clinicians in information seeking, decision making, and human-machine interaction in complex surgical working environments.
methodsThe paper describes the technical validation of an intelligent surgical working environment for endoscopic ear-nose-throat surgery. We briefly summarize the design of our framework for context-aware system's behavior in integrated OR and present example realizations of novel assistance functionalities. In a study on patient phantoms, twenty-four procedures were implemented in the proposed intelligent surgical working environment based on recordings of real interventions. Subsequently, the whole processing pipeline for context-awareness from workflow recognition to the final system's behavior is analyzed.
resultsRule-based behavior that considers multiple perspectives on the procedure can partially compensate recognition errors. A considerable robustness could be achieved with a reasonable quality of the recognition. Overall, reliable reactive as well as proactive behavior of the surgical working environment can be implemented in the proposed environment.
conclusionsThe obtained validation results indicate the suitability of the overall approach. The setup is a reliable starting point for a subsequent evaluation of the proposed context-aware assistance. The major challenge for future work will be to implement the complex approach in a cross-vendor setting.
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Registered trials
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.