Evidence map›Paper›PMID 30460490›Full record

ArticleInternational journal of computer assisted radiology and surgery2019

A computer vision technique for automated assessment of surgical performance using surgeons' console-feed videos.

Amir Baghdadi, Ahmed A Hussein, Youssef Ahmed, Lora A Cavuoto, Khurshid A Guru

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Article in International journal of computer assisted radiology and surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 5 pooled it
–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

32 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  8. Artificial intelligence in urology training Enhancing annotation, feedback, and evaluation in robotic, laparoscopic, and endoscopic surgery.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
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  13. Artificial Intelligence in Orthopaedic and Trauma Surgery Education: Applications, Ethics, and Future Perspectives.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
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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

5 authors.

Amir BaghdadiA.T.L.A.S (Applied Technology Laboratory for Advanced Surgery) Program, Department of Urology, Roswell Park Comprehensive Cancer Center, Elm & Carlton St, Buffalo, NY, 14263, USA.
Ahmed A HusseinA.T.L.A.S (Applied Technology Laboratory for Advanced Surgery) Program, Department of Urology, Roswell Park Comprehensive Cancer Center, Elm & Carlton St, Buffalo, NY, 14263, USA.
Youssef AhmedA.T.L.A.S (Applied Technology Laboratory for Advanced Surgery) Program, Department of Urology, Roswell Park Comprehensive Cancer Center, Elm & Carlton St, Buffalo, NY, 14263, USA.
Lora A CavuotoDepartment of Industrial and Systems Engineering, University at Buffalo, Buffalo, NY, USA.
Khurshid A GuruA.T.L.A.S (Applied Technology Laboratory for Advanced Surgery) Program, Department of Urology, Roswell Park Comprehensive Cancer Center, Elm & Carlton St, Buffalo, NY, 14263, USA. Khurshid.guru@roswellpark.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop and validate an automated assessment of surgical performance (AASP) system for objective and computerized assessment of pelvic lymph node dissection (PLND) as an integral part of robot-assisted radical cystectomy (RARC) using console-feed videos recorded during live surgery.

methodsVideo recordings of 20 PLNDs were included. The quality of lymph node clearance was assessed based on the features derived from the computer vision process which include: the number and cleared area of the vessels/nerve (N-Vs); image median color map; and mean entropy (measures the level of disorganization) in the video frame. The automated scores were compared to the validated pelvic lymphadenectomy appropriateness and completion evaluation (PLACE) scoring rated by a panel of expert surgeons. Logistic regression analysis was employed to compare automated scores versus PLACE scores.

resultsFourteen procedures were used to develop the AASP algorithm. A logistic regression model was trained and validated using the aforementioned features with 30% holdout cross-validation. The model was tested on the remaining six procedures, and the accuracy of predicting the expert-based PLACE scores was 83.3%.

conclusionsTo our knowledge, this is the first automated surgical skill assessment tool that provides an objective evaluation of surgical performance with high accuracy compared to expert surgeons' assessment that can be extended to any endoscopic or robotic video-enabled surgical procedure.

Indexed as

BiopsyCystectomyEducation, Medical, GraduateFemaleHumansLymph Node ExcisionLymph NodesMaleRobotic Surgical ProceduresSurgeonsUrinary Bladder NeoplasmsUrologyVideo RecordingAutomated skill evaluationComputer visionLymphadenectomyLymph node dissectionQualityRadical cystectomy

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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.