Evidence map›Paper›PMID 34621791›Full record

ArticleFrontiers in robotics and AI2021

A Digital Twin Approach for Contextual Assistance for Surgeons During Surgical Robotics Training.

Katharina Hagmann, Anja Hellings-Kuß, Julian Klodmann, Rebecca Richter, Freek Stulp, Daniel Leidner

Open access · goldAbstract read
In one paragraph

Article in Frontiers in robotics and AI, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Perception-first digital twin for augmented reality microsurgery.International journal of computer assisted radiology and surgery · 2026
    Article
  5. Digital Twin Technology In Radiology.Journal of imaging informatics in medicine · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
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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

6 authors at 1 institution in 1 country.

Katharina HagmannGerman Aerospace Center (DLR), Institute of Robotics and Mechatronics Center, Weßling, Germany.
Anja Hellings-KußGerman Aerospace Center (DLR), Institute of Robotics and Mechatronics Center, Weßling, Germany.
Julian KlodmannGerman Aerospace Center (DLR), Institute of Robotics and Mechatronics Center, Weßling, Germany.
Rebecca RichterGerman Aerospace Center (DLR), Institute of Robotics and Mechatronics Center, Weßling, Germany.
Freek StulpGerman Aerospace Center (DLR), Institute of Robotics and Mechatronics Center, Weßling, Germany.
Daniel LeidnerGerman Aerospace Center (DLR), Institute of Robotics and Mechatronics Center, Weßling, Germany.
Deutsches Zentrum für Luft- und Raumfahrt e. V. (DLR) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimally invasive robotic surgery copes with some disadvantages for the surgeon of minimally invasive surgery while preserving the advantages for the patient. Most commercially available robotic systems are telemanipulated with haptic input devices. The exploitation of the haptics channel, e.g., by means of Virtual Fixtures, would allow for an individualized enhancement of surgical performance with contextual assistance. However, it remains an open field of research as it is non-trivial to estimate the task context itself during a surgery. In contrast, surgical training allows to abstract away from a real operation and thus makes it possible to model the task accurately. The presented approach exploits this fact to parameterize Virtual Fixtures during surgical training, proposing a Shared Control Parametrization Engine that retrieves procedural context information from a Digital Twin. This approach accelerates a proficient use of the robotic system for novice surgeons by augmenting the surgeon's performance through haptic assistance. With this our aim is to reduce the required skill level and cognitive load of a surgeon performing minimally invasive robotic surgery. A pilot study is performed on the DLR MiroSurge system to evaluate the presented approach. The participants are tasked with two benchmark scenarios of surgical training. The execution of the benchmark scenarios requires basic skills as pick, place and path following. The evaluation of the pilot study shows the promising trend that novel users profit from the haptic augmentation during training of certain tasks.

Indexed as

digital twinminimally invasive robotic surgeryshared controlsurgical robotics trainingvirtual fixtures

Identifiers

PMID34621791
PMCPMC8491613
OpenAlexW3201390501

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.