Evidence map›Paper›PMID 34913139›Full record

ArticleInternational journal of computer assisted radiology and surgery2022

Movement-level process modeling of microsurgical bimanual and unimanual tasks.

Jani Koskinen, Antti Huotarinen, Antti-Pekka Elomaa, Bin Zheng, Roman Bednarik

Open access · hybridAbstract read
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. 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

5 authors at 3 institutions in 2 countries.

Jani KoskinenSchool of Computing, University of Eastern Finland, 80110, Joensuu, Finland. jani.koskinen@uef.fi.ORCID http://orcid.org/0000-0002-7501-7355
Antti HuotarinenDepartment of Neurosurgery, Institute of Clinical Medicine, Kuopio University Hospital, 70211, Kuopio, Finland.
Antti-Pekka ElomaaDepartment of Neurosurgery, Institute of Clinical Medicine, Kuopio University Hospital, 70211, Kuopio, Finland.
Bin ZhengSurgical Simulation Research Lab, Department of Surgery, University of Alberta, Edmonton, AB, Canada.
Roman BednarikSchool of Computing, University of Eastern Finland, 80110, Joensuu, Finland.
Kuopio University Hospital · FIUniversity of Eastern Finland · FIUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMicrosurgical techniques require highly skilled manual handling of specialized surgical instruments. Surgical process models are central for objective evaluation of these skills, enabling data-driven solutions that can improve intraoperative efficiency.

methodWe built a surgical process model, defined at movement level in terms of elementary surgical actions ([Formula: see text]) and targets ([Formula: see text]). The model also included nonproductive movements, which enabled us to evaluate suturing efficiency and bi-manual dexterity. The elementary activities were used to investigate differences between novice ([Formula: see text]) and expert surgeons ([Formula: see text]) by comparing the cosine similarity of vector representations of a microsurgical suturing training task and its different segments.

resultsBased on our model, the experts were significantly more efficient than the novices at using their tools individually and simultaneously. At suture level, the experts were significantly more efficient at using their left hand tool, but the differences were not significant for the right hand tool. At the level of individual suture segments, the experts had on average 21.0 % higher suturing efficiency and 48.2 % higher bi-manual efficiency, and the results varied between segments. Similarity of the manual actions showed that expert and novice surgeons could be distinguished by their movement patterns.

conclusionsThe surgical process model allowed us to identify differences between novices' and experts' movements and to evaluate their uni- and bi-manual tool use efficiency. Analyzing surgical tasks in this manner could be used to evaluate surgical skill and help surgical trainees detect problems in their performance computationally.

Indexed as

Clinical CompetenceSurgeonsHandHumansMovementSuturesBi-manual dexterityMicrosurgerySurgical educationSurgical process modeling

Identifiers

PMID34913139
PMCPMC8784365
OpenAlexW4200055581

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.