Evidence map›Paper›PMID 37864129›Full record

ArticleJournal of robotic surgery2023

Surgical skill level classification model development using EEG and eye-gaze data and machine learning algorithms.

Somayeh B Shafiei, Saeed Shadpour, James L Mohler, Farzan Sasangohar, Camille Gutierrez, Mehdi Seilanian Toussi, Ambreen Shafqat

Open access · hybridAbstract read
In one paragraph

Article in Journal of robotic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.1field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Cross-Stream and Cross-Channel Attention Networks for Surgical Skill Classification in Open Surgery From Hand Kinematics.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026
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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

7 authors at 4 institutions in 2 countries.

Somayeh B ShafieiIntelligent Cancer Care Laboratory, Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA. Somayeh.BesharatShafiei@RoswellPark.org.ORCID http://orcid.org/0000-0002-9256-6284
Saeed ShadpourDepartment of Animal Biosciences, University of Guelph, Guelph, ON, N1G 2W1, Canada.ORCID http://orcid.org/0000-0002-2842-031X
James L MohlerDepartment of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA.
Farzan SasangoharMike and Sugar Barnes Faculty Fellow II, Wm Michael Barnes and Department of Industrial and Systems Engineering at Texas A&M University, College Station, TX, 77843, USA.
Camille GutierrezObstetrics and Gynecology Residency Program, Sisters of Charity Health System, Buffalo, NY, 14214, USA.
Mehdi Seilanian ToussiIntelligent Cancer Care Laboratory, Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA.
Ambreen ShafqatIntelligent Cancer Care Laboratory, Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA.
Roswell Park Comprehensive Cancer Center · USSisters of Charity Health System · USTexas A&M University · USUniversity of Guelph · CA

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Dean G. Tang · 1985 to 2026
$116.6M
Synchronized brain dynamics and eye movement trajectory for objective evaluation of robot-assisted surgical skillsR01EB029398 · NIBIB · ROSWELL PARK CANCER INSTITUTE CORP · PI BESHARAT SHAFIEI, SOMAYEH · 2020 to 2023
$1.9M
NCI NIH HHS P30 CA016056NIBIB NIH HHS R01 EB029398
6 · The paper itself

Abstract

The aim of this study was to develop machine learning classification models using electroencephalogram (EEG) and eye-gaze features to predict the level of surgical expertise in robot-assisted surgery (RAS). EEG and eye-gaze data were recorded from 11 participants who performed cystectomy, hysterectomy, and nephrectomy using the da Vinci robot. Skill level was evaluated by an expert RAS surgeon using the modified Global Evaluative Assessment of Robotic Skills (GEARS) tool, and data from three subtasks were extracted to classify skill levels using three classification models-multinomial logistic regression (MLR), random forest (RF), and gradient boosting (GB). The GB algorithm was used with a combination of EEG and eye-gaze data to classify skill levels, and differences between the models were tested using two-sample t tests. The GB model using EEG features showed the best performance for blunt dissection (83% accuracy), retraction (85% accuracy), and burn dissection (81% accuracy). The combination of EEG and eye-gaze features using the GB algorithm improved the accuracy of skill level classification to 88% for blunt dissection, 93% for retraction, and 86% for burn dissection. The implementation of objective skill classification models in clinical settings may enhance the RAS surgical training process by providing objective feedback about performance to surgeons and their teachers.

Indexed as

RoboticsRobotic Surgical ProceduresSurgeonsClinical CompetenceElectroencephalographyFemaleHumansMachine LearningBlunt dissectionBurn dissectionCystectomyExpertise levelHysterectomyNephrectomyRetractionRobot-assisted surgery

Identifiers

PMID37864129
PMCPMC10678814
OpenAlexW4387801231

What OpenQuestion holds

Textmetadata
LicenceTDM
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.