Evidence map›Paper›PMID 40843149›Full record

ArticleLaryngoscope investigative otolaryngology2025

Classification in Virtual Temporal Bone Surgical Education: A First Step Towards Automated Virtual Education With Use of Machine Learning.

Arjun Maini, Justyn Pisa, Mina Davari, Bert Unger, Jordan Hochman

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2025. 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
–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

1 citing paper in PubMed.

  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.

Arjun MainiUniversity of Manitoba, Max Rady College of Medicine Winnipeg Manitoba Canada.ORCID https://orcid.org/0009-0001-2983-4522
Justyn PisaUniversity of Manitoba, Max Rady College of Medicine Winnipeg Manitoba Canada.ORCID https://orcid.org/0000-0001-9551-9232
Mina DavariDepartment of Biomedical Engineering University of Manitoba Winnipeg Manitoba Canada.
Bert UngerUniversity of Manitoba, Max Rady College of Medicine Winnipeg Manitoba Canada.
Jordan HochmanUniversity of Manitoba, Max Rady College of Medicine Winnipeg Manitoba Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Simulation-based surgical training is now standard in residency education - aided by tools such as printed, virtual, and augmented reality environments. Autonomous education with use of machine learning is an emerging necessity owing to resident work-hour limitations and staff availability. An essential first step to providing automated feedback during simulated surgery is the development of a tool to classify surgical technique. Distinctive hand motion and drilling patterns can be used in the assessment of trainee proficiency during complex temporal bone surgery (TBS).This article reviews the development of a software classifier model for automated assessment of surgical performance based on recorded drill trajectory and hand motion tracking during 3D-printed TBS. Methods: REB-approved prospective experimental study, in which a classifier was developed to provide automatic assessment of surgical performance based on drill trajectory and hand motion tracking. Four expert (two otologic surgeons and two PGY5 surgery residents) and four novice (PGY1-3 surgery residents) participants dissected 3D-printed temporal bone models. Individual hand and drill motion data were collected and analyzed for similarities and variations between participants to develop a model to predict the level of expertise (expert or novice), using a supervised classification approach. Results: The automated stroke detection algorithm found 80.2%, 82.7%, and 84.8% precision in stroke detection and classification during cortical mastoidectomy (CM), thinning procedures (TP) and facial recess exposure (FRE), respectively. The classifier was able to predict the level of expertise with an accuracy of 92.8% and a sensitivity of 87.5%. Conclusion: A temporal bone classifier can be developed with a high degree of accuracy as an initial stage towards an autonomous training paradigm. Level of Evidence: IV.

Indexed as

machine learningsurgical educationsurgical simulationtemporal bone surgery

Identifiers

PMID40843149
PMCPMC12365992

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.