Skip to main content
Erschienen in: International Journal of Computer Assisted Radiology and Surgery 9/2018

11.05.2018 | Original Article

Sequential surgical signatures in micro-suturing task

verfasst von: Arnaud Huaulmé, Kanako Harada, Germain Forestier, Mamoru Mitsuishi, Pierre Jannin

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 9/2018

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Purpose

Surgical processes are generally only studied by identifying differences in populations such as participants or level of expertise. But the similarity between this population is also important in understanding the process. We therefore proposed to study these two aspects.

Methods

In this article, we show how similarities in process workflow within a population can be identified as sequential surgical signatures. To this purpose, we have proposed a pattern mining approach to identify these signatures.

Validation

We validated our method with a data set composed of seventeen micro-surgical suturing tasks performed by four participants with two levels of expertise.

Results

We identified sequential surgical signatures specific to each participant, shared between participants with and without the same level of expertise. These signatures are also able to perfectly define the level of expertise of the participant who performed a new micro-surgical suturing task. However, it is more complicated to determine who the participant is, and the method correctly determines this information in only 64% of cases.

Conclusion

We show for the first time the concept of sequential surgical signature. This new concept has the potential to further help to understand surgical procedures and provide useful knowledge to define future CAS systems.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 390 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Maschinenbau + Werkstoffe




 

Jetzt Wissensvorsprung sichern!

Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Jannin P, Raimbault M, Morandi X, Gibaud B (2001) Modeling surgical procedures for multimodal image-guided neurosurgery. In: Niessen Wiro J, Viergever Max A (eds) Medical image computing and computer-assisted intervention MICCAI 2001. Number 2208 in lecture notes in computer science. Springer, Berlin, pp 565–572CrossRef Jannin P, Raimbault M, Morandi X, Gibaud B (2001) Modeling surgical procedures for multimodal image-guided neurosurgery. In: Niessen Wiro J, Viergever Max A (eds) Medical image computing and computer-assisted intervention MICCAI 2001. Number 2208 in lecture notes in computer science. Springer, Berlin, pp 565–572CrossRef
2.
Zurück zum Zitat Lalys F, Jannin P (2013) Surgical process modelling: a review. Int J Comput Assist Radiol Surg 9(3):495–511CrossRefPubMed Lalys F, Jannin P (2013) Surgical process modelling: a review. Int J Comput Assist Radiol Surg 9(3):495–511CrossRefPubMed
3.
Zurück zum Zitat Reiley CE, Hager GD (2009) Task versus subtask surgical skill evaluation of robotic minimally invasive surgery. In: Medical image computing and computer-assisted intervention MICCAI 2009. Lecture notes in computer science. Springer, Berlin, Heidelberg, pp 435–442 Reiley CE, Hager GD (2009) Task versus subtask surgical skill evaluation of robotic minimally invasive surgery. In: Medical image computing and computer-assisted intervention MICCAI 2009. Lecture notes in computer science. Springer, Berlin, Heidelberg, pp 435–442
4.
Zurück zum Zitat Despinoy F, Bouget D, Forestier G, Penet C, Zemiti N, Poignet P, Jannin P (2016) Unsupervised trajectory segmentation for surgical gesture recognition in robotic training. IEEE Trans Biomed Eng 63(6):1280–1291CrossRefPubMed Despinoy F, Bouget D, Forestier G, Penet C, Zemiti N, Poignet P, Jannin P (2016) Unsupervised trajectory segmentation for surgical gesture recognition in robotic training. IEEE Trans Biomed Eng 63(6):1280–1291CrossRefPubMed
5.
Zurück zum Zitat Neumuth T, Strau G, Meixensberger J, Lemke HU, Burgert O (2006) Acquisition of process descriptions from surgical interventions. In: Bressan S, Kng J, Wagner R (eds) Database and expert systems applications. Number 4080 in lecture notes in computer science. Springer, Berlin, pp 602–611CrossRef Neumuth T, Strau G, Meixensberger J, Lemke HU, Burgert O (2006) Acquisition of process descriptions from surgical interventions. In: Bressan S, Kng J, Wagner R (eds) Database and expert systems applications. Number 4080 in lecture notes in computer science. Springer, Berlin, pp 602–611CrossRef
6.
Zurück zum Zitat Padoy N, Blum T, Feussner H, Berger MO, Navab N (2008) On-line recognition of surgical activity for monitoring in the operating room. In: IAAI, pp 1718–1724 Padoy N, Blum T, Feussner H, Berger MO, Navab N (2008) On-line recognition of surgical activity for monitoring in the operating room. In: IAAI, pp 1718–1724
7.
Zurück zum Zitat Padoy N, Blum T, Ahmadi S-A, Feussner H, Berger M-O, Navab N (2012) Statistical modeling and recognition of surgical workflow. Med Image Anal 16(3):632–641CrossRefPubMed Padoy N, Blum T, Ahmadi S-A, Feussner H, Berger M-O, Navab N (2012) Statistical modeling and recognition of surgical workflow. Med Image Anal 16(3):632–641CrossRefPubMed
8.
Zurück zum Zitat Bouarfa L, Jonker PP, Dankelman J (2011) Discovery of high-level tasks in the operating room. J Biomed Inform 44(3):455–462CrossRefPubMed Bouarfa L, Jonker PP, Dankelman J (2011) Discovery of high-level tasks in the operating room. J Biomed Inform 44(3):455–462CrossRefPubMed
9.
Zurück zum Zitat James A, Vieira D, Lo B, Darzi A, Yang G-Z (2007) Eye-gaze driven surgical workflow segmentation. Med Image Comput Comput Assist Interv MICCAI 2007:110–117 James A, Vieira D, Lo B, Darzi A, Yang G-Z (2007) Eye-gaze driven surgical workflow segmentation. Med Image Comput Comput Assist Interv MICCAI 2007:110–117
10.
Zurück zum Zitat Ko S-Y, Kim J, Lee W-J, Kwon D-S (2007) Surgery task model for intelligent interaction between surgeon and laparoscopic assistant robot. Int J Assit Robot Mech 8(1):38–46 Ko S-Y, Kim J, Lee W-J, Kwon D-S (2007) Surgery task model for intelligent interaction between surgeon and laparoscopic assistant robot. Int J Assit Robot Mech 8(1):38–46
11.
Zurück zum Zitat Lalys F, Bouget D, Riffaud L, Jannin P (2012) Automatic knowledge-based recognition of low-level tasks in ophthalmological procedures. Int J Comput Assist Radiol Surg 8(1):39–49CrossRefPubMed Lalys F, Bouget D, Riffaud L, Jannin P (2012) Automatic knowledge-based recognition of low-level tasks in ophthalmological procedures. Int J Comput Assist Radiol Surg 8(1):39–49CrossRefPubMed
12.
Zurück zum Zitat Forestier G, Lalys F, Riffaud L, Collins DL, Meixensberger J, Wassef SN, Neumuth T, Goulet B, Jannin P (2013) Multi-site study of surgical practice in neurosurgery based on surgical process models. J Biomed Inform 46(5):822–829CrossRefPubMed Forestier G, Lalys F, Riffaud L, Collins DL, Meixensberger J, Wassef SN, Neumuth T, Goulet B, Jannin P (2013) Multi-site study of surgical practice in neurosurgery based on surgical process models. J Biomed Inform 46(5):822–829CrossRefPubMed
13.
Zurück zum Zitat Huaulmé A, Voros S, Riffaud L, Forestier G, Moreau-Gaudry A, Jannin P (2017) Distinguishing surgical behavior by sequential pattern discovery. J Biomed Inform 67:34–41CrossRefPubMed Huaulmé A, Voros S, Riffaud L, Forestier G, Moreau-Gaudry A, Jannin P (2017) Distinguishing surgical behavior by sequential pattern discovery. J Biomed Inform 67:34–41CrossRefPubMed
14.
Zurück zum Zitat Riffaud L, Neumuth T, Morandi X, Trantakis C, Meixensberger J, Burgert O, Trelhu B, Jannin P (2010) Recording of surgical processes: a study comparing senior and junior neurosurgeons during lumbar disc herniation surgery. Oper Neurosurg 67:ons325–ons332CrossRef Riffaud L, Neumuth T, Morandi X, Trantakis C, Meixensberger J, Burgert O, Trelhu B, Jannin P (2010) Recording of surgical processes: a study comparing senior and junior neurosurgeons during lumbar disc herniation surgery. Oper Neurosurg 67:ons325–ons332CrossRef
15.
Zurück zum Zitat Neumuth T, Wiedemann R, Foja C, Meier P, Schlomberg J, Neumuth D, Wiedemann P (2010) Identification of surgeon individual treatment profiles to support the provision of an optimum treatment service for cataract patients. J Ocul Biol Dis Inf 3(2):73–83CrossRef Neumuth T, Wiedemann R, Foja C, Meier P, Schlomberg J, Neumuth D, Wiedemann P (2010) Identification of surgeon individual treatment profiles to support the provision of an optimum treatment service for cataract patients. J Ocul Biol Dis Inf 3(2):73–83CrossRef
16.
Zurück zum Zitat Cao C, MacKenzie CL, Payandeh S (1996) Task and motion analyses in endoscopic surgery. In: Proceedings ASME dynamic systems and control division. Citeseer, pp 583–590 Cao C, MacKenzie CL, Payandeh S (1996) Task and motion analyses in endoscopic surgery. In: Proceedings ASME dynamic systems and control division. Citeseer, pp 583–590
17.
Zurück zum Zitat Forestier G, Petitjean F, Senin P, Despinoy F, Jannin P (2017) Discovering discriminative and interpretable patterns for surgical motion analysis. In: Conference on artificial intelligence in medicine in Europe. Springer, Berlin, pp 136–145 Forestier G, Petitjean F, Senin P, Despinoy F, Jannin P (2017) Discovering discriminative and interpretable patterns for surgical motion analysis. In: Conference on artificial intelligence in medicine in Europe. Springer, Berlin, pp 136–145
18.
Zurück zum Zitat Mitsuishi M, Morita A, Sugita N, Sora S, Mochizuki R, Tanimoto K, Baek YM, Takahashi H, Harada K (2013) Master-slave robotic platform and its feasibility study for micro-neurosurgery: master-slave robotic platform for microneurosurgery. Int J Med Robot Comput Assist Surg 9(2):180–189CrossRef Mitsuishi M, Morita A, Sugita N, Sora S, Mochizuki R, Tanimoto K, Baek YM, Takahashi H, Harada K (2013) Master-slave robotic platform and its feasibility study for micro-neurosurgery: master-slave robotic platform for microneurosurgery. Int J Med Robot Comput Assist Surg 9(2):180–189CrossRef
19.
Zurück zum Zitat Garraud C, Gibaud B, Penet C, Gazuguel G, Dardenne G, Jannin P (2014) An ontology-based software suite for the analysis of surgical process model. In: Proceedings of Surgetica’2014. Chambery, France, pp 243–245 Garraud C, Gibaud B, Penet C, Gazuguel G, Dardenne G, Jannin P (2014) An ontology-based software suite for the analysis of surgical process model. In: Proceedings of Surgetica’2014. Chambery, France, pp 243–245
20.
Zurück zum Zitat Sokal RR, Michener CD (1958) A statistical method for evaluating systematic relationships. Univ Kans Sci Bull 28:1409–1438 Sokal RR, Michener CD (1958) A statistical method for evaluating systematic relationships. Univ Kans Sci Bull 28:1409–1438
Metadaten
Titel
Sequential surgical signatures in micro-suturing task
verfasst von
Arnaud Huaulmé
Kanako Harada
Germain Forestier
Mamoru Mitsuishi
Pierre Jannin
Publikationsdatum
11.05.2018
Verlag
Springer International Publishing
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 9/2018
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-018-1775-x

Weitere Artikel der Ausgabe 9/2018

International Journal of Computer Assisted Radiology and Surgery 9/2018 Zur Ausgabe

Premium Partner